Abstract

Localized intra-periodontal pocket drug delivery using an injectable in situ forming gel is an effective periodontitis treatment. The aqueous insoluble property of rosin is suitable for preparing a solvent exchange-induced in situ forming gel. This study aims to investigate the role of incorporating lime peel oil (LO) on the physicochemical properties of injectable in situ forming gels based on rosin loaded with 5% w/w doxycycline hyclate (DH) in dimethyl sulfoxide (DMSO) and N-methyl pyrrolidone (NMP). Their gel formation, viscosity, injectability, mechanical properties, wettability, drug release, and antimicrobial activities were evaluated. The presence of LO slowed gel formation due to the loose precipitate formation of gel with a high LO content. The viscosity and injectability were slightly increased with higher LO content for the DH-loaded rosin-based in situ forming gel. The addition of 10% LO lowered gel hardness with higher adhesion. LO incorporation promoted a higher drug release pattern than the no oil-added formulation over 10 days and the gel formation rate related to burst drug release. The drug release kinetics followed the non-Fickian diffusion mechanism for oil-added formulations. LO exhibited high antimicrobial activity against Porphyromonas gingivalis and Staphylococcus aureus. The DH-loaded rosin in situ forming gel with an addition of LO (0, 2.5, 5, and 10% w/w) inhibited all tested microorganisms. Adding 10% LO to rosin-based in situ forming gel improved the antimicrobial activities, especially for the P. gingivalis and S. aureus. As a result, the study demonstrates the possibility of using an LO amount of less than 10% loading into a rosin-based in situ forming gel for efficient periodontitis treatment.

Highlights

  • Bleached shellac-based in situ forming gel systems using dimethyl sulfoxide (DMSO) as a solvent exhibited a faster transformation into gel than that of a system using N-methyl pyrrolidone (NMP) [29]

  • Our results indicate that the doxycycline hyclate (DH)-loaded formulation showed promising antimicrobial effects against S. aureus groups, P. gingivalis, and A. actinomycetemcomitans

  • This study prepared a DH-loaded rosin-based in situ forming gel with lime peel oil (LO)

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Summary

Introduction

Periodontitis damages the periodontal tissue and destroys the bone that supports the teeth resulting in periodontal pockets for bacteria accumulation with more aggressive conditions [1]. The inhibition of bacteria growth in periodontal pockets by mechanical scaling, root planing and medications are typically recommended by the dentist [1,2]. The tiny irregular shapes and various sizes of periodontal pockets seem to be the problem for solid drug delivery systems to be inserted for a good fit. The localized in situ forming drug delivery system, with the liquid form first, demonstrates benefits over those drug delivery systems due to fitting well into the pocket before solidifying, ease of use and acceptable clinical effectiveness with its highly effective drug concentration at the target site with minimal side effects [4]

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