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Characteristics of Local Delivery Agents for Treating Peri-Implantitis on Dental Implant Surfaces: A Preclinical Study

Authors
 Jong-Bin Lee  ;  Helen Hye-In Kweon  ;  Hyun-Jae Cho  ;  Chang-Sung Kim  ;  Young-Taek Kim 
Citation
 JOURNAL OF ORAL IMPLANTOLOGY, Vol.45(2) : 116-126, 2019 
Journal Title
 JOURNAL OF ORAL IMPLANTOLOGY 
ISSN
 0160-6972 
Issue Date
2019
MeSH
Anti-Infective Agents, Local*/administration & dosage ; Chlorhexidine*/administration & dosage ; Dental Implants* ; Humans ; Microscopy, Electron, Scanning ; Peri-Implantitis*/drug therapy ; Surface Properties
Abstract
Local delivery agents (LDAs) are widely used in peri-implantitis treatments. The aim of this study was to identify LDAs remaining on the dental implant surfaces and to analyze the components of these residues after applying various cleaning methods. Implants were prepared with a sand-blasted, large-grit, acid-etched surface. Four kinds of LDAs were applied on the implant surfaces: chlorhexidine gel (group 2), tetracycline solution (group 3), and 2 kinds of minocycline hydrochloride agents (groups 4 and 5). Group 1 received normal saline as a control. Two cleaning methods were applied for different durations as follows: (1) running distilled water for 10 seconds (subgroup A), 5 minutes (subgroup B), and 15 minutes (subgroup C); and (2) water spray of a dental-unit chair for 10 seconds (subgroup D) and 5 minutes (subgroup E). Scanning electron microscopy and energy-dispersive x-ray spectroscopy were used to analyze the surface morphology and residue components for all implants. The amount of LDA removed from the implant surfaces in groups 1, 2, 3, and 5 increased with the cleaning duration and pressure. However, Minocline remained coated on the implant surfaces in group 4 under all cleaning conditions. Minocline could not be cleaned off well by water due to its hydrophobicity. Therefore, directly using this agent on implant surfaces with peri-implantitis should be carefully considered. The presence of LDA residues without drug efficacies on implant surfaces might interfere with reosseointegration and act as a reservoir of microorganisms.
Full Text
https://www.joionline.org/doi/full/10.1563/aaid-joi-D-17-00261
DOI
10.1563/aaid-joi-D-17-00261
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Periodontics (치주과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chang Sung(김창성) ORCID logo https://orcid.org/0000-0003-3902-1071
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/174584
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