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

Title
Characteristics of Local Delivery Agents for Treating Peri-Implantitis on Dental Implant Surfaces: A Preclinical Study
Authors
Lee, Jong-BinKweon, Helen Hye-InCho, Hyun-JaeKim, Chang-SungKim, Young-Taek
Ewha Authors
이종빈
Issue Date
2019
Journal Title
JOURNAL OF ORAL IMPLANTOLOGY
ISSN
0160-6972JCR Link

1548-1336JCR Link
Citation
JOURNAL OF ORAL IMPLANTOLOGY vol. 45, no. 2, pp. 116 - 126
Keywords
implant surfacelocal delivery agentsperi-implantitis treatmentrinsing methodwashing method
Publisher
ALLEN PRESS INC
Indexed
SCIE; SCOPUS WOS
Document Type
Article
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.
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DOI
10.1563/aaid-joi-D-17-00261
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의료원 > 의료원 > Journal papers
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