Polymer-Based Carriers in Dental Local Healing—Review and Future Challenges
Abstract
:1. Introduction
2. Topical Administration of Dental Carriers
2.1. Oral Mucosa
2.2. Periodontal Pockets
2.3. Other Needs for Topical Treatment of Oral Diseases
3. Carriers and Biodegradable Polymeric Materials in Dentistry
3.1. Natural Polysaccharides
3.1.1. Chitosan and Its Derivatives
3.1.2. Hyaluronic acid (HA) and Hyaluronate
3.1.3. Gums and Pectins
3.2. Peptides—Collagen, Gelatin
3.3. Semi-Synthetic Polysaccharides—Cellulose Derivatives
3.4. Biodegradable Synthetic Polymers
3.4.1. Polyvinyl Alcohol (PVA)
3.4.2. Polylactides (PLGA, PLA)
3.4.3. Polycaprolactone (PCL)
3.4.4. Poloxamers
Polymer | Carrier | Drug |
---|---|---|
PVA | film | ornidazole [179] econazole [155] pvpi [180] lodocaine [159] |
Polylactides | fibers | lidocaine and epinephrine [117] |
films | metronidazole [181] | |
implant | secnidazole/doxycycline [161] | |
microspheres | metro, mino, ciprofloxacin [162] chlorhexidine digluconate [163] | |
nanoparticles | methylene blue [164] minocycline/arestin [165] | |
PCL | microfibers | metronidazole [173] |
gels membrane | metronidazole [182] ZnO [170] tetracycline [183] | |
Poloxamer | nanoemulsion hydrogel | quercetin [175] mebeverini hydrochloridum [177] |
Ethylene-vinyl acetate (EVA) | fibers | tetracycline [184] |
4. Directions of Development of Polymer-Based Carriers and Outlook in Dental Administration
- The search for new biodegradable polymers for the development of carriers that release the substance in the oral cavity,
- The inclusion of mucoadhesive polymers that provide additional lubrication and physical protection of the ulcerated oral mucosa and alleviate the symptoms of ongoing inflammation,
- The use of multifunctional polymers, which, in addition to the basic function of an pharmaceutical excipient, may have additional properties such as pharmacological activity,
- The use of in situ sensitive polymers, i.e., temperature changes (poloxamers, PVA, cellulose derivatives, alginate, gellan), pH changes (Carbopol®, chitosan), resulting in stimuli-responsive drug carriers,
- Design of carriers tailored to the place of application in an individual dose obtained, for example, by means of 3D technology, electrospinning, realizing the idea of personalized therapy, and making it possible to obtain an effective therapeutic concentration even with a small dose of the drug,
- The administration of biologic drugs, which are difficult to deliver using conventional dosage forms and are currently almost exclusively limited to systemic administration.
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Characteristics | Oral Cavity | Periodontal Pocket Depth |
---|---|---|
Administration area/size of the administration area | surface area of periodontal pockets 50–200 cm2 [14], 100 cm2 [13] | >4 mm during an inflammatory state [17] |
Type of covering epithelium | keratinized [7,13] | non-keratinized [13] |
Thickness of epithelium | 500–800 µm [11] | 100–600 µm [13] |
Exchange/flow of saliva/fluid in the gingival groove | 0.5–2 L/day [8] | 3–137 µL/h [13,18] |
Desired characteristics of the drug carrier | adhesion, moldability, and adaptability to the application site (plasticity), resistance to smearing, patient self-application, biodegradability, modified release [7] | fitting into the application site, penetration into tissue, formation of physical bonds with tissue, resistance to smearing, adequate retention time, ease of application, biodegradability, modified release [19] |
Polymeric carriers of active substance applied | rinses, films [20], gels [21], bioadhesive tablets, matrices, scaffolds | fibers, microspheres [22], implants, gels, in situ gels, nanocarriers (nanoparticles, nanospheres) |
Polymer | Carrier | Drug |
---|---|---|
Chitosan | gels | VEGF [32] atorvastatin [33] thymol [34] metronidazole/vancomycin [35] lidocaine [36] |
films | Acmella oreacea [20] metformini hydrochloridum [37] pentoxifylline [38] | |
membranes | extract from Garcinia mangostana [39] without substance [40] without substance [41] | |
microspheres microparticles | ornidazole/doxycycline [22] tetracycline hydrochloride [42] metronidazole [43] | |
Hyaluronic acid Hyaluronate | membranes matrices | without substance [44] L-PRF [45] rhBMP9 [46] |
gels | 0.2% [4] | |
Gums Pectins | film sponge matrix | triamcinolone acetonide [47] without substance [48,49] lidocaine [10] |
Polymer | Carrier | Drug |
---|---|---|
Gelatin | implant (Periochip®) | chlorhexidine digluconate [110] |
hemostatic sponge | Gelfoam® without substance [111] Gelatamp Ag ions [112] | |
Collagen | membranes implant (PerioCol™-CG) | without substance [113] chlorhexidine digluconate [114] |
Cellulose Ethers | R Groups |
---|---|
Methylcellulose | H, CH3 |
Ethylcellulose | H, CH2CH3 |
Hydroxyethyl methylcellulose | H, CH3, [CH2CH2O]nH |
Hydroxypropyl cellulose | H, [CH2CH(CH3)O]H |
Carboxymethyl cellulose | H, CH2COONa |
Polymer | Carrier | Drug |
---|---|---|
HPMC | sponge | curcumin [138] |
film | fluticasone propionate [139] satranidazole [140] ornidazole/dexamethasone [141] metronidazole [38] | |
mucoadhesive tablet | chlorhexidine digluconate [142] miconazole [143] | |
CMC | film | imiquimod [144] allantoin [136] |
CMCNa | gel matrix | satranidazole [145] metronidazole [137] |
HPC | film | dibucaine [146] tetracaine/ofloxacin [147] |
EC | matrix | lidocaine/triamcinolone [148] |
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Kida, D.; Zakrzewska, A.; Zborowski, J.; Szulc, M.; Karolewicz, B. Polymer-Based Carriers in Dental Local Healing—Review and Future Challenges. Materials 2021, 14, 3948. https://doi.org/10.3390/ma14143948
Kida D, Zakrzewska A, Zborowski J, Szulc M, Karolewicz B. Polymer-Based Carriers in Dental Local Healing—Review and Future Challenges. Materials. 2021; 14(14):3948. https://doi.org/10.3390/ma14143948
Chicago/Turabian StyleKida, Dorota, Aneta Zakrzewska, Jacek Zborowski, Małgorzata Szulc, and Bożena Karolewicz. 2021. "Polymer-Based Carriers in Dental Local Healing—Review and Future Challenges" Materials 14, no. 14: 3948. https://doi.org/10.3390/ma14143948