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Article

Impact of Local Drug Delivery of Minocycline on the Subgingival Microbiota during Supportive Periodontal Therapy: A Randomized Controlled Pilot Study

1
Research Unit for Oral-Systemic Connection, Division of Oral Science for Health Promotion, Niigata University Graduate School of Medical and Dental Sciences, 2-5274, Gakkocho-dori, Chuo-ku, Niigata 951-8514, Japan
2
Division of Periodontology, Department of Oral Biological Science, Niigata University Graduate School of Medical and Dental Sciences, 2-5274, Gakkocho-dori, Chuo-ku, Niigata 951-8514, Japan
3
Department of Computer Science and Engineering, State University of New York at Buffalo, 338 Davis Hall, Buffalo, NY 14214, USA
4
Sunstar Inc., 3-1, Asahimachi, Takatsuki-shi, Osaka 569-1134, Japan
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Departments of Oral Biology, and Microbiology and Immunology, and Center for Microbiome Research, University at Buffalo, 135 Foster Hall, 3435 Main Street, Buffalo, NY 14214, USA
*
Author to whom correspondence should be addressed.
Deceased.
Dent. J. 2020, 8(4), 123; https://doi.org/10.3390/dj8040123
Received: 8 September 2020 / Revised: 9 October 2020 / Accepted: 22 October 2020 / Published: 27 October 2020
The aim of this study was to examine the effect of adjunct local minocycline administration on the microbiological parameters of subgingival plaque samples in the residual periodontal pockets. Ten chronic periodontitis patients under a supportive periodontal therapy regimen were recruited. After subgingival debridement, either 2% minocycline gel, Periocline™, (Test Group) or a placebo (Control Group) was administered to the selected sites once a week for three weeks. Subgingival plaque was collected at baseline, and at four weeks and eight weeks. The microbiological composition was analyzed by 16S ribosomal RNA sequencing. In the Test Group, α-diversity (evenness) decreased compared to the baseline (p = 0.005) and was lower compared to the control group at four weeks (p = 0.003). The microbial community composition between the two groups was significantly different at four weeks (p = 0.029). These changes were attributable to a decrease in the bacteria associated with periodontitis and an increase in the bacteria associated with periodontal health. Additionally, the improvement in bleeding on probing continued at eight weeks; however, there were little microbial effects of 2% minocycline gel observed at eight weeks. The control group demonstrated no change throughout the eight-week experimental period. Thus, local minocycline administration can change the subgingival microbial community of residual periodontal pockets. View Full-Text
Keywords: supportive periodontal therapy; local drug delivery; minocycline; subgingival microbiota; 16S rDNA supportive periodontal therapy; local drug delivery; minocycline; subgingival microbiota; 16S rDNA
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MDPI and ACS Style

Miyazawa, H.; Nakajima, T.; Horimizu, M.; Okuda, K.; Sugita, N.; Yamazaki, K.; Li, L.; Hayashi-Okada, Y.; Arita, T.; Nishimoto, M.; Nishida, M.; Genco, R.J.; Yamazaki, K. Impact of Local Drug Delivery of Minocycline on the Subgingival Microbiota during Supportive Periodontal Therapy: A Randomized Controlled Pilot Study. Dent. J. 2020, 8, 123. https://doi.org/10.3390/dj8040123

AMA Style

Miyazawa H, Nakajima T, Horimizu M, Okuda K, Sugita N, Yamazaki K, Li L, Hayashi-Okada Y, Arita T, Nishimoto M, Nishida M, Genco RJ, Yamazaki K. Impact of Local Drug Delivery of Minocycline on the Subgingival Microbiota during Supportive Periodontal Therapy: A Randomized Controlled Pilot Study. Dentistry Journal. 2020; 8(4):123. https://doi.org/10.3390/dj8040123

Chicago/Turabian Style

Miyazawa, Haruna, Takako Nakajima, Makoto Horimizu, Kazuhiro Okuda, Noriko Sugita, Kyoko Yamazaki, Lu Li, Yoshiko Hayashi-Okada, Takuya Arita, Misa Nishimoto, Mieko Nishida, Robert J. Genco, and Kazuhisa Yamazaki. 2020. "Impact of Local Drug Delivery of Minocycline on the Subgingival Microbiota during Supportive Periodontal Therapy: A Randomized Controlled Pilot Study" Dentistry Journal 8, no. 4: 123. https://doi.org/10.3390/dj8040123

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