Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Cairo University, Kasr El-Aini Street, Cairo, Egypt.
Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Cairo University, Kasr El-Aini Street, Cairo, Egypt.
Int J Pharm. 2017 Apr 15;521(1-2):306-317. doi: 10.1016/j.ijpharm.2017.02.058. Epub 2017 Feb 21.
Periapical lesions are considered one of the common pathological conditions affecting alveolar bone. The primary focus of this study was to investigate the effectiveness of formulating an injectable in-situ forming scaffold-loaded with risedronate (bone resorption inhibitor) and with lornoxicam (anti-inflammatory drug) for the non-surgical treatment of periapical lesions. The scaffolds were prepared using solvent-induced phase inversion technique. Two insoluble copolymers were investigated namely; PLGA (ester-terminal) and PLGA-A (acid-terminal), additionally, SAIB was added as a high viscosity water-insoluble carrier. The addition of porogenic agents like hydrolyzed collagen was also investigated. The prepared scaffolds were characterized by analyzing their in-vitro release, DSC and rheological properties, besides their morphological properties. The results showed that the scaffolds prepared using 30% (w/v) PLGA or combined PLGA: SAIB (1:1, w/w) with total polymer concentration of 30% (w/v) possessed the most sustained drug release profile. Selected scaffolds were tested for their therapeutic effect to study the effect of porogenic agent, anti-inflammatory drug and risedronate in periapical lesions induced in dogs' teeth. Results declared that the selected scaffolds succeeded in improving the inflammation and enhancing the formation of new bony regions confirming the success of the prepared scaffolds as an innovative approach in the treatment of bone defects.
根尖周病变被认为是影响牙槽骨的常见病理情况之一。本研究的主要目的是研究一种可注射原位形成支架的配方的有效性,该支架负载利塞膦酸钠(骨吸收抑制剂)和氯诺昔康(抗炎药),用于根尖周病变的非手术治疗。支架采用溶剂诱导相转化技术制备。研究了两种不溶性共聚物,即 PLGA(酯端基)和 PLGA-A(酸端基),此外,还添加了 SAIB 作为高粘度水不溶性载体。还研究了添加致孔剂如水解胶原。通过分析体外释放、DSC 和流变性能以及形态性能对制备的支架进行了表征。结果表明,使用 30%(w/v)PLGA 或 30%(w/v)总聚合物浓度下的组合 PLGA:SAIB(1:1,w/w)制备的支架具有最持续的药物释放曲线。选择了一些支架进行治疗效果测试,以研究致孔剂、抗炎药和利塞膦酸钠在犬牙诱导的根尖周病变中的作用。结果表明,所选支架成功改善了炎症,并增强了新骨区域的形成,证实了所制备的支架作为治疗骨缺损的创新方法的成功。