Accioni Francesca, Rassu Giovanna, Begines Belén, Rodríguez-Albelo Luisa Marleny, Torres Yadir, Alcudia Ana, Gavini Elisabetta
Departmento de Química Orgánica y Farmacéutica, Facultad de Farmacia, Universidad de Sevilla, 41012 Sevilla, Spain.
Department of Medical, Surgical and Experimental Sciences, University of Sassari, 07100 Sassari, Italy.
Pharmaceutics. 2022 Jun 12;14(6):1244. doi: 10.3390/pharmaceutics14061244.
Despite the increasing progress achieved in the last 20 years in both the fabrication of porous dental implants and the development of new biopolymers for targeting drug therapy, there are important issues such as bone resorption, poor osseointegration, and bacterial infections that remain as critical challenges to avoid clinical failure problems. In this work, we present a novel microtechnology based on polycaprolactone microspheres that can adhere to porous titanium implant models obtained by the spacer holder technique to allow a custom biomechanical and biofunctional balance. For this purpose, a double emulsion solvent evaporation technique was successfully employed for the fabrication of the microparticles properly loaded with the antibacterial therapeutic agent, rose bengal. The resulting microspheres were infiltrated into porous titanium substrate and sintered at 60 °C for 1 h, obtaining a convenient prophylactic network. In fact, the sintered polymeric microparticles were demonstrated to be key to controlling the drug dissolution rate and favoring the early healing process as consequence of a better wettability of the porous titanium substrate to promote calcium phosphate nucleation. Thus, this joint technology proposes a suitable prophylactic tool to prevent both early-stage infection and late-stage osseointegration problems.
尽管在过去20年里,多孔牙科植入物的制造以及用于靶向药物治疗的新型生物聚合物的开发都取得了越来越大的进展,但诸如骨吸收、骨整合不良和细菌感染等重要问题仍然是避免临床失败问题的关键挑战。在这项工作中,我们提出了一种基于聚己内酯微球的新型微技术,该微球可以附着在通过间隔支架技术获得的多孔钛植入物模型上,以实现定制的生物力学和生物功能平衡。为此,成功采用了双乳液溶剂蒸发技术来制备负载有抗菌治疗剂孟加拉玫瑰红的微粒。将所得微球渗透到多孔钛基材中,并在60°C下烧结1小时,从而获得了一个便利的预防网络。事实上,烧结的聚合物微球被证明是控制药物溶解速率和促进早期愈合过程的关键,这是由于多孔钛基材具有更好的润湿性,有利于磷酸钙成核。因此,这种联合技术提出了一种合适的预防工具,以防止早期感染和后期骨整合问题。