新型牙周给药系统研究进展

V. K, Aathika Shaik, Susanna Panadi, Gopi Bukkisetti, Sravani Gosula, R. Menda, Waseem Baba Shaik
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摘要

牙周炎是一种传染性疾病,导致牙齿组织内的支持炎症,进行性附着物丧失和骨质流失。病因和危险因素包括微生物因素、局部因素、全身因素、遗传因素和行为因素。牙周炎可发生于任何年龄,最常见于30-35岁的成年人。它包括牙周韧带的退化,牙槽骨的吸收,导致牙齿结构的破坏。据世卫组织统计,在全球人口中,近10-15%的人患有严重牙周炎。在牙周感染的治疗中,抗菌药物的应用最为广泛。牙槽骨间隙变宽,牙槽骨全身性丧失是影像学特征。治疗需要更积极的外科护理。生物可降解聚合物因其来源丰富、毒性低、组织相容性好等优点被广泛应用于牙周给药装置中。在过去的几十年里,治疗已经优化为使用药物输送系统到牙周袋,具有在特定部位输送药物,维持和/或控制药物浓度的优势。最近,使用新的给药系统受到了极大的关注。本文综述了牙周袋给药的主要给药系统及其在牙周治疗中的应用和进展。
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Recent advances on novel periodontal drug delivery system
Periodontitis is an infectious disease resulting in inflammation the supporting within tissues of the teeth,    progressive attachment loss and bone loss-carranza. Some of the etiology and risk factors are Microbial factors, local factors, systemic factors,   genetic factors and behaviour factors. Periodontitis can occur at any age, most frequently observe in adults at the age of 30-35years.   It involves the degeneration of periodontal ligaments, resorption of alveolar bone resulting in the disruption of the structure of the teeth. In global population nearly 10-15% of people are suffering with severe periodontitis according to WHO. In management of periodontal infection Antibacterial agents are most widely used. Widening of PDL space, generalised loss of alveolar bone are the radiographic feature. Treatment requires more aggressive surgical care. Because of abundant source, lack of toxicity and high tissue compatibility the Biodegradable polymers are extensively employed in periodontal drug delivery devices. In the last decades, the treatment has been optimized for the use of drug delivery systems to the periodontal pocket, with the advantage of delivering the drug in the specific site, sustaining and/or controlling the drug concentration. Recently, the use of new drug delivery systems has been receiving great interest. This review approaches the main delivery systems for the administration of drugs to the periodontal pocket, their usefulness as well as the advancement of these systems effectiveness in the periodontal therapy.
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