A Novel Therapeutic Calcium Peroxide Loaded Injectable Bio-adhesive Hydrogel Against Periodontitis

Objectives: Periodontitis is a prevalent oral disease that can significantly impact patients' life quality and systemic health. However, non-surgical subgingival scaling is largely compromised due to poor patient compliance, leading to a high recurrence rate of periodontitis. Therefore, this re...

Full description

Saved in:
Bibliographic Details
Main Authors: Shaojie Dong, Yukun Mei, Yuwei Zhang, Wenqing Bu, Yifei Zhang, Changjie Sun, Rui Zou, Lin Niu
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:International Dental Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0020653924001503
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832592819076726784
author Shaojie Dong
Yukun Mei
Yuwei Zhang
Wenqing Bu
Yifei Zhang
Changjie Sun
Rui Zou
Lin Niu
author_facet Shaojie Dong
Yukun Mei
Yuwei Zhang
Wenqing Bu
Yifei Zhang
Changjie Sun
Rui Zou
Lin Niu
author_sort Shaojie Dong
collection DOAJ
description Objectives: Periodontitis is a prevalent oral disease that can significantly impact patients' life quality and systemic health. However, non-surgical subgingival scaling is largely compromised due to poor patient compliance, leading to a high recurrence rate of periodontitis. Therefore, this research aims to explore new approaches to enhance the effectiveness of existing local drug administration therapies. Materials and Methods: Gelatin-oxidized dextran hydrogel loaded with calcium peroxide and penicillin (CP-P hydrogel) was synthesized and characterized using Universal mechanical testing machine, Fourier transform infrared spectroscopy, swelling test, and dissolved oxygen meter. Furthermore, the cytotoxicity, osteogenic ability, antibacterial behavior, and alveolar bone regenerating capability of CP-P hydrogel were conducted both in vitro and in vivo. Results: The CP-P hydrogel demonstrated excellent mechanical properties, minimal swelling, and ideal biocompatibility. It created more favorable environments in the periodontal pocket by reversing anaerobic environment, eliminating drug-resistant bacteria and enhancing the therapeutic potency of drugs. By continuously releasing drugs in the periodontal pocket, the CP-P hydrogel effectively inhibited bacteria and reduce local inflammation response. In addition to bacteriostatic effects, the CP-P hydrogel also promoted the expression of osteogenic genes and enhanced osteogenic differentiation of PDLSCs in vitro. Conclusions: CP-P hydrogel can be developed as a new therapeutic platform to enhance the effectiveness of local drug administration strategy against periodontitis.
format Article
id doaj-art-d19a0485043846cdac2b22ca3eabf3dc
institution Kabale University
issn 0020-6539
language English
publishDate 2025-02-01
publisher Elsevier
record_format Article
series International Dental Journal
spelling doaj-art-d19a0485043846cdac2b22ca3eabf3dc2025-01-21T04:12:41ZengElsevierInternational Dental Journal0020-65392025-02-01751352362A Novel Therapeutic Calcium Peroxide Loaded Injectable Bio-adhesive Hydrogel Against PeriodontitisShaojie Dong0Yukun Mei1Yuwei Zhang2Wenqing Bu3Yifei Zhang4Changjie Sun5Rui Zou6Lin Niu7Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi Province, China; Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, Shaanxi Province, China; Department of Prosthodontics, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi Province, ChinaKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi Province, China; Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, Shaanxi Province, ChinaKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi Province, China; Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, Shaanxi Province, ChinaKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi Province, China; Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, Shaanxi Province, ChinaKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi Province, China; Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, Shaanxi Province, ChinaKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi Province, China; Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, Shaanxi Province, ChinaKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi Province, China; Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, Shaanxi Province, China; Corresponding authors.Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi Province, China; Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, Shaanxi Province, China; Department of Prosthodontics, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi Province, China; Corresponding authors.Objectives: Periodontitis is a prevalent oral disease that can significantly impact patients' life quality and systemic health. However, non-surgical subgingival scaling is largely compromised due to poor patient compliance, leading to a high recurrence rate of periodontitis. Therefore, this research aims to explore new approaches to enhance the effectiveness of existing local drug administration therapies. Materials and Methods: Gelatin-oxidized dextran hydrogel loaded with calcium peroxide and penicillin (CP-P hydrogel) was synthesized and characterized using Universal mechanical testing machine, Fourier transform infrared spectroscopy, swelling test, and dissolved oxygen meter. Furthermore, the cytotoxicity, osteogenic ability, antibacterial behavior, and alveolar bone regenerating capability of CP-P hydrogel were conducted both in vitro and in vivo. Results: The CP-P hydrogel demonstrated excellent mechanical properties, minimal swelling, and ideal biocompatibility. It created more favorable environments in the periodontal pocket by reversing anaerobic environment, eliminating drug-resistant bacteria and enhancing the therapeutic potency of drugs. By continuously releasing drugs in the periodontal pocket, the CP-P hydrogel effectively inhibited bacteria and reduce local inflammation response. In addition to bacteriostatic effects, the CP-P hydrogel also promoted the expression of osteogenic genes and enhanced osteogenic differentiation of PDLSCs in vitro. Conclusions: CP-P hydrogel can be developed as a new therapeutic platform to enhance the effectiveness of local drug administration strategy against periodontitis.http://www.sciencedirect.com/science/article/pii/S0020653924001503PeriodontitisAntibacterialDrug resistanceCalcium peroxide
spellingShingle Shaojie Dong
Yukun Mei
Yuwei Zhang
Wenqing Bu
Yifei Zhang
Changjie Sun
Rui Zou
Lin Niu
A Novel Therapeutic Calcium Peroxide Loaded Injectable Bio-adhesive Hydrogel Against Periodontitis
International Dental Journal
Periodontitis
Antibacterial
Drug resistance
Calcium peroxide
title A Novel Therapeutic Calcium Peroxide Loaded Injectable Bio-adhesive Hydrogel Against Periodontitis
title_full A Novel Therapeutic Calcium Peroxide Loaded Injectable Bio-adhesive Hydrogel Against Periodontitis
title_fullStr A Novel Therapeutic Calcium Peroxide Loaded Injectable Bio-adhesive Hydrogel Against Periodontitis
title_full_unstemmed A Novel Therapeutic Calcium Peroxide Loaded Injectable Bio-adhesive Hydrogel Against Periodontitis
title_short A Novel Therapeutic Calcium Peroxide Loaded Injectable Bio-adhesive Hydrogel Against Periodontitis
title_sort novel therapeutic calcium peroxide loaded injectable bio adhesive hydrogel against periodontitis
topic Periodontitis
Antibacterial
Drug resistance
Calcium peroxide
url http://www.sciencedirect.com/science/article/pii/S0020653924001503
work_keys_str_mv AT shaojiedong anoveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis
AT yukunmei anoveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis
AT yuweizhang anoveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis
AT wenqingbu anoveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis
AT yifeizhang anoveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis
AT changjiesun anoveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis
AT ruizou anoveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis
AT linniu anoveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis
AT shaojiedong noveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis
AT yukunmei noveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis
AT yuweizhang noveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis
AT wenqingbu noveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis
AT yifeizhang noveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis
AT changjiesun noveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis
AT ruizou noveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis
AT linniu noveltherapeuticcalciumperoxideloadedinjectablebioadhesivehydrogelagainstperiodontitis