d e n t a l m a t e r i a l s 2 9 ( 2 0 1 3 ) 656–665
Available online at www.sciencedirect.com
jo ur nal ho me pag e: www.intl.elsevierhealth.com/journals/dema
Controlled release of metronidazole from composite
poly--caprolactone/alginate (PCL/alginate) rings for dental
implants
Shih-Feng Lan
a
, Timilehin Kehinde
c
, Xiangming Zhang
a
, Sharukh Khajotia
a,b
,
David W. Schmidtke
a,c
, Binil Starly
a,d,*
a
Bioengineering Center, University of Oklahoma, Norman, OK 73019, USA
b
College of Dentistry, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73117, USA
c
School of Chemical, Biological and Materials Engineering, University of Oklahoma, Norman, OK 73019, USA
d
School of Industrial & Systems Engineering, University of Oklahoma, Norman, OK 73019, USA
a r t i c l e i n f o
Article history:
Received 28 August 2012
Received in revised form
21 December 2012
Accepted 11 March 2013
Keywords:
Localized drug delivery
Dental implants
Poly--caprolactone
Alginate
Solvent casting
Metronidazole
a b s t r a c t
Objective. Dental implants provide support for dental crowns and bridges by serving as abut-
ments for the replacement of missing teeth. To prevent bacterial accumulation and growth
at the site of implantation, solutions such as systemic antibiotics and localized delivery of
bactericidal agents are often employed. The objective of this study was to demonstrate a
novel method of controlled localized delivery of antibacterial agents to an implant site using
a biodegradable custom fabricated ring.
Methods. The study involved incorporating a model antibacterial agent (metronidazole) into
custom designed poly--caprolactone/alginate (PCL/alginate) composite rings to produce
the intended controlled release profile. The rings can be designed to fit around the body of
any root form dental implants of various diameters, shapes and sizes.
Results. In vitro release studies indicate that pure (100%) alginate rings exhibited an expected
burst release of metronidazole in the first few hours, whereas Alginate/PCL composite rings
produced a medium burst release followed by a sustained release for a period greater than
4 weeks. By varying the PCL/alginate weight ratios, we have shown that we can control
the amount of antibacterial agents released to provide the minimal inhibitory concentra-
tion (MIC) needed for adequate protection. The fabricated composite rings have achieved a
50% antibacterial agent release profile over the first 48 h and the remaining amount slowly
released over the remainder of the study period. The PCL/alginate agent release characteris-
tic fits the Ritger–Peppas model indicating a diffusion-based mechanism during the 30-day
study period.
Significance. The developed system demonstrates a controllable drug release profile and the
potential for the ring to inhibit bacterial biofilm growth for the prevention of diseases such
as peri-implantitis resulting from bacterial infection at the implant site.
© 2013 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.
∗
Corresponding author at: School of Industrial Engineering, 202 West Boyd Street, Room 116B, University of Oklahoma, Norman, OK 73019,
USA. Tel.: +1 405 325 3725; fax: +1 405 3257555.
E-mail address: starlyb@ou.edu (B. Starly).
0109-5641/$ – see front matter © 2013 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.
http://dx.doi.org/10.1016/j.dental.2013.03.014