Ig. Needleman et al., CHARACTERIZATION OF BIOADHESIVES FOR PERIODONTAL AND ORAL MUCOSAL DRUG-DELIVERY, Journal of clinical periodontology, 25(1), 1998, pp. 74-82
Whilst there is keen interest in developing improved drug delivery dev
ices to the periodontal pocket and oral mucosa, there are few reports
which have examined the physical properties of gels and semi-solid for
mulations which favour retention and bioadhesion in situ, Hydration an
d rheological properties appear to be of prime importance in this cont
ext and this study aimed to correlate the measurement of these propert
ies with observed bioadhesion, both in vitro and in vivo. Three candid
ate bioadhesives were selected from previous experiments which had use
d in vitro organ culture models. These were chitosan, xanthan gum and
poly (ethylene oxide) aqueous formulations. Hydration rates with vario
us media were determined in specially constructed cells, Rheological p
roperties were measured using a controlled stress rheometer under care
fully regulated conditions, These findings were also correlated with i
n vivo assessments in the periodontal pocket and oral mucosa. The resu
lts demonstrated that three formulations with differing bioadhesive pr
operties also possessed widely different physical characteristics. Hyd
ration experiments indicated a direct relationship between the rate of
hydration and bioadhesion or retention, Rheological studies suggested
that possession of a gel structure could be an important determinant
of retention where shear displacing forces are present in Five, e.g. t
he oral mucosa. Furthermore, these studies indicated that formulations
which could demonstrate resistance to changes in rheological properti
es on hydration would also favour retention in situ. Physical characte
risation therefore appears to have an important place in screening pol
ymeric formulations prior to clinical testing in the periodontal pocke
t and oral mucosa.