A conceptually novel periodontal drug delivery system (DDS) is described th
at is intended for treatment of microbial infections associated with period
ontitis. The DDS is a composite wafer with surface layers possessing adhesi
ve properties, while the bulk layer consists of antimicrobial agents, biode
gradable polymers, and matrix polymers. The wafers contain poly(lactic-co-g
lycolic acid) as the main bioerodible component used in the bulk layer and
ethyl cellulose applied as a matrix polymer enabling diffusion-controlled r
elease. Starch and other polymers in combination with AgNO3 serve as coatin
gs adhesive to the teeth. In vitro experiments demonstrate that the wafers
are capable of zero-order release of antimicrobial agents such as silver ni
trate, benzylpenicillin, and tetracycline, for over 4 weeks. (C) 2001 Elsev
ier Science B.V. All rights reserved.