Efficacy of locally-delivered doxycycline microspheres in chronic localized periodontitis and on Porphyromonas gingivalis

J Investig Clin Dent. 2012 May;3(2):128-34. doi: 10.1111/j.2041-1626.2011.00110.x. Epub 2011 Dec 19.

Abstract

Aim: This study aimed to assess the efficacy and effect of locally-delivered doxycycline microspheres with scaling and root planing in periodontal pocket therapy and on Porphyromonas gingivalis, respectively.

Methods: Twenty sites with a probing pocket depth of 4-6 mm were divided into two groups: a control group consisting of scaling and root planing, with one application of doxycycline microspheres only at baseline, and a test group consisting of scaling and root planing, with an application of doxycycline microspheres at baseline and 1 and 3 months. Clinical readings included the plaque index, gingival index, probing pocket depth, and relative attachment level. Rapid polymerase chain reaction method was used for the detection of P. gingivalis.

Results: A statistically-significant reduction in probing pocket depth and attachment gain was found in both groups; the test group showed a significant reduction in probing pocket depth and attachment gain compared with the control at 3 and 6 months. P. gingivalis cell count in the test group was significantly reduced at all the time periods, except from 1 to 3 months.

Conclusion: Local drug delivery of doxycycline microspheres significantly improved the treatment outcomes in periodontal pocket therapy and reduced P. gingivalis in the periodontal pocket.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Anti-Bacterial Agents / administration & dosage*
  • Anti-Bacterial Agents / pharmacology
  • Combined Modality Therapy
  • Dental Plaque Index
  • Dental Scaling*
  • Doxycycline / administration & dosage*
  • Doxycycline / pharmacology
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Microspheres
  • Middle Aged
  • Periodontal Attachment Loss / therapy*
  • Periodontal Index
  • Periodontal Pocket / drug therapy*
  • Periodontal Pocket / therapy
  • Polymerase Chain Reaction
  • Porphyromonas gingivalis / drug effects*
  • Root Planing
  • Single-Blind Method

Substances

  • Anti-Bacterial Agents
  • Doxycycline