Root surface characteristics associated with subgingival placement of monolithic tetracycline-impregnated fibers

J Periodontol. 1992 Feb;63(2):137-43. doi: 10.1902/jop.1992.63.2.137.

Abstract

The purpose of this investigation was to inspect and characterize the subgingival root surface after a 10-day exposure in vivo to 25% tetracycline hydrochloride by weight in an ethylene vinyl acetate copolymer fiber matrix with and without root planing therapy. The root surfaces were examined by fluorescent-light microscopy (FLM), scanning electron microscopy (SEM), and energy dispersive spectroscopy (EDS). Thirty-two teeth were selected for study, 4 from each of 8 patients. The teeth of each patient were randomly assigned to one of four treatment groups: non-treated control (C), scaling and root planing only (RP), tetracycline-impregnated fiber only (F), and scaling and root planing with tetracycline-impregnated fiber application (RP/F). SEM revealed a visible reduction in the subgingival microbial flora in both the F and RP/F treatment groups in comparison with the C group specimens. Many of the residual bacteria observed in F and RP/F specimens appeared non-viable, exhibiting obvious loss of membrane integrity. In contrast, the RP specimens exhibited randomly distributed areas of residual subgingival plaque and calculus with newly developing plaque fronts; the plaque fronts undoubtedly having formed during the 10 days post-therapy. All RP/F specimens exhibited an incomplete removal of adsorbed root surface pellicle and demineralization of the subsequently exposed root surface. EDS analysis of large crystals adhering to root surfaces of F and RP/F specimens revealed high chloride peaks, suggesting the presence of residual tetracycline. FLM examination of F and RP/F treated specimens showed a superficial penetration of tetracycline into the root surface of about 10 microns. Areas of demineralized root showed slight tetracycline penetration into exposed dentinal tubules.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adsorption
  • Adult
  • Bacteria / ultrastructure
  • Dental Calculus / ultrastructure
  • Dental Pellicle
  • Dental Plaque / microbiology
  • Dental Plaque / ultrastructure
  • Dental Scaling
  • Drug Implants
  • Electron Probe Microanalysis
  • Female
  • Humans
  • Male
  • Microscopy, Electron, Scanning
  • Microscopy, Fluorescence
  • Periodontitis / metabolism
  • Periodontitis / pathology
  • Polyvinyls
  • Root Planing*
  • Tetracycline / administration & dosage
  • Tetracycline / pharmacokinetics
  • Tetracycline / therapeutic use*
  • Tooth Root / chemistry
  • Tooth Root / drug effects*
  • Tooth Root / ultrastructure

Substances

  • Drug Implants
  • Polyvinyls
  • ethylenevinylacetate copolymer
  • Tetracycline