Characterization of Chlorhexidine-Impregnated Cellulose-Based Hydrogel Films Intended for the Treatment of Periodontitis

Biomed Res Int. 2021 Sep 15:2021:9853977. doi: 10.1155/2021/9853977. eCollection 2021.

Abstract

Periodontitis comprises a chronic inflammation that is initiated by microbiota biofilm. If left untreated, periodontitis may lead to permanent tooth loss. Herein, we propose to design and improve a localized form of therapy comprising a chlorhexidine-impregnated hydrogel. Hydrogel films were prepared by varying the ratio between cellulose (MCC) and carboxymethylcellulose sodium (CMC) using the crosslinker epichlorohydrin (ECH). The hydrogel was loaded with chlorhexidine. Increasing the CMC ratio led to a reduction in the number of pores, an increase in their size, lower glass transition temperature (T g ), decreased Young's modulus, and increased film stretching and affected the time of release. Bacterial and fungal zones of inhibition showed similar activity and were not affected by the CMC and MCC ratio. Hydrogels loaded with chlorhexidine prevented the growth of S. oralis and C. albicans microorganisms and may provide a promising local delivery system for treating periodontitis.

MeSH terms

  • Anti-Infective Agents / pharmacology
  • Bacteria / drug effects
  • Carboxymethylcellulose Sodium / chemistry*
  • Chlorhexidine / pharmacology
  • Chlorhexidine / therapeutic use*
  • Drug Liberation
  • Elastic Modulus
  • Fungi / drug effects
  • Glass / chemistry
  • Humans
  • Kinetics
  • Methylgalactosides / pharmacology
  • Methylgalactosides / therapeutic use*
  • Microbial Sensitivity Tests
  • Periodontitis / drug therapy*
  • Tensile Strength
  • Transition Temperature

Substances

  • Anti-Infective Agents
  • Methylgalactosides
  • hydrogel film
  • Carboxymethylcellulose Sodium
  • Chlorhexidine