ANTIMICROBIAL EFFECT OF MINOCYCLINE EMBEDDED IN POLYCAPROLACTONE ON NECROTIC CANAL

괴사치수 근관에서 항생제 국소약물송달제제의 항균효과에 관한 연구

Therapeutic use of antibiotics in the pulpal disease should reduce the clinical symptoms and pathogenic microflora in the pulp. The purpose of this study was focused on local drug delivery into the root canal in endodontic therapy. Monolithic films from polycaprolactone and polyethylene glycol preparations with minocycline were prepared, and then the antimicrobial effect of these films on necrotic canal was tested. A total 17 necrotized pulp teeth were sampled before and 1 week after insertion of film into the pulp. Bacterial culture were performed with anaerobical condition and seeded in the 5 selective and non - selective media for 7 days in $37^{\circ}C$ of anaerobic chamber. Bacterial identification were performed with Gram staining, biochemical test, and API kit There was significantly decreased of anaerobic and aerobic microflora of 13 among 17 patients after therapy. Among the identified microflora, Streptococcus species, black - pigmented species and Fusobacterium species were significantly reduced 1 week after treatment with local delivery antibiotics. Furthermore, clinical symptoms included in pain and local swelling were continuousely reduced after therapy. These results suggest that local drug delivery with minocycline is effeicient to treat the endodontic involved teeth for releasing clinical symptoms and microbiological shifting.