Persistent and Enhanced Elimination of Bacteria‐Induced Periodontitis Using a Local Drug Delivery Nanoreactor

Abstract Periodontitis, one of the most common dental diseases, is the main cause of tooth loss. Bacterial infection and the host immune response are the dominant factors that determine periodontal disease. Therefore, the key factors in the treatment of periodontitis are to remove pathogenic factors and repair periodontal supporting tissues. In this work, a facile and versatile strategy to prepare pH‐sensitive biomineralized nanoparticles constructed with antibiotic to simultaneously deliver antibacterial, anti‐inflammatory, and bone repair capabilities is presented. The experiments in vitro show that the nanoreactor achieves good inhibitory effects on three common periodontal pathogens and has activity against damaging inflammatory mediators, reducing lipopolysaccharide‐induced inflammatory responses. In vivo CT images of the maxillary molar area and histomorphological and immunohistochemical analyses demonstrate that the nanoparticles repair function for periodontal supporting tissues, reverse the loosened alveolar bone tissue, and remodel the periodontal inflammatory microenvironment. Therefore, the present research provides a feasible approach to both prevent the loss of alveolar bone and repair periodontal tissue.