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Silva CBD, Groppo FC, Santos CPD, Serpe L, Franz-Montan M, Paula ED, Ranali J, Volpato MC. Anaesthetic efficacy of unilamellar and multilamellar liposomal formulations of articaine in inflamed and uninflamed tissue. Br J Oral Maxillofac Surg 2016; 54:295-300. [PMID: 26826985 DOI: 10.1016/j.bjoms.2016.01.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2015] [Accepted: 01/04/2016] [Indexed: 10/22/2022]
Abstract
We compared the efficacy of articaine encapsulated in multilamellar and unilamellar liposomes with that of articaine with epinephrine, after infiltration into inflamed and uninflamed tissue in rats. We encapsulated 4% articaine in multilamellar (articaine:multi) and unilamellar (articaine:uni) liposomes and compared them with 4% articaine with 1:100 000 epinephrine (articaine:epinephrine), in inflamed (plantar incision into the hind paw) and uninflamed (infraorbital nerve block) tissue in rats. Anaesthetic formulations (0.1ml) were injected near the right infraorbital foramen in uninflamed tissue, where success and duration of anaesthesia were assessed by pinching the upper lip every 5 minutes. For inflamed tissue the anaesthetic formulations (0.1ml) were injected laterally into a surgical wound made 24 hours earlier in the plantar region of the rat's right hind paw. The degree of anaesthesia was assessed by application of forces laterally to the wound with electronic von Frey filaments. Articaine:uni resulted in less successful anaesthesia than both articaine:multi (p=1.1x10(-5)) and articaine:epinephrine (p=4.3x10(-8)) in uninflamed tissue, but there were no differences in duration or success of anaesthesia between articaine:epinephrine and articaine:multi. In inflamed tissue articaine:epinephrine gave significantly more effective anaesthesia for longer than articaine:uni (p=2.3x10(-6)), and articaine:epinephrine (p=1.8x10(-6)) formulations, which did not differ from each other. Multilamellar liposomal articaine could be an option for local anaesthesia in uninflamed tissues. However, articaine with epinephrine gave better results than liposomal formulations in inflamed tissue.
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Affiliation(s)
- Camila Batista da Silva
- Department of Physiological Sciences, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil. Av. Limeira, 901 - Bairro Areião CEP 13414-903 Piracicaba, São Paulo, Brazil.
| | - Francisco Carlos Groppo
- Department of Physiological Sciences, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil. Av. Limeira, 901 - Bairro Areião CEP 13414-903 Piracicaba, São Paulo, Brazil.
| | - Cleiton Pita dos Santos
- Department of Physiological Sciences, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil. Av. Limeira, 901 - Bairro Areião CEP 13414-903 Piracicaba, São Paulo, Brazil.
| | - Luciano Serpe
- Department of Physiological Sciences, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil. Av. Limeira, 901 - Bairro Areião CEP 13414-903 Piracicaba, São Paulo, Brazil.
| | - Michelle Franz-Montan
- Department of Physiological Sciences, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil. Av. Limeira, 901 - Bairro Areião CEP 13414-903 Piracicaba, São Paulo, Brazil.
| | - Eneida de Paula
- Department of Biochemistry, Institute of Biology, University of Campinas - UNICAMP, Campinas, São Paulo, Brazil, Rua Monteiro Lobato, 255 - Campinas - SP - Brasil - CEP 13083-862.
| | - José Ranali
- Department of Physiological Sciences, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil. Av. Limeira, 901 - Bairro Areião CEP 13414-903 Piracicaba, São Paulo, Brazil.
| | - Maria Cristina Volpato
- Department of Physiological Sciences, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil. Av. Limeira, 901 - Bairro Areião CEP 13414-903 Piracicaba, São Paulo, Brazil.
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