IADR Abstract Archives

Anesthetic Efficacy Of Articaine Formulations In Inflammed And Non-inflamed Tissues

Objective: This study evaluated the anesthetic efficacy of the following formulations in inflamed (subcutaneous infiltration in surgical wound – SISW) and non-inflamed tissues (infraorbital nerve block – IONB): unilamellar liposomal 4% aticaine (Arti-LUV), multillamelar liposomal 4% articaíne (Arti-MLV) and 4% articaine with 1:100,000 epinephrine (Arti-Epi).

Method: 24 rats (8/group) received 0.1mL of articaine formulations as IONB in the right side and the respective control at the left side. 36 rats (6/group) received 0.1mL of articaine formulations and the controls in the inflamed right hind paw (surgical wound and suture) . Anesthesia parameters were evaluated by upper lip pinching (IONB) and force application by von Frey anesthesiometer (SISW). Data were submitted to Log-Rank, Kruskal-Wallis and Student-Newman-Keuls tests (α=5%).

Result: IONB: Arti-Epi provided higher duration than Arti-LUV (p<0.05); Arti-MLV did not differ from the others (p>0.05); Arti-LUV provided lower success than the others (p<0.05). SISW: Arti-Epi presented higher duration and success (p<0.05) than the liposomal formulations. IONB x SISW:  success and duration were lower in SISW than IONB for Arti-MLV and Arti-LUV (p<0.05).

Table. Success (%) and duration (median and interquartile range, in minutes) of anesthesia.

 

IONB

SISW

 

ArtiEpi

ArtiMLV

ArtiLUV

ArtiEpi

ArtiMLV

ArtiLUV

Anesthesia duration (min)

162.5±17.5

140±62.5

140±31.25

150±67.5

65±17.5

55±17.5

Anesthesia success (%)

At 70min

100

100

100

100

50

33

At 145min

100

62.5

25

67

0

0

Conclusion: In non-inflamed tissues Arti-MLV was equivalent to Arti-Epi. In inflamed tissues Arti-Epi provided higher success and duration. Inflammation decreased anesthesia success and duration for liposomal articaine formulations but not for articaine with epinephrine.

Division: IADR/LAR General Session
Meeting: 2012 IADR/LAR General Session (Iguaçu Falls, Brazil)
Location: Iguaçu Falls, Brazil
Year: 2012
Final Presentation ID: 1191
Abstract Category|Abstract Category(s): Dental Anesthesiology Research
Authors
  • Batista Da Silva, Camila  ( Piracicaba Dental School - University of Campinas, Piracicaba, SP, N/A, Brazil )
  • Santos, Cleiton Pita Dos  ( Piracicaba Dental School - University of Campinas, Piracicaba, SP, N/A, Brazil )
  • Groppo, Francisco Carlos  ( Piracicaba Dental School - University of Campinas, Piracicaba, SP, N/A, Brazil )
  • Ranali, Jose  ( Piracicaba Dental School - University of Campinas, Piracicaba, SP, N/A, Brazil )
  • De Paula, Eneida  ( Institute of BIology - University of Campinas, Piracicaba, SP, N/A, Brazil )
  • Volpato, Maria Cristina  ( Piracicaba Dental School - University of Campinas, Piracicaba, SP, N/A, Brazil )
  • SESSION INFORMATION
    Poster Session
    Dental Anesthesiology Research: II
    06/21/2012