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Published on: May 6, 2018
Localization of 14C-labeled 2% lidocaine hydrochloride after intraosseous anesthesia in the rabbit
Takashi Goto1, Hideki Mamiya, Tatsuya Ichinohe
1Department of Dental Anesthesiology, Tokyo Dental College, Chiba-shi, Japan. gotoutakashi@tdc.ac.jp
Objective:
The purpose of this study was to investigate the tissue distribution of lidocaine hydrochloride in mandibular bone marrow after intraosseous anesthesia (IOA) in rabbits.
Methods:
We used macroautoradiography to examine the tissue distribution of a (14)C-labeled 2% lidocaine hydrochloride solution containing 1:80,000 epinephrine ((14)C-lidocaine). Under general anesthesia, (14)C-lidocaine was injected intraosseously or paraperiosteally. After IOA, animals were divided into three groups and observed at 1 (IOA-1), 5 (IOA-5), and 10 minutes (IOA-10) after injection. After infiltration anesthesia (IA), animals were observed at 1 minute after injection.
Results:
The accumulation of (14)C-lidocaine was observed around the injection site in both the IA and the IOA groups. Paraperiosteally injected (14)C-lidocaine diffused to the surrounding tissues such as the lip, whereas IOA showed concentrated accumulation around the root apex throughout the experiment. The distribution area was significantly smaller in the IOA-1 group than in the IA group. The distribution area in the IOA-5 group was larger than those in the IOA-1 and IOA-10 groups.
Conclusions:
The accumulation of (14)C-lidocaine injected by IOA in rabbits was concentrated around the root apex. These results may explain the rapid onset time of IOA.
Insights
Intraosseous anesthesia (IOA) with lidocaine hydrochloride in rabbits showed concentrated accumulation around the root apex. This localized distribution may explain the rapid onset of IOA, offering insights into dental anesthesia techniques.
Area of Science:
- Pharmacology
- Dental Anesthesiology
- Animal Research
Background:
- Intraosseous anesthesia (IOA) is a technique used for dental procedures.
- Understanding the tissue distribution of local anesthetics is crucial for optimizing their efficacy.
- Lidocaine hydrochloride is a commonly used local anesthetic in dentistry.
Purpose of the Study:
- To investigate the tissue distribution of lidocaine hydrochloride in mandibular bone marrow following intraosseous anesthesia in a rabbit model.
- To compare the distribution pattern of lidocaine after IOA versus infiltration anesthesia (IA).
Main Methods:
- Macroautoradiography was employed to track the distribution of carbon-14 labeled lidocaine hydrochloride with epinephrine.
- Radiolabeled lidocaine was administered via intraosseous or paraperiosteal injection in rabbits.
- Tissue distribution was analyzed at 1, 5, and 10 minutes post-IOA, and 1 minute post-IA.
Main Results:
- Lidocaine accumulation was observed around the injection site for both IOA and IA.
- Paraperiosteal injection led to diffusion into surrounding tissues (e.g., lip), while IOA resulted in concentrated distribution around the root apex.
- The distribution area was significantly smaller in the IOA-1 group compared to the IA group.
- The IOA-5 group exhibited a larger distribution area than the IOA-1 and IOA-10 groups.
Conclusions:
- Lidocaine injected via IOA in rabbits demonstrated concentrated accumulation around the root apex.
- The localized distribution pattern of IOA may contribute to its rapid onset of action.
- These findings provide valuable insights into the pharmacokinetics of intraosseous anesthesia.
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