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Targeted Delivery of Anesthetic Agents to Bone Tissues using Conductive Microneedles Enhanced Iontophoresis for Painless Dental Anesthesia

Razina Z. SeeniNational Dental Research Institute Singapore National Dental Centre Singapore 5 Second Hospital Avenue Singapore 168938 SingaporeMengjia ZhengDepartment of Biomedical Engineering City University of Hong Kong 83 Tat Chee Avenue Kowloon Hong Kong SAR ChinaDaniel Chin Shiuan LioSchool of Chemical and Biomedical Engineering Nanyang Technological University 62 Nanyang Drive Singapore 637459 SingaporeChristian WirajaSchool of Chemical and Biomedical Engineering Nanyang Technological University 62 Nanyang Drive Singapore 637459 SingaporeMohammad Firdaus Bin Mohd YusoffSchool of Chemical and Biomedical Engineering Nanyang Technological University 62 Nanyang Drive Singapore 637459 SingaporeWilliam Teck Yeow KohNational Dental Research Institute Singapore National Dental Centre Singapore 5 Second Hospital Avenue Singapore 168938 SingaporeYuchun LiuNational Dental Research Institute Singapore National Dental Centre Singapore 5 Second Hospital Avenue Singapore 168938 SingaporeBee Tin GohDepartment of Oral & Maxillofacial Surgery National Dental Centre Singapore 5 Second Hospital Avenue Singapore 168938 SingaporeChenjie XuDepartment of Biomedical Engineering City University of Hong Kong 83 Tat Chee Avenue Kowloon Hong Kong SAR China
2021en
ABI

Аннотация

Abstract Pain management during dental procedures is a cornerstone for successful daily practice. In current practice, the traditional needle and syringe injection is used to administer local anesthesia. However, the appearance of long needles and the pain associated with it often leads to dental anxiety deterring timely interventions. Microneedles (MNs) have emerged as a minimally invasive alternative to hypodermic needles and shown to be effective in transdermal drug delivery applications. In this article, the potential use of MNs for local anesthesia delivery in dentistry is explored. The development of a novel conductive MN array that can be used in combination with iontophoresis technique to achieve drug penetration through the oral mucosa and the underlying bone tissue is presented. The conductive MN array plays a dual‐role, creating micro‐conduits and lowering the resistance of the oral mucosa. The reduced tissue resistance further enhances the application of a low‐voltage current that is able to direct and accelerate the drug molecules to target the sensory nerves supplying teeth. The successful delivery of lidocaine using this new strategy in a clinically relevant rabbit incisor model is shown to be as effective as the current gold standard.

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