AccScience Publishing / IJB / Volume 5 / Issue 1 / DOI: 10.18063/ijb.v5i2.203
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RESEARCH ARTICLE

Personalized anesthetic patches for dental applications

Yi-Hsuan Ou1 Yi-Hui Ou1 Jing Gu2* Lifeng Kang3*
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1 Department of Pharmacy, National University of Singapore, Singapore, Republic of Singapore
2 Department of Dentistry, Sixth Medical Centre of PLA General Hospital, Beijing, China
3 School of Pharmacy, University of Sydney, Australia
(This article belongs to the Special Issue Bioprinting in Asia)
© Invalid date by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Topical anesthetics are widely used in dental procedures. However, most commercially available medications are in the form of liquid or semisolid, which cannot provide prolonged effect intraorally. To address this issue, we proposed the use of three-dimensional printing (3DP) to fabricate a customizable dental anesthetic patch loaded with lidocaine that can be fitted perfectly onto the affected tooth. It has been shown that that patch can adhere on the tooth for more than 1 h, while releasing lidocaine from the patch made of hydrogels. In addition, the results illustrated the possibility of controlling the drug release profile by altering the shape of the patch, as well the use of a 3DP tooth model as the drug testing platform. Taken together, these data further reinforce the vast potential of the application of 3DP technology in personalized medicine.

Keywords
Dental patch
Topical anesthetics
Three-dimensional printing
Personalized medicine
Adhesive
Drug release
References

1. Armfield JM, Milgrom P, 2011, A Clinician Guide to Patients Afraid of Dental Injections and Numbness. SAAD Dig, 27:33-9. 
2. Lee HS, 2016, Recent Advances in Topical Anesthesia. J Dent Anesth Pain Med, 16(4):237. DOI 10.17245/ jdapm.2016.16.4.237. 
3. Oni G, Brown S, Kenkel J, 2012, Comparison of Five Commonly-available, Lidocaine-containing Topical Anesthetics and their Effect on Serum Levels of Lidocaine and Its Metabolite Monoethylglycinexylidide (MEGX). Aesthet Surg J, 32(4):495-503. DOI 10.1177/1090820X12442672. 
4. Muniz BV, Baratelli D, Carla SD, et al., 2018, Hybrid Hydrogel Composed of Polymeric Nanocapsules Co-loading Lidocaine and Prilocaine for Topical Intraoral Anesthesia. Sci Rep, 8(1):17972. DOI 10.1038/s41598-018-36382-4. 
5. Ueda HMC, Shah VP, Derdzinski K, et al., 2009, Topical and Transdermal Drug Products. U S Pharmacopeial Natl Formul, 35(3):750-64. 
6. Nguyen S, Hiorth M, 2015, Advanced Drug Delivery Systems for Local Treatment of the Oral Cavity. Ther Deliv, 6(5):595-608. DOI 10.4155/tde.15.5. 
7. Silvers SL, 2014, Practical Techniques in Office-based Balloon Sinus Dilation. Oper Tech Otolaryngol Neck Surg, 25(2):206-12. DOI 10.1016/j.otot.2014.02.012. 
8. Soweid AM, Yaghi SR, Jamali FR, et al., 2011, Posterior Lingual Lidocaine: A Novel Method to Improve Tolerance in upper Gastrointestinal Endoscopy. World J. Gastroenterol, 17(47):5191. DOI 10.3748/wjg.v17.i47.5191. 
9. Schubert C, van Langeveld MC, Donoso LA, 2014, Innovations in 3D Printing: A 3D Overview from Optics to Organs. Br J. Ophthalmol, 98(2):159-61. DOI 10.1136/ bjophthalmol-2013-304446. 
10. Goyanes A, Det-Amornrat U, Wang J, et al., 2016, 3D Scanning and 3D Printing as Innovative Technologies for Fabricating Personalized Topical Drug Delivery Systems. J Control Release, 234:41-8. DOI 10.1016/j.jconrel.2016.05.034. 
11. Liang K, Carmone S, Brambilla D, et al., 2018, 3D Printing of a Wearable Personalized Oral Delivery Device: A First-in- Human study. Sci Adv, 4(5):2544. DOI 10.1126/sciadv.aat2544. 
12. Lim SH, Kathuria H, Tan JJY, et al., 2018, 3D Printed Drug Delivery and Testing Systems a Passing Fad or the Future? Adv Drug Deliv Rev, 132:139-68. DOI 10.1016/j. addr.2018.05.006. 
13. Kumar H, Prakash A, Sarma P, et al., Three-dimensional Drugs: A New Era in the Pharmaceutical Development. Indian J Pharmacol, 49(6):417-8. DOI 10.4103/ijp.IJP_119_18. 
14. Jassim-Jaboori AH, Oyewumi MO, 2015, 3D Printing Technology in Pharmaceutical Drug Delivery: Prospects and Challenges. J Biomol Res Ther, 4:4. DOI 10.4172/2167- 7956.1000e141. 
15. Palo M, Holländer J, Suominen J, et al., 3D Printed Drug Delivery Devices: Perspectives and Technical Challenges 3D Printed Drug Delivery Devices: Perspectives and Technical Challenges. Expert Rev Med Devices, 14(9):685-96. DOI 10.1080/17434440.2017.1363647. 
16. Jamróz W, Szafraniec J, Kurek M, et al., 2018, 3D Printing in Pharmaceutical and Medical Applications Recent Achievements and Challenges. Pharm Res, 35(9):176. DOI 10.1007/s11095-018-2454-x. 
17. Goyanes A, Martinez PR, Basit AW, 2015, Effect of Geometry on Drug Release from 3D Printed Tablets. Int J Pharm, 494(2):657-63. DOI 10.1016/j.ijpharm.2015.04.069. 
18. Scherer MD, 2019, Lower Dental Tooth Model. NIH 3D Print Exchange. Available from: https://www.3dprint.nih.gov/ discover/3dpx-003003. [Last accessed on 2019 Jan 24]. 
19. Scherer MD, 2015, Implementing a Contemporary, In-office Fully Digital Workflow in a Clinical Implant Practice: Intraoral Scanning, Virtual Design, and 3D printing. Implant Pract US, 8(2):1-21. 
20. Mesnukul A, Yodkhum K, Phaechamud T, 2009, Solid Dispersion Matrix Tablet Comprising Indomethacin-PEG-HPMC Fabricated with Fusion and Mold Technique. Indian J Pharm Sci, 71(4):413-20. DOI 10.4103/0250-474X.57290.
21. Liawruangrath S, Liawruangrath B, Pibool P, 2001, Simultaneous Determination of Tolperisone and Lidocaine by High Performance Liquid Chromatography. J Pharm Biomed Anal, 26(5-6):865-72. DOI 10.1016/S0731-7085(01)00462-9. 
22. Reynolds TD, Mitchell SA, Balwinski KM, 2002, Investigation of the Effect of Tablet Surface Area/Volume on Drug Release from Hydroxypropylmethylcellulose Controlled-release Matrix Tablets. Drug Dev Ind Pharm, 28(4):457-66. DOI 10.1081/DDC-120003007. 
23. Siepmann J, Kranz H, Bodmeier R, et al., 1999, HPMC-Matrices for Controlled Drug Delivery: A New Model Combining Diffusion, Swelling, and Dissolution Mechanisms and Predicting the Release Kinetics. Pharm Res, 16(11):1748- 56. DOI 10.1023/A:1018914301328. 
24. Siepmann J, Kranz H, Peppas NA, et al., 2000, Calculation of the Required Size and Shape of Hydroxypropyl Methylcellulose Matrices to Achieve Desired Drug Release Profiles. Int J Pharm, 201(2):151-64. DOI 10.1016/S0378- 5173(00)00390-2. 
25. Bhushan NVV, Nayak RN, 2010, A Comparison of the Efficacy of Topical Application of Lignocaine Hydrochloride 5% gel and Bupivacaine Hydrochloride 5% gel for Extraction of Teeth. J Maxillofac Oral Surg, 9(2):119-26. DOI 10.1007/ s12663-010-0038-3. 
26. Ghosal K, Chakrabarty S, Nanda A, 2011, Hydroxypropyl Methylcellulose in Drug Delivery. Pharm Sin, 2(2):152-68. 
27. Reddy PC, Chaitanya KSC, Rao YM, 2011, A Review on Bioadhesive Buccal Drug Delivery Systems: Current Status of Formulation and Evaluation Methods. Daru, 19(6):385-403. 
28. Mangano F, Gandolfi A, Luongo G, et al., 2017, Intraoral Scanners in Dentistry: A Review of the Current Literature. BMC Oral Health, 17(1): 149. DOI 10.1186/s12903-017-0442-x. 
29. Kimber JA, Kazarian SG, Štěpánek F, 2013, DEM Simulation of Drug Release from Structurally Heterogeneous Swelling Tablets. Powder Technol, 248:68-76. DOI 10.1016/j.powtec.2012.12.039. 
30. Gittings S, Turnbull N, Henry B, et al., 2015, Characterisation of Human Saliva as a Platform for Oral Dissolution Medium Development. Eur J Pharm Biopharm, 91:16-24. DOI 10.1016/j.ejpb.2015.01.007. 
31. Gittings S, Turnbull N, Roberts CJ, et al., 2014, Dissolution Methodology for Taste Masked Oral Dosage Forms. J Control Release, 173:32-42. DOI 10.1016/j.jconrel.2013.10.030. 
32. Sohi H, Ahuja A, Ahmad FJ, et al., 2010, Critical Evaluation of Permeation Enhancers for Oral Mucosal Drug Delivery Permeation Enhancers for Oral Mucosal Drug Delivery. Drug Dev Ind Pharm, 36(3):254-82. DOI 10.3109/03639040903117348. 
33. Fenoll-Palomares C, Muñoz Montagud JV, Sanchiz V, et al., 2004, Unstimulated Salivary Flow Rate, pH and buffer Capacity of Saliva in Healthy Volunteers. Rev Esp Enferm Dig, 96(11):773-83. DOI 10.4321/S1130-01082004001100005. 
34. Young JL, Bogner RH, 2009, Case Report: Lidocaine Mucoadhesive Buccal Tablets for Local Relief of Mouth Ulcers. Int J Pharm Compd, 13(3):214-7. 
35. Okamoto H, Nakamori T, Arakawa Y, et al., 2002, Development of Polymer Film Dosage Forms of Lidocaine for Buccal Administration: II. Comparison of Preparation Methods. J Pharm Sci, 91(11):2424-32. DOI 10.1002/jps.10228.

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International Journal of Bioprinting, Electronic ISSN: 2424-8002 Print ISSN: 2424-7723, Published by AccScience Publishing