Evidence map›Paper›PMID 30111777›Full record

ArticleScientific reports2018

A moldable sustained release bupivacaine formulation for tailored treatment of postoperative dental pain.

Sarah D Shepherd, Sandra C O'Buckley, James M Harrington, Laura G Haines, Ginger D Rothrock, Leah M Johnson, Andrea G Nackley

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Triple-layered core-shell microneedle patch for sustained analgesic delivery and chondroprotection in osteoarthritis.Journal of controlled release : official journal of the Controlled Release Society · 2026
    Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Sarah D ShepherdRTI International, 3040 Cornwallis Rd, Research Triangle Park, NC, 27709, USA.
Sandra C O'BuckleyDepartment of Anesthesiology, Duke University School of Medicine, 905 South LaSalle, Street #1010, Durham, NC, 27710, USA.
James M HarringtonRTI International, 3040 Cornwallis Rd, Research Triangle Park, NC, 27709, USA.
Laura G HainesRTI International, 3040 Cornwallis Rd, Research Triangle Park, NC, 27709, USA.
Ginger D RothrockRTI International, 3040 Cornwallis Rd, Research Triangle Park, NC, 27709, USA.
Leah M JohnsonRTI International, 3040 Cornwallis Rd, Research Triangle Park, NC, 27709, USA. leahjohnson@rti.org.
Andrea G NackleyDepartment of Anesthesiology, Duke University School of Medicine, 905 South LaSalle, Street #1010, Durham, NC, 27710, USA. andrea.nackley@duke.edu.
RTI International · USDuke University · US

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
NCATS NIH HHS UL1 TR001111NCATS NIH HHS UL1 TR002489
6 · The paper itself

Abstract

A moldable and biodegradable dental material was designed for customized placement and sustained delivery of bupivacaine (BP) within an extraction cavity. Microparticles comprising poly(lactic-co-glycolic acid) (PLGA) containing BP were generated via solvent-evaporation and combined with absorbable hemostat Gelfoam®. Kinetics of drug release were evaluated by in vitro dialysis assays, showing higher release within the first 24 hours, with subsequent tapering of release kinetics. Formulations of Gelfoam® and BP-PLGA microparticles (GelBP), with three targeted dosing profiles (0.25, 0.5, and 1 mg/kg/day), were evaluated alongside acute subcutaneous BP injections (2 mg/kg) to determine analgesic efficacy in a rat model of tooth extraction pain. Molar extraction resulted in mechanical and thermal cold hyperalgesia in male and female rats. GelBP outperformed acute BP in blocking post-surgical dental pain, with the 0.25 mg/kg GelBP dose preventing hypersensitivity to mechanical (p < 0.01) and thermal cold stimuli (p = 0.05). Molar extraction also resulted in decreased food consumption and weight. Males receiving acute BP and 0.25 mg/kg GelBP maintained normal food consumption (p < 0.002) and weight (p < 0.0001) throughout 7 days. Females, receiving 0.25 mg/kg GelBP maintained weight on days 5-7 (p < 0.04). Customized, sustained release formulation of anesthetic within a tooth extraction cavity holds potential to eliminate post-operative dental pain over several days.

Indexed as

AnalgesicsAnesthetics, LocalAnimalsBupivacaineDelayed-Action PreparationsDrug CompoundingDrug Delivery SystemsFemaleHyperalgesiaMaleMicrospheresPolyglycolic AcidPolylactic Acid-Polyglycolic Acid CopolymerPostoperative PainRatsTooth ExtractionAnalgesicsAnesthetics, LocalBupivacaineDelayed-Action PreparationsPolyglycolic AcidPolylactic Acid-Polyglycolic Acid Copolymer

Identifiers

PMID30111777
PMCPMC6093872
OpenAlexW2885671435

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.