Intraoperative Administration of Dexmedetomidine and Dexamethasone in Local Anesthetic Infiltration to Improve Postoperative Pain Control After Posterior Cervical Fusion

Southerland, Warren A; Gillis, Jennifer Cai; Urits, Ivan; Kaye, Alan D.; Eskander, Jonathan P.

doi:10.7759/cureus.14699

Cited by 2 publications

(1 citation statement)

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“…Dexamethasone (DEX), a synthetic glucocorticoid, is widely used in various clinical departments, including endocrinology, oncology, and respiratory medicine (9)(10)(11). Furthermore, glucocorticoids exert analgesic effects by reducing the secretion of bradykinin and neuropeptides tissues, as well as inhibiting pain signaling in the noxious C-fibers (12,13). The research focus on DEX has also extended to its role in promoting osteogenesis.…”

Section: Introductionmentioning

confidence: 99%

Experimental study of dexamethasone-loaded hollow hydroxyapatite microspheres applied to direct pulp capping of rat molars

et al. 2023

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BackgroundDexamethasone (DEX) exerts anti-inflammatory and osteogenic effects. Hydroxyapatite is commonly used in bone repair due to its osteoconductivity, osseointegration, and osteogenesis induction. Hollow hydroxyapatite (HHAM) is often used as a drug carrier.ObjectiveThis study aimed to investigate the histological responses of exposed dental pulp when dexamethasone-loaded nanohydroxyapatite microspheres (DHHAM) were used as a direct capping agent.MethodsCavities were created in the left maxillary first molar of Wistar rats and filled with Dycal, HHAM, and DHHAM. No drug was administered to the control group. The rats were sacrificed at 1, 2, and 4 weeks after the procedure. The molars were extracted for fixation, demineralization, dehydration, embedding, and sectioning. H&E staining was performed to detect the formation of reparative dentin. H&E and CD45 immunohistochemical staining were performed to detect pulp inflammation. Immunohistochemical staining was performed to assess the expressions of dentin matrix protein 1 (DMP-1), interleukin (IL)-6, tumor necrosis factor (TNF)-α, and IL-1β.ResultsThe results of H&E and CD45 immunohistochemical staining showed that the degree of inflammation in the DHHAM group was less than that in the Control and HHAM groups at 1, 2, and 4 weeks after capping of the rat molar teeth (p<0.01). The H&E staining showed that the percentage of reparative dentin formed in the DHHAM group was higher than that in the Control, HHAM (p<0.001), and Dycal groups (p<0.01) at 1 and 2 weeks, and was significantly higher than that in the Control group (p<0.001) and the HHAM group (p<0.01) at 4 weeks. The immunohistochemical staining showed a lower range and intensity of expression of IL-1β, IL-6, and TNF-α and high expression levels of DMP-1 in the DHHAM group at 1, 2, and 4 weeks after pulp capping relative to the Control group.ConclusionsDHHAM significantly inhibited the progression of inflammation and promoted reparative dentin formation.

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Section: Introductionmentioning

confidence: 99%