The effect of adding fentanyl to epinephrine-containing lidocaine on the anesthesia of maxillary teeth with irreversible pulpitis : a randomized clinical trial
INTRODUCTION: Deep and long-lasting anesthesia is essential throughout endodontic treatment. This study was conducted to compare the effect of adding fentanyl to epinephrine-containing lidocaine on depth and duration of local anesthesia in painful maxillary molars with irreversible pulpitis (IRP).
METHODS AND MATERIALS: This randomized double-blind, clinical trial with parallel design was conducted on 61 healthy volunteers; the control group received a mixture of normal saline and 2% lidocaine with 1:80000 epinephrine and the experimental group received a mixture of fentanyl and 2% lidocaine with 1:80000 epinephrine. The depth and duration of pulpal anesthesia were evaluated by means of electric pulp testing in 5-min intervals during a period of 60 min. Pain intensity was recorded five times: before injection, after injection, during access cavity preparation, initial file placement and pulpectomy using visual analog scale (VAS). All data were analyzed and compared using the chi-square and Mann-Whitney tests.
RESULTS: Except for one patient in the control group, all others had deep and long-lasting anesthesia. The difference between pain intensity of the control and experimental groups was not statistically significant (P>0.05).
CONCLUSION: Addition of fentanyl to conventional local anesthetic solution did not increase the effectiveness of infiltration in patients diagnosed with IRP.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2014 |
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| Erschienen: |
2014 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:9 |
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| Enthalten in: |
Iranian endodontic journal - 9(2014), 4 vom: 02., Seite 290-4 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Mehrvarzfar, Payman [VerfasserIn] |
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| Themen: |
Fentanyl |
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| Anmerkungen: |
Date Completed 11.11.2014 Date Revised 01.10.2020 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM243441827 |
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| 100 | 1 | |a Mehrvarzfar, Payman |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The effect of adding fentanyl to epinephrine-containing lidocaine on the anesthesia of maxillary teeth with irreversible pulpitis |b a randomized clinical trial |
| 264 | 1 | |c 2014 | |
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| 500 | |a Date Completed 11.11.2014 | ||
| 500 | |a Date Revised 01.10.2020 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a INTRODUCTION: Deep and long-lasting anesthesia is essential throughout endodontic treatment. This study was conducted to compare the effect of adding fentanyl to epinephrine-containing lidocaine on depth and duration of local anesthesia in painful maxillary molars with irreversible pulpitis (IRP) | ||
| 520 | |a METHODS AND MATERIALS: This randomized double-blind, clinical trial with parallel design was conducted on 61 healthy volunteers; the control group received a mixture of normal saline and 2% lidocaine with 1:80000 epinephrine and the experimental group received a mixture of fentanyl and 2% lidocaine with 1:80000 epinephrine. The depth and duration of pulpal anesthesia were evaluated by means of electric pulp testing in 5-min intervals during a period of 60 min. Pain intensity was recorded five times: before injection, after injection, during access cavity preparation, initial file placement and pulpectomy using visual analog scale (VAS). All data were analyzed and compared using the chi-square and Mann-Whitney tests | ||
| 520 | |a RESULTS: Except for one patient in the control group, all others had deep and long-lasting anesthesia. The difference between pain intensity of the control and experimental groups was not statistically significant (P>0.05) | ||
| 520 | |a CONCLUSION: Addition of fentanyl to conventional local anesthetic solution did not increase the effectiveness of infiltration in patients diagnosed with IRP | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Fentanyl | |
| 650 | 4 | |a Infiltration | |
| 650 | 4 | |a Irreversible Pulpitis | |
| 650 | 4 | |a Lidocaine | |
| 650 | 4 | |a Local Anesthesia | |
| 650 | 4 | |a Maxillary Molars | |
| 700 | 1 | |a Pourhashemi, Anahita |e verfasserin |4 aut | |
| 700 | 1 | |a Khodaei, Fatemeh |e verfasserin |4 aut | |
| 700 | 1 | |a Bohlouli, Behnam |e verfasserin |4 aut | |
| 700 | 1 | |a Sarkarat, Farzin |e verfasserin |4 aut | |
| 700 | 1 | |a Kalantar Motamedi, Mojdeh |e verfasserin |4 aut | |
| 700 | 1 | |a Layegh Nejad, Mohammad Karim |e verfasserin |4 aut | |
| 700 | 1 | |a Zamaheni, Sara |e verfasserin |4 aut | |
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