THE EFFECT OF ADDING FENTANYL TO EPINEPHRINE-CONTAINING LIDOCAINE ON THE ANESTHESIA OF MAXILLARY TEETH WITH IRREVERSIBLE PULPITIS: A RANDOMIZED CLINICAL TRIAL

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MEHRVARZFAR PAYMAN; POURHASHEMI ANAHITA; KHODAEI FATEMEH; BOHLOULI BEHNAM; SARKARAT FARZIN; KALANTAR MOTAMEDI MOJDEH; LAYEGH NEJAD MOHAMMAD KARIM; ZAMAHENI SARA

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Journal: Iranian Endodontic Journal Year:2014 | Volume:9 | Issue:4 Page(s): 290-294

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Title

THE EFFECT OF ADDING FENTANYL TO EPINEPHRINE-CONTAINING LIDOCAINE ON THE ANESTHESIA OF MAXILLARY TEETH WITH IRREVERSIBLE PULPITIS: A RANDOMIZED CLINICAL TRIAL

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Keywords

FENTANYL

INFILTRATION

IRREVERSIBLE PULPITIS

LIDOCAINE

LOCAL ANESTHESIA

MAXILLARY MOLARS

Abstract

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.

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APA: Copy

MEHRVARZFAR, PAYMAN, POURHASHEMI, ANAHITA, KHODAEI, FATEMEH, BOHLOULI, BEHNAM, SARKARAT, FARZIN, KALANTAR MOTAMEDI, MOJDEH, LAYEGH NEJAD, MOHAMMAD KARIM, & ZAMAHENI, SARA. (2014). THE EFFECT OF ADDING FENTANYL TO EPINEPHRINE-CONTAINING LIDOCAINE ON THE ANESTHESIA OF MAXILLARY TEETH WITH IRREVERSIBLE PULPITIS: A RANDOMIZED CLINICAL TRIAL. IRANIAN ENDODONTIC JOURNAL (IEJ), 9(4), 290-294. SID. https://sid.ir/paper/302832/en

Vancouver: Copy

MEHRVARZFAR PAYMAN, POURHASHEMI ANAHITA, KHODAEI FATEMEH, BOHLOULI BEHNAM, SARKARAT FARZIN, KALANTAR MOTAMEDI MOJDEH, LAYEGH NEJAD MOHAMMAD KARIM, ZAMAHENI SARA. THE EFFECT OF ADDING FENTANYL TO EPINEPHRINE-CONTAINING LIDOCAINE ON THE ANESTHESIA OF MAXILLARY TEETH WITH IRREVERSIBLE PULPITIS: A RANDOMIZED CLINICAL TRIAL. IRANIAN ENDODONTIC JOURNAL (IEJ)[Internet]. 2014;9(4):290-294. Available from: https://sid.ir/paper/302832/en

IEEE: Copy

PAYMAN MEHRVARZFAR, ANAHITA POURHASHEMI, FATEMEH KHODAEI, BEHNAM BOHLOULI, FARZIN SARKARAT, MOJDEH KALANTAR MOTAMEDI, MOHAMMAD KARIM LAYEGH NEJAD, and SARA ZAMAHENI, “THE EFFECT OF ADDING FENTANYL TO EPINEPHRINE-CONTAINING LIDOCAINE ON THE ANESTHESIA OF MAXILLARY TEETH WITH IRREVERSIBLE PULPITIS: A RANDOMIZED CLINICAL TRIAL,” IRANIAN ENDODONTIC JOURNAL (IEJ), vol. 9, no. 4, pp. 290–294, 2014, [Online]. Available: https://sid.ir/paper/302832/en

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