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Journal:   IRANIAN ENDODONTIC JOURNAL (IEJ)   2014 , Volume 9 , Number 4; Page(s) 290 To 294.
 
Paper: 

The Effect Of Adding Fentanyl To Epinephrine-Containing Lidocaine On The Anesthesia Of Maxillary Teeth With Irreversible Pulpitis: A Randomized Clinical Trial
 
 
Author(s):  Mehrvarzfar Payman, Pourhashemi Anahita*, Khodaei Fatemeh, Bohlouli Behnam, Sarkarat Farzin, Kalantar Motamedi Mojdeh, Layegh Nejad Mohammad Karim, Zamaheni Sara
 
* DEPARTMENT OF RESTORATIVE DENTISTRY, DENTAL SCHOOL, SHAHID BEHESHTI UNIVERSITY OF MEDICAL SCIENCE, TEHRAN, IRAN
 
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.
 
Keyword(s): FENTANYL, INFILTRATION, IRREVERSIBLE PULPITIS, LIDOCAINE, LOCAL ANESTHESIA, MAXILLARY MOLARS
 
 
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APA: Copy

MEHRVARZFAR, P., & POURHASHEMI, A., & KHODAEI, F., & BOHLOULI, B., & SARKARAT, F., & KALANTAR MOTAMEDI, M., & LAYEGH NEJAD, M., & ZAMAHENI, S. (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. https://www.sid.ir/en/journal/ViewPaper.aspx?id=409661



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). 2014 [cited 2022August14];9(4):290-294. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=409661



IEEE: Copy

MEHRVARZFAR, P., POURHASHEMI, A., KHODAEI, F., BOHLOULI, B., SARKARAT, F., KALANTAR MOTAMEDI, M., LAYEGH NEJAD, M., ZAMAHENI, S., 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), [online] 9(4), pp.290-294. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=409661.
 
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