Evidence map›Paper›PMID 25386212›Full record

ArticleIranian endodontic journal2014

The effect of adding fentanyl to epinephrine-containing lidocaine on the anesthesia of maxillary teeth with irreversible pulpitis: a randomized clinical trial.

Payman Mehrvarzfar, Anahita Pourhashemi, Fatemeh Khodaei, Behnam Bohlouli, Farzin Sarkarat, Mojdeh Kalantar Motamedi, Mohammad Karim Layegh Nejad, Sara Zamaheni

Open access · greenAbstract read
In one paragraph

Article in Iranian endodontic journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 95% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 2 institutions in 1 country.

Payman MehrvarzfarDepartment of Endodontics, Dental Branch, Islamic Azad University, Tehran, Iran;
Anahita PourhashemiDepartment of Restorative Dentistry, Dental School, Shahid Beheshti University of Medical Science, Tehran, Iran;
Fatemeh KhodaeiPrivate Practice, Tehran, Iran;
Behnam BohlouliDepartment of Oral and Maxillofacial Surgery, Dental Branch, Islamic Azad University, Tehran, Iran;
Farzin SarkaratDepartment of Oral and Maxillofacial Surgery, Dental Branch, Islamic Azad University, Tehran, Iran;
Mojdeh Kalantar MotamediPrivate Practice, Tehran, Iran;
Mohammad Karim Layegh NejadDepartment of Endodontics, Dental School, Shahid Beheshti University of Medical Science, Tehran ,Iran.
Sara ZamaheniDepartment of Endodontics, Dental School, Shahid Beheshti University of Medical Science, Tehran ,Iran.
Islamic Azad University Dental Branch of Tehran · IRShahid Beheshti University · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDeep 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.

resultsExcept 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).

conclusionAddition of fentanyl to conventional local anesthetic solution did not increase the effectiveness of infiltration in patients diagnosed with IRP.

Indexed as

FentanylInfiltrationIrreversible PulpitisLidocaineLocal AnesthesiaMaxillary Molars

Identifiers

PMID25386212
PMCPMC4224769
OpenAlexW1581049040

What OpenQuestion holds

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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.