????? ??? (???????) Comparison of posterior maxillary tooth extraction pain among opium abusers anesthetized with lidocaine VS Articaine: A randomized Clinical trial.
Conditions
Interventions
Intervention 1: :::writingOne cartridge of 4% articaine hydrochloride with 0.002% epinephrine was administered via infiltration anesthesia (0.6–1.0 mL in the buccal mucosa and 0.2–0.3 mL in the palata
Sponsors
Yazd University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Participants in both groups must be over 18 years of age, and only extraction of their posterior maxillary teeth—excluding third molars—will be performed for inclusion in the study. All individuals with moderate to severe opioid addiction, as determined by the DSM-5 questionnaire, are eligible for inclusion in the control group. Pregnant women may participate only if they are in the second trimester and possess medical consultation approval. If a patient presents with an abscess, drainage will be performed and, if antibiotic therapy is required, tooth extraction will be postponed until infection resolution. If the patient has periodontitis, extraction will be carried out only after appropriate antibiotic and periodontal therapy.
Exclusion criteria
Exclusion criteria: Patients with severe periapical inflammation—without abscess formation but with marked tenderness to percussion—will be excluded from the study. Patients with bleeding disorders will be excluded. Patients undergoing radiotherapy or chemotherapy will be excluded from the study. Postmenopausal women are excluded due to the naturally increased sensitivity to pain stimuli. Patients with herpetic lesions will not be included until complete healing has occurred. Patients whose tooth extraction requires surgical procedures, as well as those who have taken antihistamines within 8 hours or NSAIDs within 6 hours prior to the appointment, will be excluded. Patients requiring surgical tooth extraction will be excluded from the study. Additionally, those in the first or third trimester of pregnancy, patients with diabetes, and individuals with debilitating or uncontrolled systemic diseases will not be included.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain Assessment After Tooth Extraction Using the Visual Analog Scale (VAS). Timepoint: At 5 and 10 minutes after tooth extraction. Method of measurement: Use of the Visual Analog Scale (VAS). | — |
Secondary
| Measure | Time frame |
|---|---|
| Comparison of Vital Signs (Systolic Blood Pressure, Diastolic Blood Pressure, SpO2, Heart Rate). Timepoint: 30 minutes after tooth extraction. Method of measurement: By means of a Pulse Oximeter. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactIman Tavakolihosaini
Yazd University of Medical Sciences
Outcome results
None listed