Irreversible Pulpitis
Conditions
Keywords
sufentanil, irreversible pulpitis, intra ligament injection
Brief summary
The aim of this study was to compare the effects of Lidocaine/epinephrine with and without Sufentanil on the rate of anesthesia after supplemental intraligamentary injection (PDL) in teeth with irreversible pulpitis.
Interventions
PDL injection of 0/4 ml of lidocaine %2 with epinephrine,and Normal saline
PDL injection of 0/4 ml lidocaine with epinephrine and0/4 ml sufentanil ( 0/04 μg)
Sponsors
Study design
Eligibility
Inclusion criteria
* patients in the age group of 18-65 years old * healthy (ASA I, II) * patients with first or second mandibular molars who need endodontic treatment * vital tooth without a history of past endodontic treatment * patients with clinical evidence of irreversible Pulpits with moderate to severe pain * patients who signed consent form * patients numbness at the lateral edge of the lips after inferior alveolar injection (INA) and those with positive respond to maximum output of pulp tester after INA.
Exclusion criteria
* pregnant or nursing * necrotic tooth * patients with allergy or contraindication toward non-opioid or opioid painkillers such as aspirin or NSAIDs * Patients who have taken opioid or non opioid or steroid pain killers, antidepressants or sedative drugs in the past 48 hours * patient with infectious diseases * patient with moderate to sever periodontal disease * those without numbness at the lateral edge of the lips after inferior alveolar injection (INA), and those do not respond to maximum output of pulp tester after INA.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| depth of anesthesia | in different times such as :before the treatment,and during the treatment in these times: 1,5,9,13,17 minutes after starting the treatment | The measuring method of the pain is Electric pulp tester |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| intensity of the pain | before the treatment,Immediately after treatment, from commencement of treatment until complete pulpotomy stage, from commencement of treatment until initial file determination ,from commencement of treatment until end of pulpectomy | The measuring method of the pain is Visual mentreatAnalogue Scale (VAS 0-170 mm) |
Countries
Iran