Efficiency and Reliability of Thermal and Electrical Tests to Evaluate Pulp Status in Primary Teeth with Assessment of Anxiety Levels in Children

Nagarathna, C; Shakuntala, BS; Jaiganesh, I

doi:10.17796/1053-4628-39.5.447

Cited by 6 publications

(4 citation statements)

References 20 publications

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“…Sensibility pulp testing in children, although deemed reliable by some studies [ 34 , 35 , 36 , 37 ], highly depend on the child’s apprehension associated with the test itself [ 38 ]. In addition, invalid data might be obtained as a result of the often unreliable responses from children because of fear, management problems, and inability to understand or communicate accurately [ 17 , 39 ].…”

Section: Sensibility Pulp Testsmentioning

confidence: 99%

A Diagnostic Insight of Dental Pulp Testing Methods in Pediatric Dentistry

et al. 2022

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The accurate diagnosis of pulpal pathology in pediatric dentistry is essential for the success of vital pulp therapy. Pulp testing is often a challenging task due to understanding and cooperation issues of pediatric patients, as well as the particularities of pulpal physiology encountered in primary and immature permanent teeth. Sensibility tests, although still widely used by dental practitioners, are no longer recommended by pediatric specialists mainly due to their subjective nature. Vitality pulp tests have gained popularity in the last decade in light of some encouraging results of clinical studies. However, their use is not a routine practice yet. This paper is a literature review aimed to guide dental practitioners towards selecting the appropriate pulp testing method for their pediatric cases. It provides an overview on a multitude of pulp testing methods and an update in recommendations for primary and immature permanent teeth.

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Section: Sensibility Pulp Testsmentioning

confidence: 99%

A Diagnostic Insight of Dental Pulp Testing Methods in Pediatric Dentistry

et al. 2022

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“…Плотность тока в области апикального сужения имеет обратную зависимость от площади источники литературы объясняют снижение электровозбудимости пульпы постоянных зубов, при формировании корней, её бедностью нервными элементами. В нашем исследовании мы предложили физическое обоснование этого феномена, которое ранее в подобных работах не учитывалось [8,9,10].…”

Section: обсуждение результатовunclassified

“…Резкое повышение показателей электроодонтометрии постоянных зубов, находящихся в стадии апексогенеза и апексификации, связывают с формированием нервных окончаний и недостаточной сенсорной функцией молодой пульпы. Снижение электровозбудимости молочных зубов с резорбирующимися корнями некоторые авторы объясняют воспалением их пульпы под воздействием патогенных микробов, грибков и продуктов гниения пищи [8,9,10].…”

Section: Introductionunclassified

Dependence of electrodontometry indicators on the configuration of the root canal

et al. 2022

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Aim. To assess the dependence of electrodontometry indicators on the configuration of the root canal and to determine the value of the resultant action of the current at which patients have a response to electrodontometry.Materials and methods. The research consisted in the creation of computer models of teeth and their analysis by the finite element method in the COMSOL Multiphysics program. The removed tooth 2.2 was chosen as a prototype for 3D computer models. The tooth was dissected into fragments 2 millimeters thick, from which the geometric parameters of hard tissues and the position of the root canal were removed. Based on these data, a 3D model of the tooth was built. Based on the 2.2 tooth model, 5 models of the same tooth were constructed, simulating the stages of its root formation.Results. In all models, with an increase in the channel width in the apex area from 0.3 mm to 2.55 mm, the current density in this area decreased from 26.92 A/m2 to 0.63 A/m2. The maximum current density in the models was recorded in the narrowest part of the root canal and ranged from 26.01 A/m2 to 26.75 A/m2.Conclusions. The strength of the diagnostic current that causes a response in patients during electrodontometry depends on the configuration of the root canal, namely, on the cross–sectional area in the narrowest part of the root canal, where the maximum current density is recorded. The current density at which patients have a response to electrodontometry is 26-27 A/m2.

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“…Clinically, the status of the pulp must be determined through clinical examination, intra-oral radiographs, anamnesis, and a pulp sensibility test. These diagnostic approaches are crucial for accurately evaluating and determining suitable treatment options [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Determination of the Ideal Tooth Surface and Pain Threshold to Improve the Efficacy of an Electric Pulp Tester in the Diagnosis of Pulp Sensitivity and Vitality in Premolar and Molar Teeth: A Cross-Sectional Study

Imtiaz,

Gurunathan,

Saikiran

2023

Cureus

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The electric pulp tester (EPT) is an extensively used diagnostic tool in endodontics. However, several factors, especially the location and thickness of the tooth structures, such as enamel and dentine, can affect the result of an electric pulp test. Further, these factors also alter the pain threshold, which may lead to an inaccurate diagnosis. Hence, it is crucial to ascertain the optimal tooth surface that requires minimal time to elicit a response and pain threshold to enhance the effectiveness of the electric pulp tester for diagnosing the status of the pulp. MethodsFifty volunteers (36 males and 14 females) aged 18 to 32 years without any prior experience with the EPT were recruited. The EPT was placed on the seven premolar sites, and molar teeth with an appropriate electrolyte as a conducting medium were tested. The pain threshold values were recorded using the stopwatch, whereas pain assessment was carried out using the Memojis pain scale. An independent sample ttest and descriptive statistics were used to analyze the data statistically. ResultsThe buccal occlusal third in males (27.3±8.6 seconds) and the buccal middle third in females (28.5±8.2 seconds) showed lower response times than other sites in premolar teeth. The mesiobuccal cusp showed a lower response time for males (21.3±6.6 seconds) and females (21.5±6.2 seconds) in molar teeth. Of all the various sites tested, the majority of the individuals chose pain scores of 0 (36 in premolars, 84 in molars), two (138 in premolars, 180 in molars), and four (96 in premolars, 42 in molars) in both the premolars and molars. ConclusionThe ideal sites for placing the EPT in premolars for males and females are the buccal occlusal third and the buccal middle third. At the same time, the mesiobuccal cusp is the ideal site for molars in both males and females, as it is responded to the quickest by the electric current. Most individuals have experienced a score of two (hurts a little bit) for the perceived pain using EPT for both the molars and premolars.

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Efficiency and Reliability of Thermal and Electrical Tests to Evaluate Pulp Status in Primary Teeth with Assessment of Anxiety Levels in Children

Abstract: No significant association was found between the accuracy of all the three tests. (P value > 0.05). Cold test is the most reliable test due to its simplicity and ease to perform. (FIS -1.53).

Cited by 6 publications

References 20 publications

A Diagnostic Insight of Dental Pulp Testing Methods in Pediatric Dentistry

A Diagnostic Insight of Dental Pulp Testing Methods in Pediatric Dentistry

Dependence of electrodontometry indicators on the configuration of the root canal

Determination of the Ideal Tooth Surface and Pain Threshold to Improve the Efficacy of an Electric Pulp Tester in the Diagnosis of Pulp Sensitivity and Vitality in Premolar and Molar Teeth: A Cross-Sectional Study

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