Comparison of pulp sensibility test responses in normotensive and hypertensive individuals: A clinical study

Kishan, KarkalaVenkappa; Saklecha, Purnima; Shroff, MananGaurang

doi:10.4103/jcd.jcd_105_22

Cited by 2 publications

(1 citation statement)

References 31 publications

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“…Thus more studies need to be done in future to confirm the appropriate sites for performing the cold test even in premolars and molars. Studies have also shown the difference in the pulp sensibility test responses between the normotensive and hypertensive patients which can also be considered as a future scope in this regard (19) .…”

Section: Discussionmentioning

confidence: 95%

Determining the Best Location for Cold Test Based on Response Time in Anterior Teeth Using Various Applicators: An in-vivo Study

L. Naik,

Valli S

2024

Int J Health Sci Res

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Although the cold tests have been used to supplement the diagnosis over the years in clinical practice, there are no exact locations that have been cited in literature where the stimulus can generate fastest and accurate response in anterior teeth. Various authors have suggested different sites to perform a cold test however this has not been standardised thus making it the need for the study. Aim: To determine the best location to perform a cold test on anterior tooth and to compare endofrost with ice-sticks based on the response time. Setting and design: An invivo study was performed on 20 subjects in the age groups of 20-40. Methods: The labial surface of the anterior teeth were divided into three parts cervical, middle, incisal third. The cold test was performed with ice-sticks. The patients were instructed to raise a hand when they experienced a sensation and time was noted using a stopwatch. After giving a gap of 5 minutes for each teeth to recover the cold test was carried out with endofrost on the same subjects. The test was performed with both large #2 cotton tip applicators and small #4 cotton tip applicators and checked for response time following which the mean time taken to respond was calculated and ANOVA with tukeys post hoc analysis was done. Conclusion: Within the limitations of this study, we can conclude that endofrost is the faster method to do a cold test when compared to ice sticks. Cervical third is the appropriate site to perform cold test with ice-sticks for anterior teeth. With endofrost middle third is the faster to perform cold test. Larger the size of cotton tip applicator faster is the response when performing the cold test. Key words: Cold test, Cotton tip applicators, Endofrost, Ice-sticks, Vitality test

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Section: Discussionmentioning

confidence: 95%

Determining the Best Location for Cold Test Based on Response Time in Anterior Teeth Using Various Applicators: An in-vivo Study

L. Naik,

Valli S

2024

Int J Health Sci Res

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Can postanesthetic cold sensibility test be used as a tool for the efficacy of inferior alveolar nerve block in patients with symptomatic irreversible pulpitis of mandibular molars? – In vivo study

Kalantri,

Shiraguppi,

Deosarkar

2024

Journal of Conservative Dentistry and Endodontics

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Objectives: The goal of this investigation was to determine the efficiency of a postanesthetic cold test for the detection of pulpal anesthesia to improve diagnostic accuracy. Materials and Methods: Fifty-two participants who showed symptomatic irreversible pulpitis on the mandibular first molar, aged from 18 to 65 years, were given inferior alveolar nerve block (IANB), and subjective anesthetic symptoms were seen after 15 min and were finally assigned for studies. To determine the effectiveness of a postanesthetic cold test for the detection of pulpal anesthesia, the target tooth was separated and Endo-Frost was utilized to conduct a postanesthetic cold sensibility test and was compared to the gold standard test, painful or painless sensation during actual root canal therapy. Of 52 participants, 9 had a positive response to the postanesthetic cold test and 43 had a negative response; 10 responded positively to the gold standard test, whereas 42 gave negative results. Results: The postanesthetic cold sensibility test can diagnose the effectiveness of pulp anesthesia showing a sensitivity of 80%, specificity of 97.62%, positive likelihood ratio of 33.6, negative likelihood ratio of 0.2, positive predictive value of 88.89%, negative predictive value of 95.35%, accuracy of 94.23%, and Youden’s index of 0.78. Conclusions: The postanesthetic cold sensibility test can be used as a tool for the efficiency of IANB before starting root canal therapy to minimize pain and anxiety in patients.

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Comparison of pulp sensibility test responses in normotensive and hypertensive individuals: A clinical study

Cited by 2 publications

References 31 publications

Determining the Best Location for Cold Test Based on Response Time in Anterior Teeth Using Various Applicators: An in-vivo Study

Determining the Best Location for Cold Test Based on Response Time in Anterior Teeth Using Various Applicators: An in-vivo Study

Can postanesthetic cold sensibility test be used as a tool for the efficacy of inferior alveolar nerve block in patients with symptomatic irreversible pulpitis of mandibular molars? – In vivo study

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