Dental Pulp Testing: A Review

Chen, Eugene; Abbott, Paul

doi:10.1155/2009/365785

Cited by 136 publications

(139 citation statements)

References 86 publications

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“…This is why the reliable vitality assessment of the dental pulp has always been problematic and therefore, many methods have been suggested to test pulp vitality [26]. Pulp vitality tests should attempt to examine the presence of pulp blood flow, offering a precise, objective and quantitative assessment as opposed to the conventional tests that rely on the patient's subjective sensitivity [27,28].…”

Section: Microcirculation Of the Dental Pulpmentioning

confidence: 99%

Laser Doppler Flowmetry Evaluation of the Microcirculation in Dentistry

Todea¹,

Canjau²,

Miron³

et al. 2016

Microcirculation Revisited - From Molecules to Clinical Practice

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This chapter presents the most important features of laser Doppler (LD) techniques: LD flowmetry (LDF) and LD imaging (LDI), together with examples of their clinical applications in dentistry. LDF gives a constant estimation of blood flow at a specified point, whereas LDI gives a 'snapshot' of perfusion at a given point. These methods are non-invasive laser-based techniques for monitoring gingival and pulpal blood flow and could be used as a diagnostic tool. In paediatric dentistry and odontology, LDF proved to be an atraumatic real-time method used for determining the tooth vitality by monitoring the pulp microcirculation in traumatized teeth, fractured teeth and teeth undergoing different conservative treatments (e.g. bleaching, dental preparation for prosthetic restorations, etc.). In periodontology, recent studies showed the ability of LDF to evaluate the health of gingival tissue in different types of periodontal diseases. By using LDF, it is also possible to evaluate the outcome after different periodontal treatments. The laser Doppler line scanning can be used for recording the gingival healing process after a surgical procedure in the anterior area of the oral cavity.

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Section: Microcirculation Of the Dental Pulpmentioning

confidence: 99%

Laser Doppler Flowmetry Evaluation of the Microcirculation in Dentistry

Todea¹,

Canjau²,

Miron³

et al. 2016

Microcirculation Revisited - From Molecules to Clinical Practice

View full text Add to dashboard Cite

show abstract

“…In one of the first studies demonstrating the utility of pulse oximetry in dentistry, Schnettler and Wallace showed that a pulse oximeter could detect pulse rate and oxygen saturation for vital teeth and not for root canal treated teeth. This work has now been replicated by several groups 20, 65, 66, 67, 69. Interestingly, Gopikishna showed that normal oxygen saturation in human permanent teeth was lower than systemic blood measured in fingers, 75% to 85% versus 98%, respectively 70.…”

Section: Mechanisms Of Orofacial Painmentioning

confidence: 76%

Applications of sensory and physiological measurement in oral‐facial dental pain

Dabiri

Harper

Kapila

et al. 2018

Special Care in Dentistry

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Dentists regularly employ a variety of self‐report and sensory techniques to aid in the diagnosis and treatment of tooth‐related disease. Many of these techniques leverage principles borrowed from psychophysics, the quantitative measurement of the relationship between stimuli and evoked sensations, which falls under the larger umbrella of quantitative sensory testing (QST). However, most clinicians fail to meet the bar for what could be considered quantitative sensory testing, and instead focus on qualitative and dichotomous “yes/no” aspects of sensory experience. With our current subjective measurements for pain assessments, diagnosis and treatment of dental pain in young children and individuals (any age) with severe cognitive impairment rely extensively on third‐party observations. Consequently, the limitation of inadequate pain diagnosis can lead to poor pain management. In this review, it discusses mechanisms that underlie acute and chronic dental pain. It details the measurement of somatosensory responses and pulpal blood flow as objective measures of tooth health and pain. It proposes that bridging these varied methodologies will significantly improve diagnosis and treatment of orofacial pain and pathology. It concludes that improving the precision of sensory measurements could yield important improvements in diagnostic challenges in pulpal pathology for noncommunicative and cognitively impaired individuals.

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“…(23) Podría constituir un método fácil de estandarizar, frente al razonamiento de que una potencial efectividad de los dentífricos frente estímulos de baja temperatura conllevaría también a mejorías frente fríos fisiológicos de temperatura mayor. (24) Si bien eventualmente derivó en mayores puntuaciones EVA en comparación a otros tipos de estímulo, el TFE fue efectivo en detectar una reducción intragrupal significativa de la sensibilidad frente al uso ambos dentífricos a las 4 semanas de tratamiento, arrojando resultados similares a los obtenidos con el estímulo evaporativo. La escala visual análoga es una herramienta válida, ampliamente utilizada y fácilmente comprensible que posee una buena correlación con la escala numérica verbal y proporciona mediciones cuantitativas medibles con tests paramétricos.…”

Section: Bibliografíaunclassified

Eficacia de la Arginina al 8% y Nitrato Potásico al 5% en el tratamiento de la hipersensibilidad dentinaria. Ensayo clínico aleatorio.

Tobar

Soto

Venezia

et al. 2017

Rev. Clin. Periodoncia Implantol. Rehabil. Oral

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Eficacia de la Arginina al 8% y Nitrato Potásico al 5% en el tratamiento de la hipersensibilidad dentinaria. Ensayo clínico aleatorio.Efficacy of 8% Arginine and 5% Potassium Nitrate in Dentin Hypersensitivity Therapy. A randomized clinical trial.Alexis Tobar 1+ , Iván Soto 1+ , Claudia Da Venezia 1 , Johanna Contreras 2 , Alicia Morales 2 , Paola Carvajal 2 , Patricia Hernández-Ríos 2* . RESUMENObjetivo: Comparar la eficacia clínica de dentífricos en base a arginina al 8%/ monofluorfosfato de sodio 1450 ppm versus nitrato de potasio al 5%/fluoruro de sodio 2500 ppm en la terapia de la hipersensibilidad dentinaria (HSD). Materiales y método: Ensayo clínico, aleatorio, controlado, doble ciego, de grupos paralelos. Treinta y cuatro voluntarios de 18 a 70 años, con HSD en escala Visual Análoga (EVA) ≥4 en 2 ó más dientes no molares, fueron distribuidos aleatoriamente en 2 grupos: grupo T1 (n=16): dentífrico de Arginina al 8%/ monofluorfosfato de sodio 1450 ppm; y grupo T2 (n=18): dentífrico de nitrato de Potasio al 5%/fluoruro de sodio 2500 ppm. Se evaluó HSD en EVA con estímulos evaporativos y térmicos, y se compararon sus valores, así como el grado promedio de HSD y su reducción (∆HSD), intra e intergrupal, al inicio y a las 4 semanas de tratamiento. Resultados: Ambos dentífricos disminuyeron el grado promedio de HSD entre el inicio y las 4 semanas de tratamiento (T1: 5.03 ± 1.23 versus 2.60 ± 1.27, p<0.05; T2: 4.73 ± 1.51 versus 2.71 ± 1.17, p<0.05). No hubo diferencias estadísticamente significativas entre ambos dentífricos al comparar el grado promedio de reducción de HSD durante la terapia (∆HSD T1: -2.43 ± 1.22 versus ∆HSD T2: -2.27 ± 1.42). Los datos fueron analizados en Stata versión 11. Conclusiones: Ambos dentífricos fueron clínicamente eficaces en reducir la HSD a las 4 semanas, sin existir diferencias estadísticamente significativas entre ambos. PALABRAS CLAVESensibilidad dentinaria; arginina; nitrato de potasio; dentífrico; ensayo clínico aleatorio.Rev. Clin. Periodoncia Implantol. Rehabil. Oral Vol. 10(2); 121-124, 2017. ABSTRACT Aim:To compare the clinical efficacy of 8% arginine/1450ppm sodium monofluorophosphate and 5% potassium nitrate/2500 ppm sodium fluoride dentifrices in the treatment of dentin hypersensitivity (DH). Methods: Paralleldesign, double-masked, randomized controlled clinical trial. Thirty four volunteers aged 18 to 70 years, with DH and a visual analog scale (VAS) score ≥4 at least in two or more non-molar teeth, were randomized in two groups: T1 (n=16): 8% arginine/1450 ppm sodium monofluorophosphate dentifrice; and T2 (n=18): 5% potassium nitrate/2500 ppm sodium fluoride dentifrice. DH was assessed with evaporative and thermal stimuli; and their VAS measurements, mean DH value and DH reduction (∆DH) were compared, inside and between the groups at baseline and 4-week follow-up. Data were analysed through Stata® V11 program. Results: Both toothpastes decreased mean DH value between baseline and 4 weeks (T1: 5.03 ± 1.23 versus 2.60 ± 1.27, p<0.05; T2: 4.73 ± 1.51 versus 2.71 ± 1.17...

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Dental Pulp Testing: A Review

Cited by 136 publications

References 86 publications

Laser Doppler Flowmetry Evaluation of the Microcirculation in Dentistry

Laser Doppler Flowmetry Evaluation of the Microcirculation in Dentistry

Applications of sensory and physiological measurement in oral‐facial dental pain

Eficacia de la Arginina al 8% y Nitrato Potásico al 5% en el tratamiento de la hipersensibilidad dentinaria. Ensayo clínico aleatorio.

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