Pulp test response of the maxillary anterior teeth in cleft palate patients

McKinstry, Robert E.; Ranalli, Dennis N.; Zullo, Thomas G.; Close, John M.

doi:10.1016/0022-3913(89)90111-x

Cited by 3 publications

(12 citation statements)

References 6 publications

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“…Past studies using electrical pulp testing to measure changes in sensitivity with orthodontic treatment do not agree (8–12). These studies have methodological limitations that impact their interpretation.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies measuring dental sensitivity during orthodontic treatment have used electrical pulp testing to evaluate changes during tooth movement (8, 9). These studies do not agree, as some find increased sensitivity (30), decreased sensitivity (8, 9, 11, 12), and no change (13). However, methodological limitations were present in these studies, making their interpretation difficult.…”

Section: Introductionmentioning

confidence: 90%

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A longitudinal evaluation of pulpal pain during orthodontic tooth movement

Leavitt

King

Ramsay

et al. 2002

Orthod Craniofacial Res

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 90%

A longitudinal evaluation of pulpal pain during orthodontic tooth movement

Leavitt

King

Ramsay

et al. 2002

Orthod Craniofacial Res

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“…McKinstry et al. (1989), in a study on six maxillary incisors, concluded that patients with unilateral and bilateral clefts had higher electrical thresholds than patients without clefts.…”

Section: Variation In Readings/creation Of a False Responsementioning

confidence: 99%

“…In contrast, in patients undergoing chemotherapy for Hodgkin's disease (Rosenthal et al 1984) and those using combinations of hydrocodone and acetaminophen (paracetamol) systemically (Kardelis et al 2002), there was little impact on their pulp sensibility readings. McKinstry et al (1989), in a study on six maxillary incisors, concluded that patients with unilateral and bilateral clefts had higher electrical thresholds than patients without clefts. Also, no significant difference between unilateral and bilateral cleft patients was found in their responses to the EPT.…”

Section: Patient's Physiological Statementioning

confidence: 99%

Review of pulp sensibility tests. Part ΙΙ: electric pulp tests and test cavities

Jafarzadeh

Abbott

2010

Int Endodontic J

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The electric pulp test (EPT) is one type of pulp sensibility test that can be used as an aid in the diagnosis of the status of the dental pulp. However, like thermal pulp sensibility tests, it does not provide any direct information about the vitality (blood supply) of the pulp or whether the pulp is necrotic. The relevant literature on pulp sensibility tests in the context of endodontics up to January 2009 was reviewed using PubMed and MEDLINE database searches. This search identified articles published between November 1964 and January 2009 in all languages. The EPT is technique sensitive, and false responses may occur. Various factors can affect the test results, and therefore it is important that dental practitioners understand the nature of these tests and how to interpret them. Test cavities have been suggested as another method for assessing the pulp status; however, the use of this technique needs careful consideration because of its invasive and irreversible nature. In addition, it is unlikely to be useful in apprehensive patients and should not be required because it provides no further information beyond what thermal and electric pulp sensibility tests provide - that is, whether the pulp is able to respond to a stimulus. A review of the literature and a discussion of the important points regarding these two tests are presented.

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“…15 In a study by el Deeb et al, 16 31% of canines erupted through the graft in alveolar cleft patients did not respond to EPT. McKinstry et al 17 reported increased response to EPT at the cleft side. Similar results were obtained by Santos et al 18 Surgical manipulation of alveolar bone may alter the blood supply of the area or affect the innervation of teeth adjacent to the surgical site.…”

mentioning

confidence: 98%