Pulse oximetry as a diagnostic tool in dental medicine

Kosturkov, Dimitar; Uzunov, Ts.; Uzunova, P.

doi:10.1117/12.2262267

Cited by 5 publications

(13 citation statements)

References 7 publications

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“…In the meta-analysis by tooth group, 18 studies [3,4,9,11,16-23, [25][26][27][28][29][30] were included in the central incisor group, for a total of 2,054 teeth. The mean fixed-effect measure of SpO 2 in the dental pulp of these teeth was 84.94% (95% confidence interval [CI], 84.85%-85.04%).…”

Section: Resultsmentioning

confidence: 99%

“…For the lateral incisor group, 10 studies [3,4,9,17,20,22,23,[25][26][27] were included in the meta-analysis, for a total of 1,348 teeth. The mean SpO 2 in the dental pulp of these teeth was 89.29% (95% CI, 89.22%-89.35%), and the individual results of these studies are shown in Figure 3.…”

Section: Resultsmentioning

confidence: 99%

“…The mean SpO 2 in the dental pulp of these teeth was 89.29% (95% CI, 89.22%-89.35%), and the individual results of these studies are shown in Figure 3. For the canine group, 11 studies [3,[17][18][19][20][22][23][24][25][26][27] were included in the meta-analysis, for a total of 1,139 teeth. The mean combined effect measure of SpO 2 in the dental pulp of these teeth was 89.20% (95% CI, 89.05%-89.34%), and the individual results of these studies are shown in Figure 4.…”

Section: Resultsmentioning

confidence: 99%

“…The quality of 13 studies [4,9,11,16,18,[22][23][24][25][26][27]29,30] was assessed using the QUADAS-2 ( Table 3), while that of the remaining studies [3,17,[19][20][21]28] was evaluated using the adapted NOS ( Table 4). The studies were predominantly of low quality due to the high risk of bias related to the applicability and interpretation of the index test, unclear risk regarding patient selection, and concerns about overall applicability ( Table 3).…”

Section: P R O V I S I O N a L P R O V I S I O N A Lmentioning

confidence: 99%

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Reference values for pulp oxygen saturation as a diagnostic tool in endodontics: a systematic review and meta-analysis

et al. 2020

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Objectives: This systematic review aimed to identify mean oxygen saturation values (SpO 2) using pulse oximetry in permanent maxillary anterior teeth. Materials and Methods: The MEDLINE, Scientific Electronic Library Online, Cochrane Central Register of Controlled Trials, EMBASE, and Literatura Latino Americana em Ciências da Saúde electronic databases were searched. Combinations and variations of "oximetry" AND "dental pulp test" were used as search terms. Studies reporting means and standard deviations of SpO 2 values were included. Two reviewers independently extracted data following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Heterogeneity was assessed using the I 2 statistic, and all analyses were performed using R software. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool and the Newcastle-Ottawa scale. Results: Of the 251 studies identified, 19 met the eligibility criteria and were included (total sample, 4,541 teeth). In the meta-analysis, the mean SpO 2 values were 84.94% (95% confidence interval [CI], 84.85%-85.04%) for the central incisors, 89.29% (95% CI, 89.22%-89.35%) for the lateral incisors, and 89.20% (95% CI, 89.05%-89.34%) for the canines. The studies were predominantly low-quality due to the high risk of bias associated with the index test, unclear risk regarding patient selection, and concerns about outcome assessment. Conclusions: Although most studies were low-quality, the oxygen saturation levels in normal pulp could be established (minimum saturation, 77.52%). Despite the risk of bias of the included studies, the reference values reported herein are clinically relevant for assessments of changes in pulp status.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: P R O V I S I O N a L P R O V I S I O N A Lmentioning

confidence: 99%

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Reference values for pulp oxygen saturation as a diagnostic tool in endodontics: a systematic review and meta-analysis

et al. 2020

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“…The innervation depends on blood circulation, so thermal and electric pulp tests are studies that can be judged indirectly about pulp blood fl ow. The pulp blood supply can be measured by other modern and innovative methods that are introduced in dental medicine -laser Doppler fl owmetry and pulse oximetry [2,9,10,11].…”

Section: Discussionmentioning

confidence: 99%

Pulse Oximetry and Electric Pulp Test in Intact Teeth and Teeth with Hyperaemia Pulpae

Kosturkov

Uzunov

2017

Acta Medica Bulgarica

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Evaluation of the Pulp Oxygen Saturation Reading after Tooth Bleaching: A Randomized Clinical Trial

Henriques

Alves

Pottmaier

et al. 2022

International Journal of Dentistry

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Objectives. The purpose of this clinical trial was to evaluate the influence of in-office dental bleaching on the pulp oxygen saturation (SpO2p) reading. Material and Methods. SpO2p was measured using a pulse oximeter in 112 upper and lower anterior teeth (canines and incisors) of patients submitted to bleaching. Whitegold Office 35% (WGO) (upper and lower left hemiarch) and Whiteness HP Auto Mixx 35% (WHP) (upper and lower right hemiarch) bleaching agents were used. SpO2 measurements (teeth and index finger) were taken before and after each of the three application sessions of the agents. In the 4th session, in which no bleaching gel was used, only SpO2 was measured. Before and after the bleaching sessions, a colorimetric device performed the teeth color reading. The waiting time between sessions was 7 days. Data were analyzed by the Friedman, Kruskal–Wallis, and Mann–Whitney U tests (α = 0.05). Color change (ΔE) data were correlated (Spearman’s Rho test) with the SpO2p levels. Results. Neither of the two bleaching agents showed significant differences between the readings when evaluated individually (WGO, P = 0.780 , and WHP, P = 0.494 ). When taken together, the results showed significant difference between the readings performed, with higher median values after bleaching sessions: before (97.3) and after (98.6) 1st session; before (98.3) and after (98.3) 2nd session; before (98.3) and after (99.0) 3rd session; and after 1 week (98.3). The dental groups formed by maxillary lateral incisors ( P = 0.012 ) and mandibular incisors ( P < 0.001 ) showed a significant difference. Spearman’s Rho test showed a nonsignificant and weak correlation between ΔE and SpO2p in most comparisons. Conclusions. The in-office dental bleaching influenced the SpO2p reading, regardless of the dental group evaluated or the bleaching agent used. Clinical Relevance. This study provides information about the influence of in-office tooth whitening on the pulp SpO2p levels. The observation of pulp vitality during and after the use of bleaching agents is important for the follow-up of patients undergoing tooth whitening. The use of a pulse oximeter may be a viable and painless alternative to perform this monitoring. The clinical trial was registered with the Brazilian Registry of Clinical Trials (ReBEC; registration number: https://clinicaltrials.gov/ct2/show/RBR-68xbth).

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Pulse oximetry as a diagnostic tool in dental medicine

Cited by 5 publications

References 7 publications

Reference values for pulp oxygen saturation as a diagnostic tool in endodontics: a systematic review and meta-analysis

Reference values for pulp oxygen saturation as a diagnostic tool in endodontics: a systematic review and meta-analysis

Pulse Oximetry and Electric Pulp Test in Intact Teeth and Teeth with Hyperaemia Pulpae

Evaluation of the Pulp Oxygen Saturation Reading after Tooth Bleaching: A Randomized Clinical Trial

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