Response of Pulp Sensibility Test Is Strongly Influenced by Periodontal Attachment Loss and Gingival Recession

Rutsatz, Cristiane; Baumhardt, Simone Glesse; Feldens, Carlos Alberto; Rösing, Cassiano Kuchenbecker; Grazziotin‐Soares, Renata; Barletta, Fernando Branco

doi:10.1016/j.joen.2012.01.011

Cited by 15 publications

(10 citation statements)

References 25 publications

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“…1,3,11,12,21,33 They have also reported sensitivity, specificity, accuracy, positive predictive value, and negative predictive values of pulp sensitivity tests. 4,8,9,10,13,14,15,16,22,23,24,25,26,27,28,29,30,31,32 However, after reading some texts, we were unable to find any articles that associated both variables with identifying a clinical use.…”

Section: Clinical Application Of the Relationship Between The Expressmentioning

confidence: 90%

“…4 In addition to extensive caries, the following variables are associated with false-positive and false-negative results: periodontal pockets, enamel loss, restorations, and multirooted teeth. 4,10,24,28,29,30,31,32 We identified 75% of teeth with caries, 43% of teeth with restorations, and 63% of teeth with enamel loss in the molars and premolars of the pulpitis group. It is possible that some of these previously mentioned variables are related to the absence of the electric-test response.…”

Section: Clinical Application Of the Relationship Between The Expressmentioning

confidence: 99%

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Expression of calcitonin gene-related peptide and pulp sensitivity tests in irreversible pulpitis

et al. 2019

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The aim of the present study was to identify the relationship between the expression of calcitonin gene-related peptide (CGRP) and the responses of pulp sensitivity tests in healthy pulps and irreversible pulps by performing a cross-sectional study on patients. Two hundred subjects were evaluated. A total of 75 subjects complied with the criteria. The participants were divided into two groups: a) Healthy pulp (subjects [n = 35] having posterior teeth with clinically normal pulp tissue), and b) Irreversible pulpitis (subjects [n = 40] having posterior teeth with irreversible pulpitis). All participants were evaluated using the following variables: a) medical and dental history, b) pulp sensitivity tests, c) expression of CGRP by the enzyme-linked immunosorbent assay (ELISA), and d) expression levels of mRNA CGRP and mRNA CGRP receptor genes. We determined that the responses of the cold test between 4 and ≥12 s presented a higher average of the expression of CGRP in the group having irreversible pulpitis (p = 0.0001). When we compared the groups with the value of the electrical impulse, we found statistically significant differences (p = 0.0001), observing positive responses to the test with electrical impulses of 7 to 10, with an average of 72.15 ng/mL of CGRP in the irreversible pulpitis group. High values of CGRP expression were observed in that group in the responses of pulp sensitivity.

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Section: Clinical Application Of the Relationship Between The Expressmentioning

confidence: 90%

Section: Clinical Application Of the Relationship Between The Expressmentioning

confidence: 99%

Expression of calcitonin gene-related peptide and pulp sensitivity tests in irreversible pulpitis

et al. 2019

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“…For example, a test could be reproducible but not accurate if on two occasions it produces roughly the same results, but those results could differ greatly from the actual value determined by the gold standard [11]. Authors identified false results or incorrect results in the diagnosis of teeth with vital and necrotic pulp in subjects with a need for endodontic treatment using pulp sensitivity tests [2, 5, 7, 14–20]. Some variables related with false results were: the placement sites for tests, the presence of diseases in the teeth, the gender and age [2, 7, 15, 16, 18].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic accuracy of three placement sites for the cold test in subjects amongst different age groups

et al. 2019

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Background The cold test is a specific test of pulp sensitivity and is part of the endodontic diagnosis. The aim of this study was to identify the diagnostic accuracy including sensitivity, specificity, accuracy, positive predictive value and negative predictive value in three sites for the cold test in teeth with a need for endodontic treatment within different age groups from both genders. Methods A cross-sectional study was performed, evaluating 425 subjects. Two hundred and fifty-eight subjects from both genders from the ages of 17–27, 28–39, 40–50, and 51–65 years-old participated in the study. The cold test studied was 1, 1, 1, 2-tetrafluoroethane, and the gold standard was established through direct pulp inspection. The sites evaluated in the study were: The sites evaluated in the study were: a) the middle third of the buccal surface; b) the cervical third of the buccal surface, and c) the middle third of the lingual surface. Results The highest diagnosted accuracy was observed on the middle third buccal surface with an accuracy of = 0.97, a sensitivity of = 1.00, a specificity of 0.95, a predictive value of = 0.95 and a negative predictive value of = 1.00. This was in the female group aged from 40 to 50 years old. Conclusion The tables of this study can be used as an auxiliary for pulp sensitivity tests.

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“…In clinical practice commercially available refrigerant sprays (cold - tests) are often used for pulp sensibility testing (PST) [1] and the response is recorded as positive or negative. Various factors such as previous trauma [2], patient age [3], periodontal attachment loss [4] or medications (sedatives, tranquilizers, analgesics) [5] are known to have an influence on the response. It is known that orthodontic tooth movement can affect PST response temporarily [6], but sensibility is thought to return to normal after completion of treatment.…”

Section: Introductionmentioning

confidence: 99%

Incidence of pulp sensibility loss of anterior teeth after paramedian insertion of orthodontic mini-implants in the anterior maxilla

et al. 2017

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BackgroundThe aim of this retrospective investigation was to evaluate the incidence of loss to pulp sensibility testing (PST) of maxillary front teeth after paramedian (3 to 5 mm away from the suture) orthodontic mini-implant (OMI) insertion in the anterior palate.MethodsA total of 284 patients (102 males, 182 females; mean age was 14.4 years (±8.8) years at time of OMI-Insertion) with a total of 568 OMIs (1.7 mm diameter, length 8 mm) were retrospectively investigated. A binomial regression analysis was performed to explore covariates, such as age, gender, inclination of upper central incisors, dentition status and insertion position of OMIs that could have contributed to loss of sensibility. Statistical significance was set at p < 0.05.ResultsLoss of response to PST was encountered during retention in 3 out of 284 patients and the respective OMIs had been placed at height of the second rugae (R-2). Affected teeth were a right canine, a left lateral and a left central incisor. Subsequent root canal treatment was successful. Results of the binomial regression analysis revealed that the covariate insertion position (R-2) of OMIs (p = 0.008) had statistically significant influence on loss of response to PST.Conclusions(1) Although there was no radiographic evidence for direct root injury, the proximity of the implants to the anterior teeth was nevertheless statistically related to loss of PST. (2) In all cases of PST loss OMIs were inserted at the second rugae. Therefore OMIs should be placed either more posteriorly, at the third rugae or in the median plane. (3). Loss of PST was not increased for patients with palatal OMI (0.18%) compared to samples without OMI (0.25%).

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Response of Pulp Sensibility Test Is Strongly Influenced by Periodontal Attachment Loss and Gingival Recession

Cited by 15 publications

References 25 publications

Expression of calcitonin gene-related peptide and pulp sensitivity tests in irreversible pulpitis

Expression of calcitonin gene-related peptide and pulp sensitivity tests in irreversible pulpitis

Diagnostic accuracy of three placement sites for the cold test in subjects amongst different age groups

Incidence of pulp sensibility loss of anterior teeth after paramedian insertion of orthodontic mini-implants in the anterior maxilla

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