Technical equipment for assessment of dental pulp status

Ford, T. R. Pitt; Patel, Sonny S.

doi:10.1111/j.1601-1546.2004.00063.x

Cited by 37 publications

(22 citation statements)

References 58 publications

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“…It is important to assess pulp vitality prior to undertaking extensive tooth preparation in order to improve the prognosis of the restoration. It is also desirable to confirm periodically the pulp vitality in teeth that have undergone pulp preservation procedures or have had extensive restorations [53].…”

Section: Prepared Teeth and Pulp Microcirculationmentioning

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: Prepared Teeth and Pulp Microcirculationmentioning

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

“…Importantly, performing repetitive tests will tend to relax the patient, build confidence, and reduce the probability of a false response (Cohen & Hargreaves 2006). To improve objectivity, the tests should be repeated after a recovery period of 1 min, unless too much discomfort has been caused (Ruddle 2002a, Pitt Ford & Patel 2004).…”

Section: Pulp Sensibility Testsmentioning

confidence: 99%

“…There is no accurate or objective method of assessing how responsive the tooth under investigation is to any particular test or of comparing with a previous measurement. In contrast, EPTs have numerical displays, which allow the report to be compared with previous readings (Pitt Ford & Patel 2004) although many clinicians do not believe these readings are reproducible and simply look for a response or no response (Cohen & Hargreaves 2006). No studies have demonstrated whether the readings shown on the numerical display have any particular meaning or whether they are reproducible.…”

Section: Pulp Sensibility Testsmentioning

confidence: 99%

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Review of pulp sensibility tests. Part I: general information and thermal tests

2010

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A major, and essential, part of the diagnostic process for pulp disease is the use of pulp sensibility tests. When diagnosing pulp pain, these tests can be used to reproduce the symptoms reported by the patient to diagnose the diseased tooth as well as the disease state. However, a major shortcoming with these tests is that they only indirectly provide an indication of the state of the pulp by measuring a neural response rather than the vascular supply, so both false positive and false negative results can occur. 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 papers published between November 1964 and January 2009 in all languages. Thermal tests have been used as an integral part of dental examinations. Two types of thermal tests are available, one uses a cold stimulus and the other uses a hot stimulus, and each has various methods of delivery. If these tests are used properly, injury to the pulp is highly unlikely. A review of the literature regarding the rationale, indications, limitations, and interpretation of thermal tests, the value of these diagnostic tests, as well as a discussion of the important points about each of these tests is presented.

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“…Kerr et al (1) reported that if a disease is present, it is necessary to describe it and classify it within certain limits, namely, to know the type of lesion, the tissue involved, the etiologic agent, or whether it represents a developmental disturbance. All these factors associated with the diagnostic process (signs, symptoms, and complementary examinations) are integrated in developing the differential diagnosis and the treatment alternatives (1,2).…”

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confidence: 99%