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The ability of pulp sensibility tests to evaluate the pulp status in primary teeth.

06:00 EDT 28th June 2011 | BioPortfolio

Summary of "The ability of pulp sensibility tests to evaluate the pulp status in primary teeth."

International Journal of Paediatric Dentistry 2011 Background.  Accurate determination of the pulp status is the most important part of conservative pulp therapy. Aim.  The aim of this study was to assess the ability of thermal and electrical pulp tests to assess the pulp status in primary teeth. Design.  Seventy-eight primary molar teeth in 36 children were investigated. Fifty-six teeth had unknown pulp status in need of endodontic treatment, and 22 were intact teeth with no signs of pulp disease. Cold, hot and electrical pulp testing (EPT) were performed on each tooth. The gold standard was established by direct inspection of the pulp after an access cavity had been made. The sensitivity, specificity, positive and negative predictive values for each test and different sequential combinations of pulp testing were calculated. Sequential combination test analysis was used for data analysis. Results.  The highest accuracy was found for EPT, followed by heat and cold tests. No significant difference was found between the accuracy of EPT and the heat test (P-values > 0.05); however, the accuracy of EPT was significantly higher than that of the cold test (P-value < 0.05). Conclusion.  Based on this study, EPT can be used as a reliable test for diagnosing the pulp status in primary teeth.

Affiliation

Department of Pediatric, Oral and Dental Diseases Research Center, School of Dentistry, Kerman Medical University, Kerman, Iran Department of Endodontic, Oral and Dental Diseases Research Center, School of Dentistry, Kerman Medical University, Kerman, Ira

Journal Details

This article was published in the following journal.

Name: International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry
ISSN: 1365-263X
Pages:

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The mesenchymal cells which line the DENTAL PULP CAVITY and produce DENTIN. They have a columnar morphology in the coronal pulp but are cuboidal in the root pulp, or when adjacent to tertiary dentin.

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