Pulp and Periradicular Testing

Abstract Pulp and periradicular testing is crucial to the initial trauma evaluation and to subsequent monitoring of the traumatized teeth and supporting structures. An accurate diagnosis serves as the basis for therapeutic intervention and helps to ensure that destruction of the dental structures wi...

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Veröffentlicht in:Journal of endodontics 2013-03, Vol.39 (3), p.S13-S19
1. Verfasser: Levin, Linda Gibson, DDS, PhD
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container_title Journal of endodontics
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creator Levin, Linda Gibson, DDS, PhD
description Abstract Pulp and periradicular testing is crucial to the initial trauma evaluation and to subsequent monitoring of the traumatized teeth and supporting structures. An accurate diagnosis serves as the basis for therapeutic intervention and helps to ensure that destruction of the dental structures will be minimized and function will be regained. The purpose of this review is to present the current best evidence for accurate diagnostic testing of the pulp and periapex of traumatized teeth. Five databases were searched for literature pertaining to pulpal testing and trauma. Widely recognized textbooks were also consulted. Currently used pulp vitality testing is constrained by its subjective character and by the fact that it is a measure of neuronal status and not true pulpal viability. Tests that measure tissue perfusion more accurately reflect pulpal vitality, but they are not available commercially. This review discusses the specificity, sensitivity, and accuracy of commonly used tests, with emphasis on the applicability of certain tests to specific patient presentations in trauma. Factors that influence test selection are discussed, and specific recommendations are made on the basis of best evidence. Although differences exist between the various studies as to the accuracy of commonly used pulpal and periradicular tests, most of these have acceptable predictive value. Pulpal and periradicular tests in the trauma patient should be used in conjunction with clinical and radiographic observations to arrive at a diagnosis and treatment plan.
doi_str_mv 10.1016/j.joen.2012.11.047
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An accurate diagnosis serves as the basis for therapeutic intervention and helps to ensure that destruction of the dental structures will be minimized and function will be regained. The purpose of this review is to present the current best evidence for accurate diagnostic testing of the pulp and periapex of traumatized teeth. Five databases were searched for literature pertaining to pulpal testing and trauma. Widely recognized textbooks were also consulted. Currently used pulp vitality testing is constrained by its subjective character and by the fact that it is a measure of neuronal status and not true pulpal viability. Tests that measure tissue perfusion more accurately reflect pulpal vitality, but they are not available commercially. This review discusses the specificity, sensitivity, and accuracy of commonly used tests, with emphasis on the applicability of certain tests to specific patient presentations in trauma. 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subjects Alveolar Process - injuries
Blood Flow Velocity
Brain Injuries - diagnosis
Dental Pulp - blood supply
Dental Pulp - injuries
Dental Pulp Test
Dental Stress Analysis
Dental trauma
Dentistry
electric pulp test
Endocrinology & Metabolism
Humans
laser Doppler flowmetry
Oximetry
Palpation
Percussion
pulse oximetry
Sensitivity and Specificity
sensitivity testing
thermal tests
Tooth Injuries - diagnosis
Tooth Mobility
Tooth Root - injuries
vitality tests
title Pulp and Periradicular Testing
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