Dental pulp testing: insufficient evidence to evaluate clinical performance

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This review of pulp sensibility and vitality tests identified 8 studies (4 Cohorts, 4 Case-controlled) . The number of studies matching the inclusion criteria did not provide a sufficient foundation to evaluate the clinical performance of pulp vitality tests.

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Orthodontic forces: insufficient evidence of their effect on the dental pulp

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This review of the effect of orthodontic forces on the dental pulp identified only a limited number of small studies none of which were of high quality. Consequently there is insufficient scientific evidence of the effect of orthodontic forces on the dental pulp.

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Orthodontic tooth movement and its effect on the dental pulp

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Orthodontic treatment is based on the principle that if a force is applied to a tooth for a period of time it will move. The applied force produces changes in both the supporting structures and in the pulp of the tooth.  Pathological changes have been reported in the pulp in response to these forces so [read the full story…]

Poor evidence regarding whether to use resin-modified glass ionomer or calcium hydroxide cements in deep cavities

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This new critical summary from the ADA-Center for Evidence Based Dentistry looks at a 2010 review from Mickenautsch et al. The aim of that review was to compare the pulpal responses to resin-modified glass ionomer cement (RM-GIC) and calcium hydroxide when placed in deep cavities. The review only included six trials (one randomized and five [read the full story…]

Limited research about what distinguishes treatable from nontreatable pulpal inflammation in teeth

anatomy of teeth

Accurate diagnosis of the condition  of the dental pulp  has an important bearing on treatment planning.  The aim of this review was to appraise the diagnostic accuracy of signs/symptoms and tests used to determine the condition of the pulp in teeth affected by deep caries, trauma or other types of injury. The authors searched PubMed, [read the full story…]