Pulpitis – How effective are diagnostic tests?

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This review of clinical tests for the diagnosis of the condition of the dental pulp included 28 studies from 29 publications. The quality of the included studies was low providing limited scientific evidence regarding the accuracy and reproducibility of diagnostic tests.

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Orthodontic force and dental pulp changes

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This review of the clinical and radiographic findings of orthodontic force application on the dental pulp included 26 studies. While increase in pulpal sensibility clinical response, an immediate decrease in pulpal blood flow, changes in pulp cavity volume, and an increase in the incidence of pulp stone formation the studies were mostly small and of low quality so the certainty of the available evidence is graded as very low.

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Direct pulp capping in permanent teeth

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This review the outcome of direct pulp capping (DPC) in mature permanent teeth with a cariously exposed pulp and a clinical diagnosis of reversible pulpitis included 14 studies. The findings suggest that direct pulp capping is generally a clinically effective procedure in teeeth with reversible pulpitis.

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Dental pulp testing methods: which is best?

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This review of dental pulp test accuracy included 28 studies. While the findings suggest that laser doppler flowmetry and pulse oximitery are the most accurate the quality of the available studies is low.

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

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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…]