IADR Abstract Archives
Accuracy of vitality tests for pulp diagnosis in deep caries: cases serie
Objectives: to estimate the accuracy of conventional pulp sensitivity test in teeth affected by deep caries
Methods: 15 teeth with deep caries and initial diagnosis of reversible pulpitis were include in this study. The diagnosis wasmade on the basis of patient’s history of pain, clinial examination and answer to thermal and eclectrical tests. The reference tests were visualeffraction of pulp during cleaning soft dentin tissus and clinical and radiographic control of pulp status after 6 months.
Results: Cases were composed from 6.7% of canines, 26.6%of premolars and 66.7% of molars. 60% of teeth were treated with indirect pulpcapping, 6.7% with direct pulp capping and 33,3% with biopulpectomy. For cold, hot and electrical vitality test, specificity was respectively0.75 for both cold and hot tests and 0.85 and sensitivity was 1, 0.8 and 0.2.
The coincidence between the first diagnostic and the second was in 67% of cases.
Conclusions: Within the limitation of our study, conventional pulp vitality testslacked accuracy to diagnose pulp status in case of deep caries. In order torefine the diagnostis, dentit must consider many parameters such as thehistory desease, clinical signs, results of clinical and radiographic investigation and monitoring of the selected treatment.
Methods: 15 teeth with deep caries and initial diagnosis of reversible pulpitis were include in this study. The diagnosis wasmade on the basis of patient’s history of pain, clinial examination and answer to thermal and eclectrical tests. The reference tests were visualeffraction of pulp during cleaning soft dentin tissus and clinical and radiographic control of pulp status after 6 months.
Results: Cases were composed from 6.7% of canines, 26.6%of premolars and 66.7% of molars. 60% of teeth were treated with indirect pulpcapping, 6.7% with direct pulp capping and 33,3% with biopulpectomy. For cold, hot and electrical vitality test, specificity was respectively0.75 for both cold and hot tests and 0.85 and sensitivity was 1, 0.8 and 0.2.
The coincidence between the first diagnostic and the second was in 67% of cases.
Conclusions: Within the limitation of our study, conventional pulp vitality testslacked accuracy to diagnose pulp status in case of deep caries. In order torefine the diagnostis, dentit must consider many parameters such as thehistory desease, clinical signs, results of clinical and radiographic investigation and monitoring of the selected treatment.