Electric Pulp Test Threshold Responses in Healthy Mature Permanent Teeth

Electric Pulp Test Threshold Responses in Healthy Teeth

Authors

  • Razia Noor Department of Operative Dentistry, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
  • Shuja Aslam Department of Operative Dentistry, Muhammad Dental College, Mirpurkhas, Pakistan
  • Aosaf Anwar Memon Department of Operative Dentistry, Isra University, Hyderabad, Pakistan
  • Irum Ali District Head Quarter Hospital, Jhelum, Pakistan
  • Hasan Afaq Zaidi Department of Operative Dentistry, Baqai Dental College, Karachi, Pakistan
  • Ahsan Ali Department of Operative Dentistry, Rehman College of Dentistry, Peshawar, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i09.1901

Keywords:

Accuracy, Electric Pulp Test, Healthy Mature Permanent Teeth, Threshold Responses

Abstract

Electric pulp testers assess only the neural component of pulp sensibility in dental practice, while vascular status is evaluated with laser Doppler flowmeters and pulp oximeters, which are more reliable for determining vitality in traumatic teeth. Objective: To determine the accuracy of the electric pulp test in healthy mature permanent teeth. Methods: This cross-sectional study was conducted at the Liaquat University of Medical and Health Sciences Jamshoro by consecutive sampling on 220 participants aged 18-35, who had healthy, mature permanent central incisors, canines, first premolars, and first molars, with no history of cardiac pacemakers and metallic restorations. Teeth were isolated, dried, and tested with a COXO C-Pulse electric pulp tester using toothpaste as a conducting medium. Threshold responses were recorded at increasing currents, with each tooth tested twice to determine the mean value. Accuracy was assessed using additional metrics post-therapy. Chi-square tests were employed to compare accuracy across gender and age groups, with significance set at p<0.05. Results: The mean age of the patients was 25.55 ± 5.41 years. 132 (60%) subjects were female, 88 (40%) subjects were male in this study. Accuracy of the electric pulp test in healthy mature permanent teeth was detected in 181 (82.3%) subjects in this study. Conclusion: It was concluded that the electric pulp tester method seems to be a reliable way to evaluate how sensitive the live nerve tissue inside a tooth is for healthy permanent teeth that have fully formed.

References

Patro S, Meto A, Mohanty A, Chopra V, Miglani S, Das A et al. Diagnostic Accuracy of Pulp Vitality Tests and Pulp Sensibility Tests for Assessing Pulpal Health in Permanent Teeth: A Systematic Review And Meta-Analysis. International Journal of Environmental Research and Public Health. 2022 Aug; 19(15): 9599. doi: 10.3390/ijerph19159599.

Janani K, Palanivelu A, Sandhya R. Diagnostic Accuracy of Dental Pulse Oximeter with Customized Sensor Holder, Thermal Test and Electric Pulp Test for the Evaluation of Pulp Vitality: An in Vivo Study. Brazilian Dental Science. 2020 Jan; 23(1): 8-12. doi: 10.14295/bds.2020.v23i1.1805.

Janani K, Ajitha P, Sandhya R, Subbaiyan H, Jose J. Efficiency of New Custom-Made Pulse Oximeter Sensor Holder in Assessment of Actual Pulp Status. Journal of Family Medicine and Primary Care. 2020 Jul; 9(7): 3333-7. doi: 10.4103/jfmpc.jfmpc_73_20.

Kishen A and Muralidharan NP. Recent Advancements in Pulp Testing Devices. Indian Journal of Forensic Medicine & Toxicology. 2020 Oct; 14(4). doi: 10.37506/ijfmt.v14i4.12550.

Bulut M and Ulusoy AT. The Variability of Electric Pulp Response Thresholds in Primary Molars: A Clinical Study. European Archives of Paediatric Dentistry. 2021 Aug; 22: 693-7. doi: 10.1007/s40368-021-00608-3.

Farughi A, Rouhani A, Shahmohammadi R, Jafarzadeh H. Clinical Comparison of Sensitivity and Specificity Between Sensibility and Vitality Tests in Determining the Pulp Vitality of Mandibular Premolars. Australian Endodontic Journal. 2021 Dec; 47(3): 474-9. doi: 10.1111/aej.12506.

Proulx C, Dumais Y, Beauchamp G, Steagall P. Reliability of Electric Pulp Test, Cold Pulp Test or Tooth Transillumination to Assess Pulpal Health in Permanent Dog Teeth. Journal of Veterinary Dentistry. 2022 Jun; 39(2): 133-41. doi: 10.1177/08987564221076363.

Šimović M, Pavušek I, Ivanišević Malčić A, Jukić S, Prpić Mehičić G et al. Electric Pulp Test Threshold Responses in Healthy Incisors, Canines, Premolars And Molars. Australian Endodontic Journal. 2018 Apr; 44(1): 54-9. doi: 10.1111/aej.12219.

Goh L, Er J, Pham Y, Abbott PV. An Evaluation of the Repeatability of Electric Pulp Sensibility Tests. Australian Endodontic Journal. 2022 Apr; 48(1): 20-6. doi: 10.1111/aej.12552.

Jafarzadeh H and Abbott PV. Review of Pulp Sensibility Tests. Part I: General Information and Thermal Tests. International Endodontic Journal. 2010 Sep; 43(9): 738-62. doi: 10.1111/j.1365-2591.2010.01754.x.

Gopikrishna V, Pradeep G, Venkateshbabu N. Assessment of Pulp Vitality: A Review. International Journal of Paediatric Dentistry. 2009 Jan; 19(1): 3-15. doi: 10.1111/j.1365-263X.2008.00955.x.

Afkhami F, Wright PP, Chien PY, Xu C, Walsh LJ, Peters OA. Exploring Approaches to Pulp Vitality Assessment: A Scoping Review of Nontraditional Methods. International Endodontic Journal. 2024 Apr; 57(8): 1065-1098. doi: 10.1111/iej.14073.

Tran HT, Kong Y, Talati A, Posada‐Quintero H, Chon KH, Chen IP. The Use of Electrodermal Activity in Pulpal Diagnosis and Dental Pain Assessment. International Endodontic Journal. 2023 Mar; 56(3): 356-68. doi: 10.1111/iej.13868.

Ahmed HM, Wolf TG, Rossi-Fedele G, Dummer PM. The Study and Relevance of Pulp Chamber Anatomy in Endodontics–A Comprehensive Review. European Endodontic Journal. 2024 Nov; 9(1): 18. doi: 10.14744/eej.2023.76598.

Saikiran KV, Gurunathan D, Gayathri E, Nuvvula S. Identification of the Ideal Reference Site and Pain Threshold Values for the Placement of Electric Pulp Testers in Permanent Upper and Lower Anterior Teeth: A Cross-Sectional Study. Cureus. 2024 Apr; 16(4): e58156. doi: 10.7759/cureus.58156.

Mainkar A and Kim SG. Diagnostic Accuracy of 5 Dental Pulp Tests: A Systematic Review and Meta-Analysis. Journal of Endodontics. 2018 May; 44(5): 694-702. doi: 10.1016/j.joen.2018.01.021.

Briseño-Marroquín B, López-Murillo H, Kuchen R, Casasa-Araujo A, Wolf TG. Pulp Sensitivity Changes During Orthodontic Treatment at Different Time Periods: A Prospective Study. Clinical Oral Investigations. 2021 May; 25: 3207-15. doi: 10.1007/s00784-020-03651-4.

Imtiaz T, Gurunathan D, Saikiran KV. Determination of the Ideal Tooth Surface and Pain Threshold to Improve the Efficacy of an Electric Pulp Tester in the Diagnosis of Pulp Sensitivity and Vitality in Premolar and Molar Teeth: A Cross-Sectional Study. Cureus. 2023 Dec; 15(12). doi: 10.7759/cureus.50754.

Ersahan S, Sabuncuoglu FA, Oktay EA. The Efficacy of Laser Doppler Flowmetry, Electric Pulp Test and Cold Test in Diagnosing Revascularization of Extrusively Luxated Immature Maxillary Incisors. Pakistan Journal of Medical Sciences. 2018 Jul; 34(4): 787. doi: 10.12669/pjms.344.15524.

Lotfi H. Comparing Pulse Oximetry and Laser Doppler Flowmetry as A Diagnostic Tool for Pulpal Vitality. Medicon Dental Sciences. 2022 Aug; 2(1): 33-42.

Downloads

Published

2024-09-30
CITATION
DOI: 10.54393/pjhs.v5i09.1901
Published: 2024-09-30

How to Cite

Noor, R., Aslam, S., Memon, A. A., Ali, I., Zaidi, H. A., & Ali, A. (2024). Electric Pulp Test Threshold Responses in Healthy Mature Permanent Teeth: Electric Pulp Test Threshold Responses in Healthy Teeth. Pakistan Journal of Health Sciences (Lahore), 5(09), 81–85. https://doi.org/10.54393/pjhs.v5i09.1901

Issue

Section

Original Article

Plaudit