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Dental pulp tests are valuable techniques used to establish the pulpal health status of a tooth in dentistry. The diagnostic information obtained from pulpal testing is then used alongside a patient's history, clinical and radiographic findings to determine a diagnosis and prognosis of the tooth.
The pulp is the neurovascular bundle central to each tooth, permanent or primary.It is composed of a central pulp chamber, pulp horns, and radicular canals. The large mass of the pulp is contained within the pulp chamber, which is contained in and mimics the overall shape of the crown of the tooth. [2]
Pulp sensibility tests are routinely used in the diagnosis of pulpitis. Pulp testing is combined with information taken from history, examination and other special investigations such as radiographs in order to reach a diagnosis. Pulp sensibility tests assess the pulp's sensory response to a stimulus. There are three general types:
A pulp vitality test such as a cold test or electric pulp test can aid in diagnosis, since COD generally does not compromise pulp vitality. [6] COD can be found in individuals of all ages and ethnic backgrounds, but it has been observed more frequently in individuals of African, East Asian, and Asian descent. [ 7 ]
Adults should have a total of 32 teeth (16 teeth in each arch). By the age of 2 + 1 ⁄ 2, children have a total of 20 deciduous teeth (10 in each arch). Abnormal findings are missing, loose, broken and misaligned teeth. Diseases of the teeth include baby-bottle tooth decay, epulis, meth mouth and Hutchinson's teeth.
Root canal treatment is a dental procedure used to treat infected tooth pulp which would be otherwise extracted. The pulp is the soft tissue core of the tooth which contains nerves, blood supply and connective tissue necessary for tooth health. [4] This is usually caused when bacteria enter the pulp through a deep cavity or failed filling. [4]
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Lack or response to pulp sensibility test (e.g. ethyl chloride, electric pulp test) [1] Lack of visible radiolucency where pulp system should be on radiographs (x-rays) Most of the time this condition is painless [1] and is managed conservatively by monitoring the tooth with routine radiographs. [1] There is a small risk of pulp necrosis. [2]