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Nonetheless, electric pulp testing and cold testing tests have been found to be accurate and reliable in the case of assessing pulpal health, especially when tests are used in combination. [13] [14] In addition, cold testing is also more accurate than electric pulp in the case of running tests upon immature or traumatised teeth. [15]
The pulse oximeter test is a more accurate way to test for necrotic pulps as it primarily tests for vascular health of the pulp as compared to its nervous response. [21] This method involves taking measurements of blood oxygen saturation levels, making it non-invasive and an objective way to record patient response regarding pulpal diagnosis. [20]
The health of the dental pulp can be established by a variety of diagnostic aids which test either the blood supply to a tooth (Vitality Test) or the sensory response of the nerves within the root canal to specific stimuli (Sensitivity Test). Although less accurate, sensitivity tests, such as Electric Pulp Tests or Thermal Tests, are more ...
Test cavity preparation is a last resort as this method is considered invasive and irreversible. It is also unlikely that this procedure would provide any more information than thermal and electric pulp sensibility tests. Therefore, test cavities are not generally used in practice as a means of testing pulp sensibility. [18]
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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]
Due to the close relationship between dentin and pulp, they are frequently considered together as the dentin-pulp complex. [43]: 118 The teeth and gums exhibit normal sensations in health. Such sensations are generally sharp, lasting as long as the stimulus. [18] There is a continuous spectrum from physiologic sensation to pain in disease. [18]