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Review of pulp sensibility tests. Part I: general information and thermal tests.

机译:纸浆敏感性测试的回顾。第一部分:一般信息和热测试。

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摘要

A major, and essential, part of the diagnostic process for pulp disease is the use of pulp sensibility tests. When diagnosing pulp pain, these tests can be used to reproduce the symptoms reported by the patient to diagnose the diseased tooth as well as the disease state. However, a major shortcoming with these tests is that they only indirectly provide an indication of the state of the pulp by measuring a neural response rather than the vascular supply, so both false positive and false negative results can occur. The relevant literature on pulp sensibility tests in the context of endodontics up to January 2009 was reviewed using PubMed and MEDLINE database searches. This search identified papers published between November 1964 and January 2009 in all languages. Thermal tests have been used as an integral part of dental examinations. Two types of thermal tests are available, one uses a cold stimulus and the other uses a hot stimulus, and each has various methods of delivery. If these tests are used properly, injury to the pulp is highly unlikely. A review of the literature regarding the rationale, indications, limitations, and interpretation of thermal tests, the value of these diagnostic tests, as well as a discussion of the important points about each of these tests is presented.
机译:纸浆疾病诊断过程的主要且必不可少的部分是使用纸浆敏感性测试。诊断牙髓疼痛时,这些测试可用于重现患者报告的症状,以诊断患病的牙齿以及疾病状态。然而,这些测试的主要缺点是它们仅通过测量神经反应而不是血管供应来间接提供纸浆状态的指示,因此可能出现假阳性和假阴性结果。使用PubMed和MEDLINE数据库搜索,回顾了截至2009年1月的有关牙髓治疗中牙髓敏感性测试的相关文献。该搜索确定了1964年11月至2009年1月之间以所有语言发表的论文。热测试已被用作牙科检查的组成部分。可以使用两种类型的热测试,一种使用冷刺激,另一种使用热刺激,每种都有不同的传递方法。如果正确使用这些测试,则极不可能损坏果肉。介绍了有关热测试的基本原理,适应症,局限性和解释,这些诊断测试的价值以及对每种测试的重点的讨论的文献综述。

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