牙髓测试：综述
Dental pulp testing: a review.
作者信息
Chen Eugene, Abbott Paul V
机构信息
School of Dentistry, The University of Western Australia, Nedlands, Perth, WA 6009, Australia.
出版信息
Int J Dent. 2009;2009:365785. doi: 10.1155/2009/365785. Epub 2009 Nov 12.
Abstract
Dental pulp testing is a useful and essential diagnostic aid in endodontics. Pulp sensibility tests include thermal and electric tests, which extrapolate pulp health from sensory response. Whilst pulp sensibility tests are the most commonly used in clinical practice, they are not without limitations and shortcomings. Pulp vitality tests attempt to examine the presence of pulp blood flow, as this is viewed as a better measure of true health than sensibility. Laser Doppler flowmetry and pulse oximetry are examples of vitality tests. Whilst the prospect is promising, there are still many practical issues that need to be addressed before vitality tests can replace sensibility tests as the standard clinical pulp diagnostic test. With all pulp tests, the results need to be carefully interpreted and closely scrutinised as false results can lead to misdiagnosis which can then lead to incorrect, inappropriate, or unnecessary treatment.
摘要
牙髓测试是牙髓病学中一种有用且必不可少的诊断辅助手段。牙髓敏感性测试包括热测试和电测试，这些测试通过感觉反应推断牙髓健康状况。虽然牙髓敏感性测试是临床实践中最常用的方法，但它们并非没有局限性和缺点。牙髓活力测试试图检测牙髓血流的存在，因为与敏感性相比，这被视为衡量真正健康状况的更好指标。激光多普勒血流仪和脉搏血氧饱和度测定仪就是活力测试的例子。尽管前景乐观，但在活力测试能够取代敏感性测试成为标准的临床牙髓诊断测试之前，仍有许多实际问题需要解决。对于所有牙髓测试，结果都需要仔细解读并严格审查，因为错误的结果可能导致误诊，进而导致不正确、不适当或不必要的治疗。
相似文献
1
Dental pulp testing: a review.牙髓测试：综述
Int J Dent. 2009;2009:365785. doi: 10.1155/2009/365785. Epub 2009 Nov 12.
2
Pulp sensibility and vitality tests for diagnosing pulpal health in permanent teeth: a critical review.牙髓活力和敏感性测试用于诊断恒牙牙髓健康：一项批判性综述。
Int Endod J. 2017 Feb;50(2):135-142. doi: 10.1111/iej.12611. Epub 2016 Feb 11.
3
A Consolidated Pulp Test System Including Flowmetry, Pulse Oximetry, and Thermometry.一种包括流量测量、脉搏血氧饱和度测量和体温测量的综合牙髓测试系统。
J Contemp Dent Pract. 2019 Jul 1;20(7):873-877.
4
The diagnostic accuracy of laser Doppler flowmetry in assessing pulp blood flow in permanent teeth: A systematic review.激光多普勒血流仪评估恒牙牙髓血流的诊断准确性：一项系统评价。
Dent Traumatol. 2018 Oct;34(5):311-319. doi: 10.1111/edt.12424. Epub 2018 Aug 20.
5
Clinical comparison of sensitivity and specificity between sensibility and vitality tests in determining the pulp vitality of mandibular premolars.下颌前磨牙牙髓活力测定中感觉测试与活力测试之间敏感性和特异性的临床比较。
Aust Endod J. 2021 Dec;47(3):474-479. doi: 10.1111/aej.12506. Epub 2021 Apr 7.
6
Exploring approaches to pulp vitality assessment: A scoping review of nontraditional methods.探索牙髓活力评估方法：非传统方法的范围综述。
Int Endod J. 2024 Aug;57(8):1065-1098. doi: 10.1111/iej.14073. Epub 2024 Apr 25.
7
'Cold is gold'? The diagnostic accuracy of sensibility and vitality testing techniques.“冷是金”？感觉和活力测试技术的诊断准确性。
Evid Based Dent. 2022 Dec;23(4):137. doi: 10.1038/s41432-022-0847-5. Epub 2022 Dec 16.
8
Vitality Tests for Pulp Diagnosis of Traumatized Teeth: A Systematic Review.活力测试在创伤性牙齿牙髓诊断中的应用：系统评价。
J Endod. 2019 May;45(5):490-499. doi: 10.1016/j.joen.2019.01.014. Epub 2019 Mar 14.
9
Dental pulp neurophysiology: part 2. Current diagnostic tests to assess pulp vitality.牙髓神经生理学：第2部分。评估牙髓活力的当前诊断测试。
J Can Dent Assoc. 2009 Mar;75(2):139-43.
10
Review of pulp sensibility tests. Part II: electric pulp tests and test cavities.牙髓活力测试综述。第二部分：电活力测试和窝洞。
Int Endod J. 2010 Nov;43(11):945-58. doi: 10.1111/j.1365-2591.2010.01760.x. Epub 2010 Aug 18.
引用本文的文献
1
Indian Association of Conservative Dentistry and Endodontics consensus statement on deep caries management.印度保守牙科与牙髓病学协会关于深龋治疗的共识声明。
J Conserv Dent Endod. 2025 Aug;28(8):714-726. doi: 10.4103/JCDE.JCDE_407_25. Epub 2025 Aug 1.
2
An Observational Study on Pain Occurrence After Root Canal Treatment: Role of Operator Experience When Using a Bioceramic Sealer.根管治疗后疼痛发生情况的观察性研究：使用生物陶瓷封闭剂时术者经验的作用
J Clin Med. 2025 Jun 27;14(13):4558. doi: 10.3390/jcm14134558.
3
Symptom correlation and spatial distribution of inflammatory mediators in pulpitis-A preliminary study.牙髓炎中炎症介质的症状相关性及空间分布——一项初步研究
Int Endod J. 2025 Oct;58(10):1565-1581. doi: 10.1111/iej.14275. Epub 2025 Jun 26.
4
Clinical and radiographic assessment of mineral trioxide aggregate with platelet rich fibrin as pulp capping biomaterials: a 12-month randomized trial.以富血小板纤维蛋白作为盖髓生物材料的三氧化矿物凝聚体的临床和影像学评估：一项为期12个月的随机试验
Sci Rep. 2025 Apr 15;15(1):12874. doi: 10.1038/s41598-025-96056-w.
5
Pulp Responsiveness of Healthy Non-Pathological Teeth Following Surgical Enucleation of Cysts.囊肿手术摘除后健康非病理性牙齿的牙髓反应性
Dent J (Basel). 2025 Mar 5;13(3):116. doi: 10.3390/dj13030116.
6
Five Numerical Methods to Assess the Ischemic Risks in Dental Pulp and Neuro-Vascular Bundle Under Orthodontic Movements in Intact Periodontium In Vitro.五种数值方法评估完整牙周组织体外正畸移动下牙髓和神经血管束的缺血风险
Dent J (Basel). 2024 Dec 27;13(1):15. doi: 10.3390/dj13010015.
7
Clinical and radiographic evaluation of silver diamine fluoride versus mineral trioxide aggregate as indirect pulp capping agents in deeply carious first permanent molars a randomized clinical trial.氟化亚银与三氧化矿物凝聚体作为深龋第一恒磨牙间接盖髓剂的临床和影像学评估：一项随机临床试验
BDJ Open. 2025 Jan 9;11(1):4. doi: 10.1038/s41405-024-00286-5.
8
Paediatric dental trauma: insights from epidemiological studies and management recommendations.儿童牙外伤：来自流行病学研究的见解及管理建议
BMC Oral Health. 2025 Jan 2;25(1):6. doi: 10.1186/s12903-024-05222-5.
9
Periodontal Breakdown, Orthodontic Movements and Pulpal Ischemia Correlations-A Comparison Between Five Study Methods.牙周破坏、正畸移动与牙髓缺血的相关性——五种研究方法的比较
J Clin Med. 2024 Nov 22;13(23):7062. doi: 10.3390/jcm13237062.
10
The Effect of Larger Orthodontic Forces and Movement Types over a Dental Pulp and Neuro-Vascular Bundle of Lower Premolars in Intact Periodontium-A Numerical Analysis.完整牙周组织中较大正畸力和移动类型对下颌前磨牙牙髓及神经血管束的影响——数值分析
Dent J (Basel). 2024 Oct 14;12(10):328. doi: 10.3390/dj12100328.
本文引用的文献
1
Evaluation of optical methods of detecting dental pulp vitality.检测牙髓活力的光学方法评估。
J Biomed Opt. 1997 Jan;2(1):58-73. doi: 10.1117/12.261679.
2
Evaluation of the temperature of different refrigerant sprays used as a pulpal test.
Aust Endod J. 2008 Dec;34(3):86-8. doi: 10.1111/j.1747-4477.2007.00077.x.
3
A clinical classification of the status of the pulp and the root canal system.牙髓和根管系统状态的临床分类。
Aust Dent J. 2007 Mar;52(1 Suppl):S17-31. doi: 10.1111/j.1834-7819.2007.tb00522.x.
4
Safety of electronic apex locators and pulp testers in patients with implanted cardiac pacemakers or cardioverter/defibrillators.植入心脏起搏器或心脏复律除颤器患者使用电子根尖定位仪和牙髓活力测试仪的安全性。
J Endod. 2006 Sep;32(9):847-52. doi: 10.1016/j.joen.2006.03.005. Epub 2006 Jun 23.
5
The lamp effect of laser Doppler flowmetry on teeth.激光多普勒血流仪对牙齿的灯效应。
J Oral Rehabil. 2005 Nov;32(11):844-8. doi: 10.1111/j.1365-2842.2005.01510.x.
6
Penetration depth of laser Doppler flowmetry beam in teeth.激光多普勒血流仪光束在牙齿中的穿透深度。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 Jul;100(1):125-9. doi: 10.1016/j.tripleo.2004.11.018.
7
Relationship of patient complaints and signs to histopathologic diagnosis of pulpal condition.
Aust Endod J. 2005 Apr;31(1):24-7. doi: 10.1111/j.1747-4477.2005.tb00203.x.
8
Possible application of transmitted laser light for the assessment of human pulp vitality. Part 2. Increased laser power for enhanced detection of pulpal blood flow.透射激光在评估人体牙髓活力中的可能应用。第2部分。提高激光功率以增强对牙髓血流的检测。
Dent Traumatol. 2005 Feb;21(1):37-41. doi: 10.1111/j.1600-9657.2004.00280.x.
9
Use of laser Doppler flowmetry to predict vitality of luxated or avulsed permanent teeth.使用激光多普勒血流仪预测脱位或脱出恒牙的活力。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Dec;98(6):750-5. doi: 10.1016/j.tripleo.2004.05.003.
10
Cold testing through full-coverage restorations.通过全冠修复体进行冷测试。
J Endod. 2004 Oct;30(10):695-700. doi: 10.1097/01.don.0000125880.11248.74.
Zotero 插件