Department of Endodontics, Faculty of Dentistry and Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Int Endod J. 2010 Sep;43(9):738-62. doi: 10.1111/j.1365-2591.2010.01754.x. Epub 2010 Jul 1.
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.
牙髓疾病诊断过程中的一个主要且必要部分是使用牙髓感觉测试。在诊断牙髓疼痛时,这些测试可以用于重现患者报告的症状,以诊断患病牙齿和疾病状态。然而,这些测试的一个主要缺点是,它们仅通过测量神经反应而不是血管供应来间接指示牙髓状态,因此可能会出现假阳性和假阴性结果。使用 PubMed 和 MEDLINE 数据库搜索,对截至 2009 年 1 月的牙髓感觉测试在牙髓病学中的相关文献进行了回顾。该搜索确定了 1964 年 11 月至 2009 年 1 月期间发表的所有语言的论文。热测试已被用作牙科检查的一个组成部分。有两种类型的热测试,一种使用冷刺激,另一种使用热刺激,每种测试都有不同的传递方法。如果这些测试使用得当,牙髓受伤的可能性非常小。本文回顾了有关热测试的基本原理、适应证、局限性和解释的文献,讨论了这些诊断测试的价值,以及关于每项测试的要点。