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。
Clinical comparison of sensitivity and specificity between sensibility and vitality tests in determining the pulp vitality of mandibular premolars.
作者信息
Farughi Aidin, Rouhani Armita, Shahmohammadi Reza, Jafarzadeh Hamid
机构信息
Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Endodontics, Faculty of Dentistry, Birjand University of Medical Sciences, Birjand, Iran.
出版信息
Aust Endod J. 2021 Dec;47(3):474-479. doi: 10.1111/aej.12506. Epub 2021 Apr 7.
This clinical study was designed to compare cold pulp testing (CPT), heat pulp testing (HPT) and electric pulp test (EPT) with pulse oximetry (PO), flowmetry (FM) and thermometry (TM) in terms of sensitivity and specificity. Twenty premolar teeth in need of root canal treatment were included in the study. Pulp sensibility tests (CPT, HPT and EPT) along with vitality tests (PO, FM and TM) were performed. As the gold standard, the teeth were endodontically treated and pulp vitality was determined by direct visual observation. Sensitivity, specificity and accuracy values for each test were as follows: HPT 1, 1, 100%; CPT 1, 0.818, 90%; EPT 1, 0.909, 95%; PO 1, 0.545, 75%; TM 0.111, 0.272, 20%; and FM 0.444, 0.272, 35%, respectively. The most accurate test among all was HPT. PO was the most accurate vitality test.
本临床研究旨在比较冷牙髓测试（CPT）、热牙髓测试（HPT）和电牙髓测试（EPT）与脉搏血氧测定法（PO）、流量测定法（FM）和温度测定法（TM）在敏感性和特异性方面的差异。本研究纳入了20颗需要进行根管治疗的前磨牙。进行了牙髓敏感性测试（CPT、HPT和EPT）以及活力测试（PO、FM和TM）。作为金标准，对牙齿进行牙髓治疗，并通过直接视觉观察确定牙髓活力。每项测试的敏感性、特异性和准确性值如下：HPT分别为1、1、100%；CPT分别为1、0.818、90%；EPT分别为1、0.909、95%；PO分别为1、0.545、75%；TM分别为0.111、0.272、20%；FM分别为0.444、0.272、35%。所有测试中最准确的是HPT。PO是最准确的活力测试。
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