Department of Pediatric Dentistry, Pediatric Dentistry Research Center, Faculty of Dental Medicine, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timișoara, Romania.
Department of Physical Education, University Sport Research Center for Evaluation of Fitness Level-CUSENF, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timișoara, Romania.
Medicina (Kaunas). 2022 May 16;58(5):665. doi: 10.3390/medicina58050665.
The accurate diagnosis of pulpal pathology in pediatric dentistry is essential for the success of vital pulp therapy. Pulp testing is often a challenging task due to understanding and cooperation issues of pediatric patients, as well as the particularities of pulpal physiology encountered in primary and immature permanent teeth. Sensibility tests, although still widely used by dental practitioners, are no longer recommended by pediatric specialists mainly due to their subjective nature. Vitality pulp tests have gained popularity in the last decade in light of some encouraging results of clinical studies. However, their use is not a routine practice yet. This paper is a literature review aimed to guide dental practitioners towards selecting the appropriate pulp testing method for their pediatric cases. It provides an overview on a multitude of pulp testing methods and an update in recommendations for primary and immature permanent teeth.
在儿童牙科中，准确诊断牙髓病理学对于活髓治疗的成功至关重要。由于儿童患者的理解和配合问题，以及在乳齿和未成熟恒牙中遇到的牙髓生理学特殊性，牙髓测试通常是一项具有挑战性的任务。尽管感觉测试仍然被牙科医生广泛使用，但由于其主观性，儿科专家不再推荐使用。鉴于一些临床研究的令人鼓舞的结果，活力牙髓测试在过去十年中变得流行起来。然而，它们的使用尚未成为常规做法。本文是一篇文献综述，旨在指导牙科医生为其儿科病例选择适当的牙髓测试方法。它提供了多种牙髓测试方法的概述，并更新了对乳齿和未成熟恒牙的推荐。
