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正常血压和高血压个体牙髓敏感性测试反应的比较:一项临床研究。

Comparison of pulp sensibility test responses in normotensive and hypertensive individuals: A clinical study.

作者信息

Saklecha Purnima, Kishan Karkala Venkappa, Shroff Manan Gaurang

机构信息

Department of Conservative Dentistry and Endodontics, K. M. Shah Dental College and Hospital, Vadodara, Gujarat, India.

出版信息

J Conserv Dent. 2022 Sep-Oct;25(5):526-530. doi: 10.4103/jcd.jcd_105_22. Epub 2022 Sep 12.

Abstract

BACKGROUND

Pulp sensibility testing is an essential part of the diagnostic process in the assessment of pulpal health. Several lines of evidence suggest an interaction between control of blood pressure and pain regulatory mechanisms.

AIM

The aim of the study is to compare pulp sensibility test responses in normotensive and hypertensive individuals.

MATERIALS AND METHODS

Ninety-eight patients participated in the study, with 49 individuals each in the hypertensive and normotensive groups. A minimum of 4 and maximum of 8 sound teeth were included in the study each from the anterior, premolar, and molar, i.e., 4 teeth from either arch. A total of 832 teeth were tested. The value and time when the responses evoked for electric pulp test (EPT) and cold test were recorded respectively.

STATISTICAL ANALYSIS

For intergroup and intragroup analyses, independent -test and paired -test were utilized.

RESULTS

A statistically significant difference was noted in values for EPT as well as cold test responses when both the groups were compared ( < 0.01). Higher values were obtained with the hypertensive group.

CONCLUSION

Patients with established hypertension showed an increased threshold to electric pulp testing and cold stimulus as compared to normal healthy individuals.

摘要

背景

牙髓敏感性测试是评估牙髓健康诊断过程的重要组成部分。有几条证据表明血压控制与疼痛调节机制之间存在相互作用。

目的

本研究的目的是比较血压正常者和高血压患者的牙髓敏感性测试反应。

材料与方法

98名患者参与了本研究,高血压组和血压正常组各有49人。研究中至少纳入4颗且最多8颗健康牙齿,分别来自前牙、前磨牙和磨牙,即每个牙弓4颗牙。总共测试了832颗牙齿。分别记录电牙髓测试(EPT)和冷测试诱发反应的数值和时间。

统计分析

组间和组内分析分别采用独立样本t检验和配对样本t检验。

结果

比较两组时,EPT数值以及冷测试反应均存在统计学显著差异(P<0.01)。高血压组获得的数值更高。

结论

与正常健康个体相比,确诊高血压患者对电牙髓测试和冷刺激的阈值升高。

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本文引用的文献

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Comparative evaluation of biodentine and endosequence root repair material as direct pulp capping material: A clinical study.
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Evaluation of dental pulp sensibility tests in a clinical setting.
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