Reliability of electric pulp test and thermal pulp test for assessing pulpal response in patients undergoing orthodontic treatment – A systematic review

IF 1.8 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International Orthodontics Pub Date : 2024-11-12 DOI:10.1016/j.ortho.2024.100952

Divya Nangia , Isha Duggal , Ajay Logani , Sidhartha Sharma , Ritu Duggal

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引用次数: 0

Abstract

Objective

To assess the reliability of pulp sensibility tests in patients undergoing orthodontic treatment.

Background

The orthodontic force may cause transient changes in pulp vasculature leading to alteration in its response threshold. This may vary with the type, duration and magnitude of forces used. Thus, it is imperative to monitor the pulp sensibility and vitality of teeth during the course of orthodontic treatment.

Material and methods

Sources: PubMed, Web of Science, Embase, Scopus, Cochrane Central Register of Controlled trials, ClinicalTrials.gov, Clinical Trials Registry-India and OpenGrey. Randomized clinical trials and/or observational studies evaluating the pulp sensibility response of patients undergoing orthodontic treatment were included. Study characteristics, sample characteristics, methodology details, outcome assessment, and main results were recorded in excel sheet. The Newcastle-Ottawa scale (NOS) was used to assess risk of bias (ROB). Certainty of evidence was evaluated using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) tool.

Results

Thirteen observational studies were included. Total number of participants who underwent orthodontic treatment was 2956 (average age 17.53 ± 3.81 years). The type and duration of orthodontic force was variable in the different studies. The pulp sensibility response was assessed using either Electric pulp test (EPT), or Thermal pulp test (TPT), or both. Pulp response threshold increased after application of orthodontic force, with number of negative responses peaking at about 2-3 months. Most of the studies presented with a high ROB. The certainty of evidence was considered low.

Conclusions

Based on limited comparative data, TPT was considered more reliable than EPT and that the pulp response threshold increased after application of orthodontic force, peaking at about two or three months. PROSPERO database (CRD42022307390).

查看原文本刊更多论文

评估正畸治疗患者牙髓反应的电牙髓测试和热牙髓测试的可靠性 - 系统综述。

目的背景：评估正畸治疗患者牙髓敏感性测试的可靠性：背景：正畸力可能会引起牙髓血管的瞬时变化，从而导致其反应阈值的改变。这可能会随所用力的类型、持续时间和大小而变化。因此，必须在正畸治疗过程中监测牙髓的敏感性和活力：资料来源PubMed、Web of Science、Embase、Scopus、Cochrane Central Register of Controlled trials、ClinicalTrials.gov、Clinical Trials Registry-India 和 OpenGrey。纳入了评估正畸治疗患者牙髓敏感性反应的随机临床试验和/或观察性研究。研究特点、样本特点、方法细节、结果评估和主要结果均记录在 excel 表中。采用纽卡斯尔-渥太华量表（NOS）评估偏倚风险（ROB）。采用建议、评估、发展和评价分级（GRADE）工具对证据的确定性进行评估：结果：共纳入 13 项观察性研究。接受正畸治疗的总人数为 2956 人（平均年龄为 17.53±3.81 岁）。不同研究的正畸力类型和持续时间各不相同。牙髓敏感度反应是通过电牙髓测试（EPT）或热牙髓测试（TPT）或两者同时进行评估的。牙髓反应阈值在施加正畸力后会增加，负反应的数量在大约 2-3 个月时达到峰值。大多数研究的ROB较高。证据的确定性较低：基于有限的比较数据，TPT 被认为比 EPT 更可靠，而且牙髓反应阈值在施加正畸力后会增加，在大约两三个月时达到峰值。PROSPERO数据库（CRD42022307390）。

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来源期刊

International Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.50

自引率

13.30%

发文量

审稿时长

26 days

期刊介绍： Une revue de référence dans le domaine de orthodontie et des disciplines frontières Your reference in dentofacial orthopedics International Orthodontics adresse aux orthodontistes, aux dentistes, aux stomatologistes, aux chirurgiens maxillo-faciaux et aux plasticiens de la face, ainsi quà leurs assistant(e)s. International Orthodontics is addressed to orthodontists, dentists, stomatologists, maxillofacial surgeons and facial plastic surgeons, as well as their assistants.