Skip to main content

Clinical Pulpal Diagnosis

  • Chapter
  • First Online:
Pediatric Endodontics

Abstract

As of today, very little or no correlation exists between clinical diagnostic findings and the histopathologic status of the pulp [1]. Technologically advanced tests and tools to indicate the vitality condition of the pulp, such as laser Doppler flowmetry and pulse oximetry, are available. However, even these new technologies may lead to unreliable response when providing dental care for very young children and/or for patients with special health-care needs, due to uncooperative behavior.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Levin LC, Law AS, Holland GR, Abbott PV, Roda RS. Identify and define all diagnostic terms for pulpal health and disease status. J Endod. 2009;35:1645–57.

    Article  PubMed  Google Scholar 

  2. Camp JH. Diagnosis dilemmas in vital pulp therapy: treatment for the toothache is changing, especially in young, immature teeth. Pediatr Dent. 2008;30:197–205.

    PubMed  Google Scholar 

  3. American Academy of Pediatric Dentistry Reference Manual. Guideline on pulp therapy for primary and immature permanent teeth. Pediatr Dent. 2014–2015;36:242–50.

    Google Scholar 

  4. American Academy of Pediatric Dentistry Reference Manual. Guideline on use of antibiotic therapy for pediatric dental patients. Pediatr Dent. 2014–2015;36:284–6.

    Google Scholar 

  5. Fuks AB. Pulp therapy for the primary dentition. In: Pinkham JR, editor. Pediatric dentistry: infancy through adolescence. Philadelphia: Saunders; 2005.

    Google Scholar 

  6. Malmgren B, Andreasen JO, Flores MT, Robertson A, DiAngelis AJ, Andersson L, Cavalleri G, Cohenca N, Day P, Hicks LM, Malmgren O, Moule AJ, Onetto J, Tsukiboshi M. Guidelines for the management traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol. 2012;28:174–82.

    Article  PubMed  Google Scholar 

  7. Jespersen JJ, Hellstein J, Williamson A, Johnson WT, Qian F. Evaluation of dental pulp sensibility tests in a clinical setting. J Endod. 2014;40:351–4.

    Article  PubMed  Google Scholar 

  8. Gopikrishna V, Tinagupta K, Kandaswamy D. Comparison of electrical, thermal, and pulse oximetry methods for assessing pulp vitality in recently traumatized teeth. J Endod. 2007;33:531–5.

    Article  PubMed  Google Scholar 

  9. Villa-Chavez CE, Patiño-Marín N, Loyola-Rodriguez JP, Zavala-Alonso NV, Martínez-Castañón GA, Medina-Solís CE. Predictive values of thermal and electric dental pulp tests: a clinical study. J Endod. 2013;39:965–069.

    Article  PubMed  Google Scholar 

  10. Bastos JV, Goulart MAG, Cortes MLS. Pulpal response to sensibility tests after traumatic dental injuries in permanent teeth. Dent Traumatol. 2014;30:188–92.

    Article  PubMed  Google Scholar 

  11. Gopikrishna V, Pradeep G, Venkatesh babu N. Assessment of pulp vitality: a review. Int J Paediatr Dent. 2009;19:3–15.

    Article  PubMed  Google Scholar 

  12. Maltz M, Jardim JJ, Mestrinho HD, Yamaguti PM, Podestá K, Moura MS, de Paula LM. Partial removal of carious dentine: a multicenter randomized controlled trial and 18-month follow-up results. Caries Res. 2013;47:103–9.

    Article  PubMed  Google Scholar 

  13. Reeves R, Stainley HR. The relationship of bacteria penetration and pulpal pathosis in carious teeth. Oral Surg Oral Med Oral Pathol. 1966;22:59–65.

    Article  PubMed  Google Scholar 

  14. Coll JA, Campbell A, Chalmers NI. Effects of glass ionomer temporary restorations on pulpal diagnosis and treatment outcomes in primary molars. Pediatr Dent. 2013;35:416–21.

    PubMed  Google Scholar 

  15. Bjørndal L. Indirect pulp therapy and stepwise excavation. Pediatr Dent. 2010;30:225–9.

    Google Scholar 

  16. Fuks A, Guelmann M, Kupietzky A. Currents developments in pulp therapy for primary teeth. Endod Top. 2012;23:50–72.

    Article  Google Scholar 

  17. Holan G. Long-term effect of different treatment modalities for traumatized primary incisors presenting dark coronal discoloration with no other signs of injury. Dent Traumatol. 2006;22:14–7.

    Article  PubMed  Google Scholar 

  18. Jafarzade H, Rosenberg PA. Pulse oximetry: review of a potential aid in endodontic diagnosis. J Endod. 2009;35:329–33.

    Article  Google Scholar 

  19. Eidelman E, Ulmansky M. Histopathology of the pulp in primary incisors with deep dentinal caries. Pediatr Dent. 1992;14:372–5.

    PubMed  Google Scholar 

  20. Kassa A, Day P, High A, Duggal M. Histological comparison of pulpal inflammation in primary teeth with occlusal or proximal caries. Int J Paediatr Dent. 2009;19:26–33.

    Article  PubMed  Google Scholar 

  21. Ricucci A, Loghin S, Siqueira JF. Correlation between clinical and histologic pulp diagnoses. J Endod. 2014;40:1932–9.

    Article  PubMed  Google Scholar 

  22. Mejàre IA, Axelsson S, Davidson T, Frisk F, Hakeberg M, Kvist T, Norlund A, Petersson A, Portenier I, Sandberg H, Tranaeus S, Bergenholtz G. Diagnosis of the condition of the pulp: a systematic review. Int Endod J. 2012;45:597–613.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marcio Guelmann DDS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Guelmann, M. (2016). Clinical Pulpal Diagnosis. In: Fuks, A., Peretz, B. (eds) Pediatric Endodontics. Springer, Cham. https://doi.org/10.1007/978-3-319-27553-6_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-27553-6_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27551-2

  • Online ISBN: 978-3-319-27553-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics