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Published in: BMC Oral Health 1/2019

Open Access 01-12-2019 | Research article

Diagnostic accuracy of three placement sites for the cold test in subjects amongst different age groups

Authors: Brenda Eréndida Castillo-Silva, Jorge Alejandro Alegría-Torres, Gabriel Alejandro Martínez-Castañón, Carlo Eduardo Medina-Solís, Norma Verónica Zavala-Alonso, Nereyda Niño-Martínez, Eva Concepción Aguirre-López, Nuria Patiño-Marín

Published in: BMC Oral Health | Issue 1/2019

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Abstract

Background

The cold test is a specific test of pulp sensitivity and is part of the endodontic diagnosis. The aim of this study was to identify the diagnostic accuracy including sensitivity, specificity, accuracy, positive predictive value and negative predictive value in three sites for the cold test in teeth with a need for endodontic treatment within different age groups from both genders.

Methods

A cross-sectional study was performed, evaluating 425 subjects. Two hundred and fifty-eight subjects from both genders from the ages of 17–27, 28–39, 40–50, and 51–65 years-old participated in the study. The cold test studied was 1, 1, 1, 2-tetrafluoroethane, and the gold standard was established through direct pulp inspection. The sites evaluated in the study were: The sites evaluated in the study were: a) the middle third of the buccal surface; b) the cervical third of the buccal surface, and c) the middle third of the lingual surface.

Results

The highest diagnosted accuracy was observed on the middle third buccal surface with an accuracy of = 0.97, a sensitivity of = 1.00, a specificity of 0.95, a predictive value of = 0.95 and a negative predictive value of = 1.00. This was in the female group aged from 40 to 50 years old.

Conclusion

The tables of this study can be used as an auxiliary for pulp sensitivity tests.
Literature
1.
go back to reference Jafarzadeh H, Abbott PV. Review of pulp sensibility tests, part I: general information and thermal tests. Int Endod J. 2010;43:738–62.CrossRef Jafarzadeh H, Abbott PV. Review of pulp sensibility tests, part I: general information and thermal tests. Int Endod J. 2010;43:738–62.CrossRef
2.
go back to reference Jespersen JJ, Hellstein J, Williamson A, et al. Evaluation of dental pulp sensibility tests in a clinical setting. J Endod. 2014;40:351–4.CrossRef Jespersen JJ, Hellstein J, Williamson A, et al. Evaluation of dental pulp sensibility tests in a clinical setting. J Endod. 2014;40:351–4.CrossRef
3.
go back to reference 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.CrossRef 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.CrossRef
4.
go back to reference Alghaithy RA, Qualtrough AJ. Pulp sensibility and vitality tests for diagnosing pulpal health in permanent teeth: a critical review. Int Endod J. 2017;50:135–42.CrossRef Alghaithy RA, Qualtrough AJ. Pulp sensibility and vitality tests for diagnosing pulpal health in permanent teeth: a critical review. Int Endod J. 2017;50:135–42.CrossRef
5.
go back to reference Dastmalchi N, Jafarzadeh H, Moradi S. Comparison of the efficacy of a custom-made pulse oximeter probe with digital electric pulp tester, cold spray, and rubber cup for assessing pulp vitality. J Endod. 2012;38:1182–6.CrossRef Dastmalchi N, Jafarzadeh H, Moradi S. Comparison of the efficacy of a custom-made pulse oximeter probe with digital electric pulp tester, cold spray, and rubber cup for assessing pulp vitality. J Endod. 2012;38:1182–6.CrossRef
6.
go back to reference Weisleder R, Yamauchi S, Caplan DJ, et al. The validity of pulp testing: a clinical study. J Am Dent Assoc. 2009;140:1013–7.CrossRef Weisleder R, Yamauchi S, Caplan DJ, et al. The validity of pulp testing: a clinical study. J Am Dent Assoc. 2009;140:1013–7.CrossRef
7.
go back to reference Villa-Chávez CE, Patiño-Marín N, Loyola-Rodríguez JP, et al. Predictive values of thermal and electrical dental pulp tests: a clinical study. J Endod. 2013;39:965–9.CrossRef Villa-Chávez CE, Patiño-Marín N, Loyola-Rodríguez JP, et al. Predictive values of thermal and electrical dental pulp tests: a clinical study. J Endod. 2013;39:965–9.CrossRef
8.
go back to reference Altman DG, Bland JM. Diagnostic tests. 1: sensitivity and specificity. BMJ. 1994;308:1552.CrossRef Altman DG, Bland JM. Diagnostic tests. 1: sensitivity and specificity. BMJ. 1994;308:1552.CrossRef
9.
go back to reference Salgar AR, Singh SH, Podar RS, Kulkarni GP, Babel SN. Determining predictability and accuracy of thermal and electrical dental pulp tests: an in vivo study. J Conserv Dent. 2017;1:46–9.CrossRef Salgar AR, Singh SH, Podar RS, Kulkarni GP, Babel SN. Determining predictability and accuracy of thermal and electrical dental pulp tests: an in vivo study. J Conserv Dent. 2017;1:46–9.CrossRef
10.
go back to reference Gopikrishna V, Tinagupta K, Kandaswamy D. Evaluation of efficacy of a new custom-made pulse oximeter dental probe in comparison with the electrical and thermal tests for assessing pulp vitality. J Endod. 2007;33:411–4.CrossRef Gopikrishna V, Tinagupta K, Kandaswamy D. Evaluation of efficacy of a new custom-made pulse oximeter dental probe in comparison with the electrical and thermal tests for assessing pulp vitality. J Endod. 2007;33:411–4.CrossRef
11.
go back to reference Peeling RW, Smith PG, Bossuyt PM. A guide for diagnostic evaluations. Nat Rev Microbiol. 2010;8:S2–6.CrossRef Peeling RW, Smith PG, Bossuyt PM. A guide for diagnostic evaluations. Nat Rev Microbiol. 2010;8:S2–6.CrossRef
12.
go back to reference Petersson K, Söderström C, Kiani-Anaraki M, et al. Evaluation of the ability of thermal and electrical tests to register pulp vitality. Endod Dent Traumatol. 1999;15:127–31.CrossRef Petersson K, Söderström C, Kiani-Anaraki M, et al. Evaluation of the ability of thermal and electrical tests to register pulp vitality. Endod Dent Traumatol. 1999;15:127–31.CrossRef
13.
go back to reference Altman DG, Bland JM. Diagnostic tests 2: predictive values. BMJ. 1994;309:102.CrossRef Altman DG, Bland JM. Diagnostic tests 2: predictive values. BMJ. 1994;309:102.CrossRef
14.
go back to reference Rutsatz C, Baumhardt SG, Feldens CA, et al. Response of pulp sensibility test is strongly influenced by periodontal attachment loss and gingival recession. J Endod. 2012;38:580–3.CrossRef Rutsatz C, Baumhardt SG, Feldens CA, et al. Response of pulp sensibility test is strongly influenced by periodontal attachment loss and gingival recession. J Endod. 2012;38:580–3.CrossRef
15.
go back to reference Farac RV, Morgental RD, de Pontes Lima RK, et al. Pulp sensibility test in elderly patients. Gerodontology. 2012;29:135–9.CrossRef Farac RV, Morgental RD, de Pontes Lima RK, et al. Pulp sensibility test in elderly patients. Gerodontology. 2012;29:135–9.CrossRef
16.
go back to reference Udoye CI, Jafarzadeh H, Okechi UC, et al. Appropriate electrode placement site for electric pulp testing of anterior teeth in nigerian adults: a clinical study. J Oral Sci. 2010;52:287–92.CrossRef Udoye CI, Jafarzadeh H, Okechi UC, et al. Appropriate electrode placement site for electric pulp testing of anterior teeth in nigerian adults: a clinical study. J Oral Sci. 2010;52:287–92.CrossRef
17.
go back to reference Mainkar A, Kim SG. Diagnostic accuracy of 5 dental pulp tests: a systematic review and meta-analysis. J Endod. 2018;5:694–702.CrossRef Mainkar A, Kim SG. Diagnostic accuracy of 5 dental pulp tests: a systematic review and meta-analysis. J Endod. 2018;5:694–702.CrossRef
18.
go back to reference Chunhacheevachaloke E, Ajcharanukul O. Effects of conducting media and gender on an electric pulp test. Int Endod J. 2016;49:237–44.CrossRef Chunhacheevachaloke E, Ajcharanukul O. Effects of conducting media and gender on an electric pulp test. Int Endod J. 2016;49:237–44.CrossRef
19.
go back to reference Chen E, Abbott PV. Evaluation of accuracy, reliability, and repeatability of five dental pulp tests. J Endod. 2011;37:1619–23.CrossRef Chen E, Abbott PV. Evaluation of accuracy, reliability, and repeatability of five dental pulp tests. J Endod. 2011;37:1619–23.CrossRef
20.
go back to reference Bargale SD, Davangere Padmanabh SK. Appropriate electrode placement site of electric pulp tester for the premolars: a clinical study. J Indian Soc Pedod Prev Dent. 2015;33:138–42.CrossRef Bargale SD, Davangere Padmanabh SK. Appropriate electrode placement site of electric pulp tester for the premolars: a clinical study. J Indian Soc Pedod Prev Dent. 2015;33:138–42.CrossRef
21.
go back to reference Fuss Z, Trowbridge H, Bender IB, et al. Assessment of reliability of electrical and thermal pulp testing agents. J Endod. 1986;12:301–5.CrossRef Fuss Z, Trowbridge H, Bender IB, et al. Assessment of reliability of electrical and thermal pulp testing agents. J Endod. 1986;12:301–5.CrossRef
22.
go back to reference Castillo Silva BE, Patiño Marín N, Martínez Castañón GA, Medina Solís CE, Zavala Alonso NV, Silva-Herzog D, Ramírez-Ortíz M, Laredo-Naranjo MA. Identification of the Most Appropriate Site for the Cold Test in Molar Teeth. Int J Dent Sc. 2018;20–1:79–88. Castillo Silva BE, Patiño Marín N, Martínez Castañón GA, Medina Solís CE, Zavala Alonso NV, Silva-Herzog D, Ramírez-Ortíz M, Laredo-Naranjo MA. Identification of the Most Appropriate Site for the Cold Test in Molar Teeth. Int J Dent Sc. 2018;20–1:79–88.
23.
go back to reference Peters DD, Baumgartner JC, Lorton L. Adult pulpal diagnosis. I. Evaluation of the positive and negative responses to cold and electrical pulp tests. J Endod. 1994;20:506–11.CrossRef Peters DD, Baumgartner JC, Lorton L. Adult pulpal diagnosis. I. Evaluation of the positive and negative responses to cold and electrical pulp tests. J Endod. 1994;20:506–11.CrossRef
24.
go back to reference Cartagena AF, Parreiras SO, Loguercio AD, Reis A, Campanha NH. In-office bleaching effects on the pulp flow and tooth sensitivity - case series. Braz Oral Res. 2015;29:S1806–83242015000100223.CrossRef Cartagena AF, Parreiras SO, Loguercio AD, Reis A, Campanha NH. In-office bleaching effects on the pulp flow and tooth sensitivity - case series. Braz Oral Res. 2015;29:S1806–83242015000100223.CrossRef
25.
go back to reference Vemisetty H, Vanapatla A, Ravichandra PV, Reddy SJ, Punna R, Chandragiri S. Evaluation of threshold response and appropriate electrode placement site for electric pulp testing in fluorosed anterior teeth: An in vivo study. Dent Res J (Isfahan). 2016;13:245–9.CrossRef Vemisetty H, Vanapatla A, Ravichandra PV, Reddy SJ, Punna R, Chandragiri S. Evaluation of threshold response and appropriate electrode placement site for electric pulp testing in fluorosed anterior teeth: An in vivo study. Dent Res J (Isfahan). 2016;13:245–9.CrossRef
26.
go back to reference Lin J, Chandler N, Purton D, et al. Appropriate electrode placement site for electric pulp testing first molar teeth. J Endod. 2007;33:1296–8.CrossRef Lin J, Chandler N, Purton D, et al. Appropriate electrode placement site for electric pulp testing first molar teeth. J Endod. 2007;33:1296–8.CrossRef
27.
go back to reference Azaz B, Michaeli Y, Nitzan D. Aging of tissues of the roots of nonfunctional human teeth (impacted canines). Oral Surg Oral Med Oral Pathol. 1977;43:572–8.CrossRef Azaz B, Michaeli Y, Nitzan D. Aging of tissues of the roots of nonfunctional human teeth (impacted canines). Oral Surg Oral Med Oral Pathol. 1977;43:572–8.CrossRef
28.
go back to reference Johnsen DC, Harshbarger J, Rymer HD. Quantitative assessment of neural development in human premolars. Anat Rec. 1983;205:421–9.CrossRef Johnsen DC, Harshbarger J, Rymer HD. Quantitative assessment of neural development in human premolars. Anat Rec. 1983;205:421–9.CrossRef
29.
go back to reference Bernick S, Nedelman C. Effect of aging on the human pulp. J Endod. 1975;1:88–94.CrossRef Bernick S, Nedelman C. Effect of aging on the human pulp. J Endod. 1975;1:88–94.CrossRef
30.
go back to reference Nitzan DW, Michaeli Y, Weinreb M, et al. The effect of aging on tooth morphology: a study on impacted teeth. Oral Surg Oral Med Oral Pathol. 1986;61:54–60.CrossRef Nitzan DW, Michaeli Y, Weinreb M, et al. The effect of aging on tooth morphology: a study on impacted teeth. Oral Surg Oral Med Oral Pathol. 1986;61:54–60.CrossRef
31.
go back to reference Davies AL, Rawlinson A. A comparison between two electric vitality testers and ethyl chloride with special reference to a newly available device. Int Endod J. 1988;21:320–6.CrossRef Davies AL, Rawlinson A. A comparison between two electric vitality testers and ethyl chloride with special reference to a newly available device. Int Endod J. 1988;21:320–6.CrossRef
32.
go back to reference Lilja J. Innervation of different parts of the predentin and dentin in young human premolars. Acta Odontol Scand. 1979;37:339–46.CrossRef Lilja J. Innervation of different parts of the predentin and dentin in young human premolars. Acta Odontol Scand. 1979;37:339–46.CrossRef
33.
go back to reference Iqbal M, Kim S, Yoon F. An investigation into differential diagnosis of pulp and periapical pain: a PennEndo database study. J Endod. 2007;33:548–51.CrossRef Iqbal M, Kim S, Yoon F. An investigation into differential diagnosis of pulp and periapical pain: a PennEndo database study. J Endod. 2007;33:548–51.CrossRef
34.
go back to reference Jones VR, Rivera EM, Walton RE. Comparison of carbon dioxide versus refrigerant spray to determine pulpal responsiveness. J Endod. 2002;28:531–3.CrossRef Jones VR, Rivera EM, Walton RE. Comparison of carbon dioxide versus refrigerant spray to determine pulpal responsiveness. J Endod. 2002;28:531–3.CrossRef
35.
go back to reference Linsuwanont P, Palamara JE, Messer HH. Thermal transfer in extracted incisors during thermal pulp sensitivity testing. Int Endod J. 2008;41:204–10.CrossRef Linsuwanont P, Palamara JE, Messer HH. Thermal transfer in extracted incisors during thermal pulp sensitivity testing. Int Endod J. 2008;41:204–10.CrossRef
36.
go back to reference Jacobson JJ. Probe placement during electric pulp-testing procedures. Oral Surg Oral Med Oral Pathol. 1984;58:242–7.CrossRef Jacobson JJ. Probe placement during electric pulp-testing procedures. Oral Surg Oral Med Oral Pathol. 1984;58:242–7.CrossRef
37.
go back to reference Demirci M, Tuncer S, Yuceokur AA. Prevalence of caries on individual tooth surfaces and its distribution by age and gender in university clinic patients. Eur J Dent. 2010;4:270–9.PubMedPubMedCentral Demirci M, Tuncer S, Yuceokur AA. Prevalence of caries on individual tooth surfaces and its distribution by age and gender in university clinic patients. Eur J Dent. 2010;4:270–9.PubMedPubMedCentral
38.
go back to reference Roh BD, Lee YE. Analysis of 154 cases of teeth with cracks. Dent Traumatol. 2006;22:118–23.CrossRef Roh BD, Lee YE. Analysis of 154 cases of teeth with cracks. Dent Traumatol. 2006;22:118–23.CrossRef
Metadata
Title
Diagnostic accuracy of three placement sites for the cold test in subjects amongst different age groups
Authors
Brenda Eréndida Castillo-Silva
Jorge Alejandro Alegría-Torres
Gabriel Alejandro Martínez-Castañón
Carlo Eduardo Medina-Solís
Norma Verónica Zavala-Alonso
Nereyda Niño-Martínez
Eva Concepción Aguirre-López
Nuria Patiño-Marín
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2019
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-019-0878-2

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