Electrical stimulation of pulp nerves--comparison of monopolar and bipolar electrode coupling. 1985

Antti S J Virtanen
Institute of Physiology, University of Helsinki, Siltavuorenpenger 20 J, SF-00170 Helsinki 17 Finland.

In the present study monopolar and bipolar electrode couplings were compared in electrical stimulation of intradental nerves. In experiments on cats the threshold current values of A- and C-fibres and the jaw-opening reflex were measured with both techniques using different durations of current pulses (0.2-50 msec). In human studies the perception and pain thresholds were determined in the same manner. In experiments on anaesthetized cats 170 intradental nerve units were recorded. Of these 118 were A-fibres (conduction velocity (CV) greater than 2 m/sec) and 52 C-fibres (CV less than or equal to 2 m/sec). The threshold current values (pulse duration 10 msec) of A-fibres were almost 2-fold (12.2 microA, S.D. = 7.9) and of C-fibres over 2-fold (91.3 microA, S.D. = 52.3) with bipolar stimulation compared to monopolar (6.9 microA, S.D. = 7.3 and 42.5 microA, S.D. = 21.5 respectively). The mean threshold of the jaw-opening reflex obtained with bipolar electrode coupling was about twice the value obtained with monopolar (8.2 microA, S.D. = 3.7 and 3.4 microA, S.D. = 0.7 respectively). In human experiments the mean perception threshold was 11.7 microA (S.D. = 6.7) with bipolar and 7.2 microA (S.D. = 3.2) with monopolar stimulation. The mean pain threshold was also higher with bipolar than with monopolar stimulation, 16.0 microA (S.D. = 8.8) and 10.3 microA (S.D. = 4.5) respectively. The subjective sensations were different with these two electrode couplings; the pain (at pain threshold level) induced by bipolar stimulation was experienced as sharp or cutting and with monopolar stimulation as dull or more indefinite. It is concluded that there is a marked difference in the electrical threshold values of pulpal nerves and perception threshold of individual human teeth between monopolar and bipolar tooth stimulation. The thresholds of the A-fibres measured from the cat canine tooth closely correspond to the perception thresholds of the human tooth, but the threshold values of the pulpal C-fibres were significantly higher.

UI MeSH Term Description Entries
D007568 Jaw Bony structure of the mouth that holds the teeth. It consists of the MANDIBLE and the MAXILLA. Jaws
D008297 Male Males
D009412 Nerve Fibers Slender processes of NEURONS, including the AXONS and their glial envelopes (MYELIN SHEATH). Nerve fibers conduct nerve impulses to and from the CENTRAL NERVOUS SYSTEM. Cerebellar Mossy Fibers,Mossy Fibers, Cerebellar,Cerebellar Mossy Fiber,Mossy Fiber, Cerebellar,Nerve Fiber
D012018 Reflex An involuntary movement or exercise of function in a part, excited in response to a stimulus applied to the periphery and transmitted to the brain or spinal cord.
D002415 Cats The domestic cat, Felis catus, of the carnivore family FELIDAE, comprising over 30 different breeds. The domestic cat is descended primarily from the wild cat of Africa and extreme southwestern Asia. Though probably present in towns in Palestine as long ago as 7000 years, actual domestication occurred in Egypt about 4000 years ago. (From Walker's Mammals of the World, 6th ed, p801) Felis catus,Felis domesticus,Domestic Cats,Felis domestica,Felis sylvestris catus,Cat,Cat, Domestic,Cats, Domestic,Domestic Cat
D003782 Dental Pulp A richly vascularized and innervated connective tissue of mesodermal origin, contained in the central cavity of a tooth and delimited by the dentin, and having formative, nutritive, sensory, and protective functions. (Jablonski, Dictionary of Dentistry, 1992) Dental Pulps,Pulp, Dental,Pulps, Dental
D004056 Differential Threshold The smallest difference which can be discriminated between two stimuli or one which is barely above the threshold. Difference Limen,Just-Noticeable Difference,Weber-Fechner Law,Difference Limens,Difference, Just-Noticeable,Differences, Just-Noticeable,Differential Thresholds,Just Noticeable Difference,Just-Noticeable Differences,Law, Weber-Fechner,Limen, Difference,Limens, Difference,Threshold, Differential,Thresholds, Differential,Weber Fechner Law
D004558 Electric Stimulation Use of electric potential or currents to elicit biological responses. Stimulation, Electric,Electrical Stimulation,Electric Stimulations,Electrical Stimulations,Stimulation, Electrical,Stimulations, Electric,Stimulations, Electrical
D004566 Electrodes Electric conductors through which electric currents enter or leave a medium, whether it be an electrolytic solution, solid, molten mass, gas, or vacuum. Anode,Anode Materials,Cathode,Cathode Materials,Anode Material,Anodes,Cathode Material,Cathodes,Electrode,Material, Anode,Material, Cathode
D005260 Female Females

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