Efficacy of laser Doppler flowmetry in determining pulp vitality of human teeth. 1994

A R Ingólfsson, and L Tronstad, and E V Hersh, and C E Riva
Department of Endodontics, School of Medicine, University of Pennsylvania, Philadelphia.

The aim of this study was to examine if laser Doppler flowmetry (LDF) could aid in distinguishing teeth with necrotic pulps from vital teeth and if so, which configuration of 5 experimental probes would give the best results. Each probe had 3 fibers arranged in a triangle. One fiber carried the laser light to the pulp tissue and 2 fibers carried the back-scattered light to the detector giving the output signal. The distance between the 3 fibers in the triangular arrangement in each probe was 250, 500, 800, 1000, and 1500 microns. A special rubber-base splint was used to hold the probe in place on the buccal surface of the tested teeth. Eleven anterior teeth with clinically diagnosed necrotic pulp were measured with the LDF method and the results compared to contralateral teeth with vital pulp. For the sake of comparison, 10 pairs of anterior teeth with vital pulps in 10 patients were tested as well. The LDF signals were fed into an analog printer and a lap-top computer where all calculations were done. With the LDF method, the output signals from the teeth with necrotic pulps were significantly lower with all 5 probes than the output signals from the contralateral vital teeth. On average, the signal was 42.7% lower from the teeth with necrotic pulps than from the vital teeth. Four of 11 teeth with necrotic pulp gave a positive response to an electrical pulp tester (EPT). The results suggested that the probe with the smallest separation of fibers was the most sensitive in distinguishing necrotic pulps from vital ones.

UI MeSH Term Description Entries
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
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
D003790 Dental Pulp Necrosis Death of pulp tissue with or without bacterial invasion. When the necrosis is due to ischemia with superimposed bacterial infection, it is referred to as pulp gangrene. When the necrosis is non-bacterial in origin, it is called pulp mummification. Dental Pulp Autolysis,Dental Pulp Gangrene,Necrosis, Dental Pulp,Pulp Gangrene,Pulp Mummification,Pulp Necrosis,Autolysis, Dental Pulp,Gangrene, Dental Pulp,Necroses, Pulp,Pulp Autolysis, Dental,Pulp Gangrene, Dental,Pulp Necroses,Pulp Necrosis, Dental,Autolyses, Dental Pulp,Dental Pulp Autolyses,Dental Pulp Necroses,Gangrene, Pulp,Gangrenes, Pulp,Mummification, Pulp,Mummifications, Pulp,Necroses, Dental Pulp,Necrosis, Pulp,Pulp Autolyses, Dental,Pulp Gangrenes,Pulp Mummifications,Pulp Necroses, Dental
D003791 Dental Pulp Test A diagnostic aid used in evaluating the physical health of teeth. It involves using a tool that transmits hot or cold temperatures, or electric currents to a tooth's surface. The sensitivity to hot or cold or to the currents on a tooth can determine if there are problems with that tooth. Dental Pulp Sensibility Test,Dental Pulp Vitality Test,Electric Pulp Test,Endo-Ice Test,Thermal Pulp Test,Dental Pulp Tests,Pulp Test, Dental,Pulp Tests, Dental,Test, Dental Pulp,Tests, Dental Pulp,Electric Pulp Tests,Endo Ice Test,Endo-Ice Tests,Pulp Test, Electric,Pulp Test, Thermal,Pulp Tests, Electric,Pulp Tests, Thermal,Test, Electric Pulp,Test, Endo-Ice,Test, Thermal Pulp,Tests, Electric Pulp,Tests, Endo-Ice,Tests, Thermal Pulp,Thermal Pulp Tests
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D015203 Reproducibility of Results The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results. Reliability and Validity,Reliability of Result,Reproducibility Of Result,Reproducibility of Finding,Validity of Result,Validity of Results,Face Validity,Reliability (Epidemiology),Reliability of Results,Reproducibility of Findings,Test-Retest Reliability,Validity (Epidemiology),Finding Reproducibilities,Finding Reproducibility,Of Result, Reproducibility,Of Results, Reproducibility,Reliabilities, Test-Retest,Reliability, Test-Retest,Result Reliabilities,Result Reliability,Result Validities,Result Validity,Result, Reproducibility Of,Results, Reproducibility Of,Test Retest Reliability,Validity and Reliability,Validity, Face
D017078 Laser-Doppler Flowmetry A method of non-invasive, continuous measurement of MICROCIRCULATION. The technique is based on the values of the DOPPLER EFFECT of low-power laser light scattered randomly by static structures and moving tissue particulates. Doppler-Laser Flowmetry,Flowmetry, Laser-Doppler,Laser-Doppler Velocimetry,Velocimetry, Laser-Doppler,Doppler Laser Flowmetry,Flowmetry, Doppler-Laser,Flowmetry, Laser Doppler,Laser Doppler Flowmetry,Laser Doppler Velocimetry,Velocimetry, Laser Doppler

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