Accuracy of Pulp Sensibility Test on Teeth With Deep Periodontal Pocket
Study Details
Study Description
Brief Summary
The aim of this study is to evaluate the accuracy of pulp test in teeth presenting with deep periodontal pocket. The null hypothesis is no significant effect of periodontitis on the accuracy of pulp test.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
The aim of this study is to evaluate the accuracy of pulp test in teeth presenting with deep periodontal pocket.
All patients who need root canal treatment would be screened to determine the periodontal condition for possible involvement in this study. They would be grouped into two groups, normal and periodontitis Group.
Included teeth will be dried with 4x4 gauze then tested with a cold test using Endo-Ice and electric pulp tester (EPT). Similar or adjacent teeth with no caries, restorations, or a history of the previous injury will be used as controls for that patient.
Upon accessing the tooth, no bleeding was counted as necrotic and any presence of blood was counted as a vital pulp
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Active Comparator: Normal Patients All patients admitted to Qassim dental clinics, who need root canal treatment would be screened for possible involvement in this study |
Diagnostic Test: Orthopantomogram X-ray view
taking an X-ray to determine bone loss level and attachment loss level for periodontitis classification
Diagnostic Test: Endo-Ice
Included teeth will be dried with 4x4 gauze then tested with a cold test using Endo-Ice.
Diagnostic Test: Electric Pulp Tester (EPT)
Included teeth will be dried with 4x4 gauze then tested with an Electric test using electric pulp tester (EPT).
|
| Active Comparator: Periodontitis Patients All patients who need root canal treatment would be screened to determine the periodontal condition for possible involvement in this study. the periodontitis patients would be categorized according to the new periodontitis classification 2017 world workshop. |
Diagnostic Test: Orthopantomogram X-ray view
taking an X-ray to determine bone loss level and attachment loss level for periodontitis classification
Diagnostic Test: Endo-Ice
Included teeth will be dried with 4x4 gauze then tested with a cold test using Endo-Ice.
Diagnostic Test: Electric Pulp Tester (EPT)
Included teeth will be dried with 4x4 gauze then tested with an Electric test using electric pulp tester (EPT).
|
Outcome Measures
Primary Outcome Measures
- Is deep periodontal pocket affects pulp response, therefore, affects the accuracy of pulp test using "thermal" test? [through study completion, an average of 10 months.]
Endo-Ice would be used as a thermal test and participants will be asked to lift their hand up if they felt cold and keep it raised until the sensation is gone. Upon accessing the tooth, no bleeding would be counted as necrotic and any presence of blood counted as a vital pulp.
- Is deep periodontal pocket affects pulp response, therefore, affects the accuracy of pulp test using "electrical" test? [through study completion, an average of 10 months.]
For Electrical Pulp tester (EPT) would be used as electrical pulp test. Any response before 80 was recorded as positive. Upon accessing the tooth, no bleeding would be counted as necrotic and any presence of blood counted as a vital pulp.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients from 18 to 40 years old.
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Periodontitis grade II, III and IV
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Non-traumatized teeth.
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No prior non-surgical root canal treatment (NS RCT).
Exclusion Criteria:
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Periodontitis grade I.
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Patients with medically compromising conditions (ASA III and above).
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Trauma within the last six months.
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Partially necrotic pulps.
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Previously endodontically treated or initiation of treatment will be excluded.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Qassim University, Medical City, Dental Clinics | Buraydah | Qassim | Saudi Arabia |
Sponsors and Collaborators
- Qassim University
Investigators
None specified.Study Documents (Full-Text)
More Information
Publications
- Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999 Dec;4(1):1-6. Review.
- Bender IB. Reversible and irreversible painful pulpitides: diagnosis and treatment. Aust Endod J. 2000 Apr;26(1):10-4.
- Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, Flemmig TF, Garcia R, Giannobile WV, Graziani F, Greenwell H, Herrera D, Kao RT, Kebschull M, Kinane DF, Kirkwood KL, Kocher T, Kornman KS, Kumar PS, Loos BG, Machtei E, Meng H, Mombelli A, Needleman I, Offenbacher S, Seymour GJ, Teles R, Tonetti MS. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S173-S182. doi: 10.1002/JPER.17-0721.
- Rotstein I, Simon JH. Diagnosis, prognosis and decision-making in the treatment of combined periodontal-endodontic lesions. Periodontol 2000. 2004;34:165-203. Review.
- # EA/F-2019-3005