RESUMO
OBJECTIVE: Assessing the pulp status plays a vital role in diagnosis and treatment planning in dentistry especially in children, who may not be able to verbalize their dental symptoms. Pulp sensibility test is used as a valuable investigation to evaluate the state of pulp. The aim of this study is to assess the efficiency and reliability of thermal and electrical pulp tests in primary teeth and to rule out the anxiety level involved in each tests. STUDY DESIGN: 30 children aged between 6 to 8 years with carious primary molar teeth in need of conservative pulp therapy were included in this study. 3 tests at random were employed on each tooth which includes cold, heat, electrical pulp test. The sensitivity, specificity, positive predictive value and negative predictive value were evaluated based on the clinical visual examination on access opening and the accuracy for each test was calculated. The Facial Image Scale (FIS) was used to assess the state of dental anxiety in children due to these pulp sensibility tests. RESULTS: The highest accuracy rate was calculated for EPT (0.814) followed by cold test (0.777) and heat test (0.759). CONCLUSION: No significant association was found between the accuracy of all the three tests. (P value > 0.05). Cold test is the most reliable test due to its simplicity and ease to perform. (FIS -1.53).
Assuntos
Ansiedade ao Tratamento Odontológico/diagnóstico , Teste da Polpa Dentária/estatística & dados numéricos , Dente Molar/patologia , Dente Decíduo/patologia , Criança , Temperatura Baixa , Ansiedade ao Tratamento Odontológico/fisiopatologia , Cárie Dentária/complicações , Polpa Dentária/inervação , Polpa Dentária/fisiopatologia , Necrose da Polpa Dentária/diagnóstico , Eficiência , Estimulação Elétrica , Temperatura Alta , Humanos , Exame Físico , Valor Preditivo dos Testes , Pulpectomia/métodos , Pulpite/diagnóstico , Pulpotomia/métodos , Reprodutibilidade dos Testes , Sensibilidade e EspecificidadeRESUMO
Radicular cysts are one of the most common odontogenic cyst of the jaws. However, those arising from primary teeth are rare. An 8-year-old boy reported to the Department of Pedodontics and Preventive Dentistry with the chief complaint of pain and swelling on the lower left primary molar tooth region. Radiographic examination revealed a well-defined radiolucency with continuous hyperostotic border. Considering the age of the child, size of lesion, and involvement of unerupted premolars; marsupialization was preferred as a conservative treatment of choice. The success of the treatment was evident both clinically and radiographically during the follow-up period.