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    ELECTRIC PULP TESTING - Old

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    Shubham Edla
    The electric pulp test stimulates Aδ sensory fibers in the tooth pulp to determine vitality. A positive response indicates vital fibers are present, while no response could indicate pulp necrosis. Placement of the tester is critical to ensure an accurate response. Factors like moisture, restorations, medication, and tooth development can produce false positive or false negative responses.

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    ELECTRIC PULP TESTING - Old

    Uploaded by

    Shubham Edla
    157 views7 pages
    The electric pulp test stimulates Aδ sensory fibers in the tooth pulp to determine vitality. A positive response indicates vital fibers are present, while no response could indicate pulp necrosis. Placement of the tester is critical to ensure an accurate response. Factors like moisture, restorations, medication, and tooth development can produce false positive or false negative responses.

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    electric pulp testing

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    ELECTRIC PULP TESTING_old

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    The electric pulp test stimulates Aδ sensory fibers in the tooth pulp to determine vitality. A positive response indicates vital fibers are present, while no response could indicate pulp necrosis. Placement of the tester is critical to ensure an accurate response. Factors like moisture, restorations, medication, and tooth development can produce false positive or false negative responses.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    157 views7 pages

    ELECTRIC PULP TESTING - Old

    Uploaded by

    Shubham Edla
    The electric pulp test stimulates Aδ sensory fibers in the tooth pulp to determine vitality. A positive response indicates vital fibers are present, while no response could indicate pulp necrosis. Placement of the tester is critical to ensure an accurate response. Factors like moisture, restorations, medication, and tooth development can produce false positive or false negative responses.

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    © All Rights Reserved
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    ELECTRIC PULP TESTING

    THIS TEST IS USED TO DETERMINE PULP BY NERVE STIMULATION


    ie it STIMULATES Aδ SENSORY FIBRES .
    THE OBJECTIVE IS TO STIMULATE A PULPAL RESPONSE BY
    SUBJECTING THE TOOTH TO ELECTRIC CURRENT .A POSITIVE
    RESPONSE IS AN INDICATION OF VITALITY AND NO RESPONSE TO
    ELECTRIC STIMULUS CAN BE INDICATION OF PULP NECROSIs
     Positive response to vital fibers present
     Fails to provide information of vascular supply
     False Positive response
     False Negative response
    TECHNIQUE

     Describe the test to the patient in a way that will reduce anxiety and will
    eliminate a biased response
     Isolate the area of teeth to be tested with cotton rolls and saliva ejector and air-
    dry all the teeth
     Check the electric pulp tester for function and determine that current is passing
    through electrode
     Apply an electrolyte on the tooth electrode and place it against the dried enamel
    of the crowns occlussabuccal or incisalabial surface .It is important to avoid
    contacting any restoration in the tooth or the adjacent gingival tissue with
    electrolyte or the electrode,this would cause a false response.
     Electric current must be complete a circuit from the electrode through the
    tooth to the body of the patient then back to the electrode. When gloves
    are not used the circuit is completed by dentists finger with electrode .
     When using rubber gloves one of the 2 methods must be followed-:
     A ground attachment may be clipped onto the patient’s lip
     The patient may complete the circuit by placing a finger on the metal
    electrode handle .The second gives a advantage of giving patient more
    control as the patient can simply lift the finger off the electrode handle
    when sensation is felt .This will immediately interrupt the current and
    terminate the stimulation.
     First the test is performed on vital tooth so as know the normal
    stimulus as it differs from person to person a

    Placement of the tester is critical to ensure accurate response from the


    tooth.The most advisable areas for placing the tester is that the incisal
    third for the anterior teeth and the mid-third of posterior teeth.
    Retract the patient’s check away from the tooth electrode
    Turn rheostat slowly to introduce minimal current into the tooth and increase the
    current slowly. Ask the patient to indicate when sensation occurs by using such
    words as “Tingling” or “warmth”.
    FACTORS AFFECTING THE TEST
    False Positive Response -:
    Electrode/Electrolyte contacts the gingiva, allowing the current to reach the
    attachment apparatus.
    Failure to isolate and dry the teeth properly
    Anxious patient :A hyperactive or neurotic patient may raise his hand as soon as
    the electrode touches the tooth
    A false positive can occur when moist necrotic pulp is present in the root canal
    because the gases collected inside the canal may conduct current to the
    attachment apparatus
    In multirooted teeth in which the pulp is partially necrosed and nerve fibers are
    still vital in one or more of the root canal.
    False Negative Response-:

    Patient heavily pre medicated with analgesic , Sedative, narcotic, alcohol.


    Patient Teeth with extensive restoration and pulp protecting base
    Recently traumatized teeth because presence of inflammatory exudate or
    severance of nerve supply at apical foramen.
    Recently erupted teeth with incomplete root formation .Because these tooth
    have have under developed plexus of Rashkow as well as greater unmyelinated
    nerve fibers
    with an usually high threshold If calcification in the pulp and dentine is extensive
    as dentine is poor conductor
    More current is needed to elicit a response in a tooth with increased reparative
    dentine and diminishing pulp cavity or in fibrotic pulp

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