COMPARISON OF ELECTRIC PULP TESTING WITH THERMAL TESTING TO REGISTER PULP VITALITY IN ANTERIOR TEETH

Abstract

Objective: The aim of this study was to compare the effectiveness of Refrigerant (1,1,1,2-tetrafluoromethane) (Hygienic endo-ice green [Endo-Ice], Coltene Whaledent, Langenau, Germany) with EPT (Sybron Endo) to check tooth vitality in anterior teeth. As accurate assessment of pulp status with the help of only pain history and radiographs is often a great challenge in clinical practice so a reliable, cost-effective and readily available vitality test must be available in clinical setting to reach a definite diagnosis.

Materials and Methods: a consecutive sampling Study, including 121 patients with history of irreversible pulpitis, was done. First a no.2 cotton pellet was sprayed with Endo-Ice, Coltene Whaledent, and placed for approximately 15 seconds or until participant raises a hand to indicate that he or she feels a cold sensation. After a lapse of two minutes, EPT (Sybron Endo) was used to apply electric impulses to the tooth. Once the tests for checking vitality were done, teeth were anesthetized, and access to the chamber was made. The presence of blood in the chamber means tooth is vital, whereas absence of blood means necrosis. Root canal treatment was then performed. SPSS version 11 was used for computation analysis of the data.

Results: The study reveals that the effectiveness of Endo-Ice (thermal testing) was more positive diagnosis before initiating root canal treatment as compared to electric pulp test.

Conclusion: Inside the confinements of the investigation, it very well may be reasoned that not all dental specialists knew about the dangers they were presented to what’s more, just 50% of them watched contamination control rehearses. Moreover, most of them didn’t know about appropriate clinic waste management. A substantial extent of the dental specialists were not rehearsing appropriate strategies for social insurance squander transfer. Henceforth there is a need to teach the dental specialists with respect to appropriate processes measures.