Diagnosis of the condition of the dental pulp : a systematic review

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Diagnosis of the condition of the dental pulp : a systematic review

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dc.contributor.author Mejàre, Ingegärd
dc.contributor.author Axelsson, Susanna
dc.contributor.author Davidson, Thomas
dc.contributor.author Frisk, Fredrik
dc.contributor.author Hakeberg, Magnus
dc.contributor.author Kvist, Thomas
dc.contributor.author Norlund, Aanders
dc.contributor.author Petersson, Arne
dc.contributor.author Portenier, Isabelle
dc.contributor.author Sandberg, Hans
dc.contributor.author Tranæus, Sofia
dc.contributor.author Bergenholtz, Gunnar
dc.date.accessioned 2012-12-07T08:18:25Z
dc.date.available 2012-12-07T08:18:25Z
dc.date.issued 2012 en_US
dc.identifier.citation 597-613 en_US
dc.identifier.issn 1365-2591 en_US
dc.identifier.uri http://hdl.handle.net/2043/14491
dc.description.abstract The aim of this systematic review was to appraise the diagnostic accuracy of signs/symptoms and tests used to determine the condition of the pulp in teeth affected by deep caries, trauma or other types of injury. Radiographic methods were not included. The electronic literature search included the databases PubMed,EMBASE, The Cochrane Central Register of Controlled Trials and Cochrane Reviews from January 1950 to June 2011. The complete search strategy is given in an Appendix S1 (available online as Supporting Information. In addition, hand searches were made. Two reviewers independently assessed abstracts and full-text articles. An article was read in full text if at least one of the two reviewers considered an abstract to be potentially relevant. Altogether, 155 articles were read in full text. Of these, 18 studies fulfilled pre-specified inclusion criteria. The quality of included articles was assessed using the QUADAS tool. Based on studies of high or moderate quality, the quality of evidence of each diagnostic method/test was rated in four levels according to GRADE. No study reached high quality; two were of moderate quality. The overall evidence was insufficient to assess the value of toothache or abnormal reaction to heat/cold stimulation for determining the pulp condition. The same applies to methods for establishing pulp status, including electric or thermal pulp testing, or methods for measuring pulpal blood circulation. In general, there are major shortcomings in the design, conduct and reporting of studies in this domain of dental research. en_US
dc.language.iso eng en_US
dc.publisher Wiley-Blackwell en_US
dc.subject accuracy en_US
dc.subject dental pulp disease,s en_US
dc.subject dental pulp test en_US
dc.subject diagnosis en_US
dc.subject sensitivity en_US
dc.subject specificity en_US
dc.subject.classification Medicine en_US
dc.title Diagnosis of the condition of the dental pulp : a systematic review en_US
dc.type Article, review peer-reviewed scientific en_US
dc.contributor.department Malmö University. Faculty of Odontology
dc.identifier.doi http://dx.doi.org/10.1111/j.1365-2591.2012.02016.x en_US
dc.subject.srsc Research Subject Categories::ODONTOLOGY en_US
dc.relation.ispartofpublication International Endodontic Journal;7
dc.relation.ispartofpublicationvolume 45 en_US
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