Diagnostic Accuracy of Pulp Vitality Tests and Pulp Sensibility Tests for Assessing Pulpal Health in Permanent Teeth: A Systematic Review and Meta-Analysis

Swadheena Patro, Agron Meto, Ankita Mohanty, Viresh Chopra, Sanjay Miglani, Antarikshya Das, Alexander Maniangat Luke, Dunia Al Hadi, Aida Meto, Luca Fiorillo, Mohmed Isaqali Karobari, Dian Agustin Wahjuningrum and Ajinkya M. Pawar
Additional contact information
Swadheena Patro: Department of Conservative Dentistrty and Endodontics, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar 751024, India
Agron Meto: Department of Dentistry, Faculty of Dental Sciences, University of Aldent, 1007 Tirana, Albania
Ankita Mohanty: Department of Conservative Dentistrty and Endodontics, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar 751024, India
Viresh Chopra: Department of Adult Restorative Dentistry, Oman Dental College, Muscat 116, Oman
Sanjay Miglani: Department of Conservative Dentistrty and Endodontics, Faculty of Dentistry, Jamia Millia Islamia (A Central University), Okhla, New Delhi 110025, India
Antarikshya Das: Department of Conservative Dentistrty and Endodontics, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar 751024, India
Alexander Maniangat Luke: Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman P.O. Box 346, United Arab Emirates
Dunia Al Hadi: Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman P.O. Box 346, United Arab Emirates
Aida Meto: Department of Dentistry, Faculty of Dental Sciences, University of Aldent, 1007 Tirana, Albania
Luca Fiorillo: Department of Dentistry, Faculty of Dental Sciences, University of Aldent, 1007 Tirana, Albania
Mohmed Isaqali Karobari: Department of Restorative Dentistry & Endodontics, Faculty of Dentistry, University of Puthisastra, Phnom Penh 12211, Cambodia
Dian Agustin Wahjuningrum: Department of Conservative Dentistry, Faculty of Dental Medicine, Universitas Airlingga, Surabaya City 60132, Indonesia
Ajinkya M. Pawar: Department of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai 400008, India

IJERPH, 2022, vol. 19, issue 15, 1-20

Abstract: The current systematic review and meta-analysis was carried out to compare the diagnostic accuracy of pulp vitality and pulp sensibility tests in assessing pulpal health. PubMed/MEDLINE, Cochrane Central Register of Controlled Trials, Web of Science, Google Scholar and Open Grey databases were searched and after assessing eligibility criteria the data were extracted. True-positive, false-positive, true-negative, false-negative, sensitivity and specificity values were extracted or calculated if not presented. Quality of studies was evaluated based on the QUADAS 2 tool. Meta-analysis was performed in MetaDTA (v2.0; Shinyapps, RStudio PBC, Boston, MA, USA) and Review Manager 5.3 (RevMan web; The Cochrane Collaboration, London, UK). Ten articles were included for qualitative synthesis and five for meta-analysis. The pooled diagnostic odds ratio for pulse oximeter (PO), electric pulp tester (EPT), cold test (CT) and heat test (HT) was 628.5, 10.75, 17.24 and 3.47, respectively. Pairwise comparison demonstrated a higher pooled mean sensitivity and specificity with PO compared with EPT. Comparison between PO and CT and between PO and HT also demonstrated a higher pooled mean sensitivity and specificity for PO. Summary points on receiver operating characteristic curves confirmed the ability of PO to correctly screen negatives in presenting patients as compared to EPT, CT and HT but no study was rated as good on quality assessment. PO can be considered as the most accurate diagnostic method as compared to EPT, CT and HT. This review provides information about the reliability and diagnostic accuracy of using pulp vitality and sensibility tests for assessing pulp status.

Keywords: dental pulp; dental pulp test; dentistry; pulp vitality; pulse oximeter (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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