Pulp Testing
Pulp Testing
Pulp Testing
Ziyad kamal
Fall Semester 2020/21
AAUJ/Faculty of Dentistry
Pulp - Vitality tests
❖ To determine the vitality (or non‐vitality) of the dental pulp.
The advantages of this cold test are that the entire tooth is cooled down and teeth
restored with full coverage metal restorations may be evaluated
Cold Test
❖ice-stick not very effective, (0 C - 10 C)
Ice sticks can be made in the dental surgery by freezing water in local anesthetic
needle sheaths, which have not been contaminated or have been adequately disinfected
Cold Test
frozen carbon dioxide CO2 (dry ice) stick (-70 C). ( effective even in teeth with crowns)
A negative response to cold may be an indication of pulpal necrosis but this is also
influenced by other factors such as the amount of secondary dentine
The colder tests (DDM and CO2snow) appear to be the more reliable than
ethyl chloride in stimulating vital teeth; this may be due to their greater
rate of temperature reduction
Heat Test
❖ Place the pulp tester tip at the incisal edge/cusp tip area
with a small amount of toothpaste (ask for a sensation of
tingling)
vital teeth
A small size gutta-percha point (nr. 25 - 30) is inserted into the sinus tract using
forceps/tweezers. The point is advanced in small increments in the direction of least
resistance. Local anaesthesia is rarely needed. Usually approximately 10 - 20 mm of the
point can be pushed into the tract.
Fistulograph