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Effectiveness of diagnosing pulpitis: A systematic review.
David Donnermeyer1, Till Dammaschke1, Mariusz Lipski2
1Department of Periodontology and Operative Dentistry, Westphalian Wilhelms-University, Münster, Germany.
International Endodontic Journal
|May 10, 2022
Summary
Diagnosing pulpitis is challenging due to limited evidence on diagnostic test accuracy. A combination of clinical tests and symptoms, potentially with molecular diagnosis, may improve pulp condition assessment.
Area of Science:
- Dentistry
- Endodontics
- Diagnostic Accuracy
Background:
- Accurate diagnosis of inflamed pulp status is crucial for clinical decision-making.
- Limited high-quality clinical trials exist for pulp status diagnosis.
- A systematic review was conducted to evaluate diagnostic tests for pulp conditions.
Approach:
- A comprehensive literature search was performed across multiple databases.
- Eligibility criteria were based on PICO questions formulated by the European Society of Endodontology.
- Study selection, data extraction, and risk of bias assessment were conducted by independent reviewers.
Key Points:
- Twelve studies assessed pulp vitality diagnostic accuracy.
- Ten studies evaluated pulpal condition diagnostic accuracy.
- Six studies investigated biomarker expression for pulp diagnosis.
Conclusions:
- A reliable clinical reference standard for pulp diagnosis is currently lacking.
- Combining clinical tests, symptoms, and potentially molecular diagnostics may offer a future diagnostic strategy.
- Low effectiveness in diagnosing pulpitis stems from limited evidence on test accuracy and reproducibility.
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