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Dental pulpal testing is a clinical and diagnostic aid used in dentistry to help establish the health of the dental pulp within the pulp chamber and root canals of a tooth. . Such investigations are important in aiding dentists in devising a treatment plan for the tooth being test
Codes following these are found at List of MeSH codes ... MeSH E06.342.377 – dental pulp test; ... MeSH E06.397.778.377 – dental pulp devitalization;
A pulp vitality test such as a cold test or electric pulp test can aid in diagnosis, since COD generally does not compromise pulp vitality. [6] COD can be found in individuals of all ages and ethnic backgrounds, but it has been observed more frequently in individuals of African, East Asian, and Asian descent. [7]
The health of the dental pulp can be established by a variety of diagnostic aids which test either the blood supply to a tooth (Vitality Test) or the sensory response of the nerves within the root canal to specific stimuli (Sensitivity Test). Although less accurate, sensitivity tests, such as Electric Pulp Tests or Thermal Tests, are more ...
[1] [2] [3] Prior to 2010 many of the codes were published by Centers for Medicare and Medicaid Services (CMS) as HCPCS D-codes under arrangement with the ADA. Ownership and copyright of CDT remained with the ADA. [4] [5] In 2010 the ADA ended the CMS distribution of CDT codes, which can now be purchased from the ADA. [citation needed]
Maintaining vitality of the pulp tissue in an immature tooth is important to allow continued growth of the tooth. Partial pulpotomy due to a traumatic exposure is also known as Cvek pulpotomy. The procedure involves removal of 1 to 3 mm (0.04 to 0.1 in) of inflamed pulp tissue beneath an exposure to reach the level of healthy pulp tissue.
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Sequelae of a necrotic pulp include acute apical periodontitis, dental abscess or radicular cyst and discolouration of the tooth. [citation needed] Tests for a necrotic pulp include: vitality testing using a thermal test or an electric pulp tester. Discolouration may be visually obvious, or more subtle.