Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2015, vol. 21, issue 4
Subject Area: Dentistry
Pages: 1003-1007
DOI: 10.5272/jimab.2015214.1003
Published online: 21 December 2015

J of IMAB 2015 Oct-Dec;21(4):1003-1007
EVALUATION OF CONDITION OF THE PULP BY PULSE OXIMETRY.
Dimitar Kosturkov 1Corresponding Autor, Tsonko Uzunov2, Raia Grozdanova2, Viktoria Ivancheva3
1) Dentist in private practice
2) Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University of Sofia.
3) Student VI year, Faculty of Dental Medicine, Medical University of Sofia, Bulgaria.

ABSTRACT:
Purpose: To conduct pulse oximetry (PO) and electric pulp test (EPT) on intact frontal teeth in clinically healthy patients aged between 18 and 25 years who do not have periodontal disease.
Material/Methods: To achieve the aim 1058 teeth of 31 patients were studied. The following inclusion criteria for the study were set:
1. Age – 18-25 years.
2. Clinically healthy patient, who does not have any systemic diseases, do not take any medicine systematically.
3. Intact frontal teeth – without carious lesions, restorations or root canal treatment.
4. Lack of periodontal disease.
Research was conducted with a pulse oximeter Contec™ - CMS60D and a custom made probe holder.
Results: Average values obtained by pulse oximetry in upper jaw vary between 83% and 85%. In lower jaw – between 82% and 85%. 99% is the maximum and 48% is the minimum registered value. The average value of the measurement of all the teeth is 84%.
The average saturation measured on the small finger of the right hand of the patient is 98%.
The average value of EPT for all teeth is 4 μA. The maximum measured value is 20 μA, and the minimum - 1 μA.
Conclusions:
1. Adequate study of the pulp includes two complementary methods – electric pulp test (evaluation of innervation) and pulse oximetry (assessment of pulp microcirculation).
2. Teeth that are larger in size have larger values of PO and EPT, which is in direct relation to the size of their pulp chamber.
3. The total saturation, measured in the little finger of the right hand is greater than the one of the teeth.

Key words: Pulse oximetry, dental diagnosis, pulp condition,

- Download FULL TEXT /PDF 1348 KB/
Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Kosturkov D, Uzunov T, Grozdanova R, Ivancheva V. Evaluation of condition of the pulp by pulse oximetry. J of IMAB. 2015 Oct-Dec;21(4):1003-1007. doi: http://dx.doi.org/10.5272/jimab.2015214.1003

Correspondence to: D-r Dimitar Kosturkov; E-mail: D.Kosturkov@gmail.com

REFERENCES:
1. Ciobanu G, Ion I, Ungureanu L. Testing of pulp vitality by pulsoximetry. International Journal of Medical Dentistry. 2012 Apr-Jun;2(2):94-98.
2. Radhakrishnan S, Munshi AK, Hegde AM. Pulse oximetry: a diagnostic instrument in pulpal vitality testing. J Clin Pediatr Dent. 2003 Winter;26(2)141-145. [PubMed] [CrossRef]
3. Noblett WC, Wilcox LR, Scamman F, Johnson WT, Diaz-Arnold A. Detection of pulpal circulation in vitro by pulse oximetry. J Endod. 1996 Jan;22(1):1-5. [PubMed] [CrossRef]
4. Abd-Elmeguid A, Yu DC. Dental Pulp Neurophysiology: Part 2. Current Diagnostic Tests to Assess Pulp Vitality. J Can Dent Assoc. 2009 Mar;75(2):139-143. [PubMed]
5. Jayashankar DN, Zakirulla M, Sudhakar V, Allahbaksh Meer. Pulse oximetry- Working principles in pulpal vitality testing. IJHSR. 2012 Aug;2(5):118-123.
6. Kahan RS, Gulabivala K, Snook M, Setchell DJ. Evaluation of a pulseoximeter and customized probe for pulp vitality testing. J Endod. 1996 Mar;22(3):105-9. [PubMed] [CrossRef]
7. Kenneth M. Hargreaves, Stephen Cohen. Cohen's pathways of the pulp. 10th Ed.; St Louis: Mosby, 2011; pp.1819-2026.
8. Dutta SD, Maria R. Pulse Oximetry: A New Tool in Pulpal Vitality Testing People’s. Journal of Scientific Research. 2013 Jun;6(1);49-52.
9. Calil E, Caldeira CL, Gavini G, Lemos EM. Determination of pulp vitality in vivo with pulseoximetry. Int Endod J. 2008 Sep;41(9):741-746. [PubMed] [CrossRef]
10. Pozzobon MH, de Sousa Vieira R, Alves AM, Reyes-Carmona J, Teixeira CS, de Souza BD, et al. Assessment of pulp blood flow in primary andpermanent teeth using pulse oximetry. Dent Traumatol. 2011Jun;27(3):184–188. [PubMed] [CrossRef]
11. Vaghela J, Sinha A. Pulse oximetry and laser Doppler flowmetry fordiagnosis of pulpal vitality. J Interdiscip Dentistry. 2011; 1(1):14-21. [CrossRef]
12. Siddheswaran V, Adyanthaya R, Shivanna V. Pulse Oximetry: A Diagnostic Instrument in Pulpal Vitality Testing - An in vivo Study. World Journal of Dentistry. 2011 Jul-Sep;2(3):225-230. [CrossRef]
13. Levin LG. Pulp and Periradicular Testing. Pediatr Dent. 2013 Mar-Apr;35(2):113-9. [PubMed]  
14. Schnettler JM, Wallace JA. Pulse oximetry as a diagnostic tool of pulpal vitality. J Endod. 1991 Oct;17(10):448-490. [PubMed] [CrossRef]
15. Schmitt JM, Webber RL, Walker EC. Optical determination of dental pulp vitality. IEEE Trans Biomed Eng. 1991 Apr;(4)38:346-52.[PubMed] [CrossRef].

Received: 12 October 2015
Published online: 21 December 2015

back to Online Journal