Thermal Testing in Endodontics | 合法醫療器材資訊網

2005年3月1日—ThermalTestinginEndodontics:MaterialsandMethods...Irelyuponcoldasmyprimaryobjectivetesttodetermineif,whenandwheretreatment ...

I rely upon cold as my primary objective test to determine if, when and where treatment is needed for an irreversibly inflamed pulp as well as to help determine pulp vitality. While the method is somewhat crude, cold testing is highly effective and easily employed. Only rarely do I find it necessary to employ thermal testing to hot, with or without concomitant cold testing. In practical application, cold testing, more than any other single test, allows the clinician to “zero in” on the source of the pulpal inflammation and/or confirm the diagnosis of a necrotic pulp.

For example, if the patient reports that they have pain to cold on the lower right and that the symptoms have been getting more frequent and intense and/or that they cannot drink cold on that side, my question to the patient will be, 1) “Is the pain localized?” followed by 2) “Does the pain linger to cold and/or hot?” and 3) “Is the sensiti...