Velayutham Gopikrishna, Gali Pradeep & Nagendrababu Venkateshbabu. Assessment of pulp vitality: a review. International Journal of Paediatric Dentistry 2009; 19: 3–15.
Noy AF, Fuks A. [Assessment of pulps vitality for children and adolesents]. [Article in Hebrew]. Refuat Hapeh Vehashinayim (1993). 2010 Jan;27(1):13-6, 73.
Most of the diagnostic tests, such as vitality tests used in conventional endodontic therapy are of very little, limited or no value in primary teeth and permanent immature teeth.
The pediatric patients generally have a very low pain threshold compared to adults, so they cannot always describe subjective symptoms or sensitivity to a stimulus. Since majority of children perceive the vitality testing methods as unpleasant stimuli, chances of false-positive or falsenegative results are common in children. In primary teeth, due to the lack of development of the plexus of Raschkow in the pulp-dentin complex, pulp tests like thermal and electric tests are unreliable. So, they are used as an adjuvant to the other clinical diagnostic aids in dentistry.
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