ArticleJournal of endodontics2016
Validity of Preoperative Clinical Findings to Identify Dental Pulp Status: A National Dental Practice-Based Research Network Study.
Article in Journal of endodontics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
19 citing papers in PubMed, 48 citations in OpenAlex.
- Collaboration between The National Dental Practice-Based Research Network and the American Association of Endodontists: Impact on the endodontic literature.Journal of the American Dental Association (1939) · 2026Article
- Treatment preferences related to pulpectomy and prosthetic restorations among Lithuanian general dentists and prosthodontists.Acta odontologica Scandinavica · 2026Article
- Pulp sensibility assessment following permanent tooth pulpotomy: a scoping review of clinical studies.Frontiers in dental medicine · 2026Review
- Persistent Cold-Sensitivity in Root Canal Treated Teeth: Mechanisms, Cracked Roots, and Clinical Implications.Clinical, cosmetic and investigational dentistry · 2026Review
- Symptomatic irreversible pulpitis and other orofacial pain: overcoming challenges in diagnosis and management.British dental journal · 2025Review
- Evaluation of dental students' learning curve in intraligamentary anesthesia using different syringe systems: A prospective crossover study.Journal of dental education · 2025Article
- PRIDASE 2024 guidelines for reporting diagnostic accuracy studies in endodontics: Explanation and elaboration.International endodontic journal · 2025Article
- Treatment outcome of coronal pulpotomy and indirect pulp capping in mature permanent molars with symptoms of moderate pulpitis: A randomized clinical trial.Journal of conservative dentistry and endodontics · 2024Article
- Vital pulp therapy of permanent teeth with irreversible pulpitis.Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2023Article
- Assessment of the Current Endodontic Practices among General Dental Practitioners in the Kingdom of Saudi Arabia.International journal of environmental research and public health · 2022Article
- Onset and resolution of pain among treated and untreated posterior teeth with a visible crack: Three-year findings from the national dental practice-based research network.Journal of dentistry · 2022Article
- Vital Pulp Therapy in Permanent Teeth with Irreversible Pulpitis Caused by Caries: A Prospective Cohort Study.Journal of personalized medicine · 2021Article
- Levels of matrix metalloproteinase-8 and cold test in reversible and irreversible pulpitis.Medicine · 2020Article
- Symptom changes and crack progression in untreated cracked teeth: One-year findings from the National Dental Practice-Based Research Network.Journal of dentistry · 2020Article
- Recommended treatment of cracked teeth: Results from the National Dental Practice-Based Research Network.The Journal of prosthetic dentistry · 2020Article
- Observable characteristics coincident with internal cracks in teeth: Findings from The National Dental Practice-Based Research Network.Journal of the American Dental Association (1939) · 2018Article
- Criteria and treatment decisions in the management of deep caries lesions: Is there endodontic overtreatment?Journal of clinical and experimental dentistry · 2018Article
- Associations of types of pain with crack-level, tooth-level and patient-level characteristics in posterior teeth with visible cracks: Findings from the National Dental Practice-Based Research Network.Journal of dentistry · 2018Article
- Correlation between symptoms and external characteristics of cracked teeth: Findings from The National Dental Practice-Based Research Network.Journal of the American Dental Association (1939) · 2017Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
introductionEndodontic diagnostic tests are often used clinically to assess pulp status as a basis for the diagnosis and determination of whether root canal treatment (RCT) is indicated. Response to cold and pain on percussion are 2 common tests, yet their validity in identifying nonvital pulp in regular dental practice has not been reported.
methodsWe assessed the validity of cold and percussion tests to identify nonvital pulp in teeth requiring RCT in a dental practice setting performed by 46 general dentists and 16 endodontists in the National Dental Practice-Based Research Network. The influence of patient-, tooth-, and dentist-related characteristics was investigated. Observed bleeding from the pulp chamber was the clinical reference. Sensitivity (SN), specificity (SP), overall test accuracy (TA), positive (PPV) and negative (NPV) predictive values, and likelihood and diagnostic odds ratios (LR+, LR-, dORs) were calculated for each single test and the combined cold and percussion tests.
resultsSeven hundred eight patient teeth were included. Cold test showed high validity to identify a nonvital pulp status (SN = 89%, SP = 80%, TA = 84%, PPV = 81%, NPV = 88%, LR+ = 4.35, LR- = 0.14, dOR = 31.4), whereas pain on percussion had lower validity (SN = 72%, SP = 41%, TA = 56%, PPV = 54%, NPV = 60%, LR+ = 1.22, LR- = 0.69, dOR = 1.78). Combining the 2 tests did not increase validity, whereas preoperative pain, medication intake, patient age and sex, and dentist training level affected test validity significantly.
conclusionsIn regular dental practice, the cold test exhibits higher validity to discriminate between vital and nonvital pulp than the tooth percussion test.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.