Evidence map›Paper›PMID 35954958›Full record

SynthesisInternational journal of environmental research and public health2022

Diagnostic Accuracy of Pulp Vitality Tests and Pulp Sensibility Tests for Assessing Pulpal Health in Permanent Teeth: A Systematic Review and Meta-Analysis.

Swadheena Patro, Agron Meto, Ankita Mohanty, Viresh Chopra, Sanjay Miglani, Antarikshya Das, Alexander Maniangat Luke, Dunia Al Hadi, Aida Meto, Luca Fiorillo and 3 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
11.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Does Sickle Cell Anaemia Have a Relationship With Avascular Pulp Necrosis? A Systematic Review.Australian endodontic journal : the journal of the Australian Society of Endodontology Inc · 2026
    Pooled it
  2. Pooled it
  3. Effects of Photobiomodulation Therapy in Lateral Luxation of Anterior Permanent Teeth: A Randomized, Double-Blind Clinical Trial.Dental traumatology : official publication of International Association for Dental Traumatology · 2026
    Trial
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Evaluation of Pulp Vitality Using Pulse Oximetry: A Systematic Review and Meta-analysis.International journal of clinical pediatric dentistry · 2025
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 7 countries.

Swadheena PatroDepartment of Conservative Dentistrty and Endodontics, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar 751024, India.ORCID 0000-0003-3297-6262
Agron MetoDepartment of Dentistry, Faculty of Dental Sciences, University of Aldent, 1007 Tirana, Albania.ORCID 0000-0003-1659-2453
Ankita MohantyDepartment of Conservative Dentistrty and Endodontics, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar 751024, India.
Viresh ChopraDepartment of Adult Restorative Dentistry, Oman Dental College, Muscat 116, Oman.
Sanjay MiglaniDepartment of Conservative Dentistrty and Endodontics, Faculty of Dentistry, Jamia Millia Islamia (A Central University), Okhla, New Delhi 110025, India.
Antarikshya DasDepartment of Conservative Dentistrty and Endodontics, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar 751024, India.
Alexander Maniangat LukeDepartment of Clinical Sciences, College of Dentistry, Ajman University, Ajman P.O. Box 346, United Arab Emirates.ORCID 0000-0002-5885-7694
Dunia Al HadiDepartment of Clinical Sciences, College of Dentistry, Ajman University, Ajman P.O. Box 346, United Arab Emirates.
Aida MetoDepartment of Dentistry, Faculty of Dental Sciences, University of Aldent, 1007 Tirana, Albania.ORCID 0000-0002-3354-2194
Luca FiorilloDepartment of Dentistry, Faculty of Dental Sciences, University of Aldent, 1007 Tirana, Albania.ORCID 0000-0003-0335-4165
Mohmed Isaqali KarobariDepartment of Restorative Dentistry & Endodontics, Faculty of Dentistry, University of Puthisastra, Phnom Penh 12211, Cambodia.ORCID 0000-0002-0313-9695
Dian Agustin WahjuningrumDepartment of Conservative Dentistry, Faculty of Dental Medicine, Universitas Airlingga, Surabaya City 60132, Indonesia.
Ajinkya M PawarDepartment of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai 400008, India.ORCID 0000-0003-3985-5674
KIIT University · INAjman University · AEUniversity of Tirana · ALAirlangga University · IDJamia Millia Islamia · INOman Medical College · OMRagas Dental College & Hospital · INUniversity of Messina · ITUniversity of Puthisastra · KH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current systematic review and meta-analysis was carried out to compare the diagnostic accuracy of pulp vitality and pulp sensibility tests in assessing pulpal health. PubMed/MEDLINE, Cochrane Central Register of Controlled Trials, Web of Science, Google Scholar and Open Grey databases were searched and after assessing eligibility criteria the data were extracted. True-positive, false-positive, true-negative, false-negative, sensitivity and specificity values were extracted or calculated if not presented. Quality of studies was evaluated based on the QUADAS 2 tool. Meta-analysis was performed in MetaDTA (v2.0; Shinyapps, RStudio PBC, Boston, MA, USA) and Review Manager 5.3 (RevMan web; The Cochrane Collaboration, London, UK). Ten articles were included for qualitative synthesis and five for meta-analysis. The pooled diagnostic odds ratio for pulse oximeter (PO), electric pulp tester (EPT), cold test (CT) and heat test (HT) was 628.5, 10.75, 17.24 and 3.47, respectively. Pairwise comparison demonstrated a higher pooled mean sensitivity and specificity with PO compared with EPT. Comparison between PO and CT and between PO and HT also demonstrated a higher pooled mean sensitivity and specificity for PO. Summary points on receiver operating characteristic curves confirmed the ability of PO to correctly screen negatives in presenting patients as compared to EPT, CT and HT but no study was rated as good on quality assessment. PO can be considered as the most accurate diagnostic method as compared to EPT, CT and HT. This review provides information about the reliability and diagnostic accuracy of using pulp vitality and sensibility tests for assessing pulp status.

Indexed as

Dentition, PermanentOximetryHot TemperatureHumansReproducibility of ResultsSensitivity and Specificitydental pulpdental pulp testdentistrypulp vitalitypulse oximeter

Identifiers

PMID35954958
PMCPMC9367848
OpenAlexW4289996728

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.