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Cited by 477Endodontics and Root Canal TreatmentsDental materials and restorationsOral Health Pathology and Treatment

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Correlation between Clinical and Histologic Pulp Diagnoses

Ricucci, Domenico, Loghin, Simona, Siqueira, José F.·2014·Journal of Endodontics
DOI 10.1016/j.joen.2014.08.010
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Abstract

Introduction Clinicians routinely face conditions in which they have to decide whether the dental pulp can be saved or not. This study evaluated how reliable the clinical diagnosis of normal pulp/reversible pulpitis (savable pulp) or irreversible pulpitis (nonsavable pulp) is when compared with the histologic diagnosis. Methods The study material consisted of 95 teeth collected consecutively in a general practice over a 5-year period and extracted for reasons not related to this study. Based on clinical criteria, teeth were categorized as having normal pulps, reversible pulpitis, or irreversible pulpitis. The former 2 were grouped together because they represent similar conditions in terms of prognosis. Teeth were processed for histologic and histobacteriologic analyses, and pulps were categorized as healthy, reversibly inflamed, or irreversibly inflamed according to defined criteria. The number of matching clinical/histologic diagnosis was recorded. Results The clinical diagnosis of normal pulp/reversible pulpitis matched the histologic diagnosis in 57 of 59 (96.6%) teeth. Correspondence of the clinical and histologic diagnosis of irreversible pulpitis occurred in 27 of 32 (84.4%) cases. Infection advancing to the pulp tissue was a common finding in teeth with irreversible pulpitis but was never observed in normal/reversibly inflamed pulps. Conclusions Findings using defined criteria for clinical and histologic classification of pulp conditions revealed a good agreement, especially for cases with no disease or reversible disease. This means that the classification of pulp conditions as normal pulps, reversible pulpitis, and irreversible pulpitis has high chances of guiding the correct therapy in the large majority of cases. However, there is still a need for refined and improved means for reliable pulp diagnosis.

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Research works printed but not linked: 15

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Metadata

Authors
Ricucci, D., Loghin, S., & Siqueira, J. F.
Affiliations
Estácio (Brazil) (BR)
Corresponding author
Ricucci, Domenico
ORCID
Venue
Journal of Endodontics
Publisher
Elsevier BV
Published
2014-12
Volume
40
Issue
12
Pages
1932-1939
ISSN
0099-2399 (ISSN-L)
DOI
10.1016/j.joen.2014.08.010
OpenAlex
W2079366348
Cited by
477
References
0
Citations by year
2026: 60 · 2025: 58 · 2024: 77 · 2023: 61 · 2022: 55 · 2021: 43 · 2020: 39 · 2019: 28 · 2018: 18 · 2017: 13 · 2016: 17 · 2015: 7
FWCI
14.63
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Endodontics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Dentistry › Oral Surgery › Endodontics and Root Canal Treatments
  • Health Sciences › Dentistry › General Dentistry › Dental materials and restorations
  • Health Sciences › Dentistry › General Dentistry › Oral Health Pathology and Treatment
Keywords
diagnosis, histopathological diagnosis, pulp diagnosis, reversible pulpitis, irreversible pulpitis, pulpitis, pulp infection, endodontic treatment
MeSH terms
Adolescent, Adult, Aged, Bacteria, Composite Resins, Dental Amalgam, Dental Caries, Dental Materials, Dental Pulp, Dental Pulp Necrosis, Dental Pulp Test, Dental Restoration, Permanent, Dentin, Dentin, Secondary, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Odontoblasts, Prognosis, Pulpitis, Young Adult

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