Accuracy of Pulp Sensibility Test on Teeth With Deep Periodontal Pocket

The aim of this study is to evaluate the accuracy of pulp test in teeth presenting with deep periodontal pocket. The null hypothesis is no significant effect of periodontitis on the accuracy of pulp test.

The aim of this study is to evaluate the accuracy of pulp test in teeth presenting with deep periodontal pocket. All patients who need root canal treatment would be screened to determine the periodontal condition for possible involvement in this study. They would be grouped into two groups, normal and periodontitis Group. Included teeth will be dried with 4x4 gauze then tested with a cold test using Endo-Ice and electric pulp tester (EPT). Similar or adjacent teeth with no caries, restorations, or a history of the previous injury will be used as controls for that patient. Upon accessing the tooth, no bleeding was counted as necrotic and any presence of blood was counted as a vital pulp

Periodontitis, Localized Aggressive, Periodontal Diseases, Endodontic Disease, Endodontic Inflammation, Periodontal Pocket, Periodontal Inflammation, Periodontal Attachment Loss, Periodontal Bone Loss, Periodontitis

All patients who need root canal treatment would be screened to determine the periodontal condition for possible involvement in this study. They would be grouped into two groups, normal and periodontitis Group.

All patients admitted to Qassim dental clinics, who need root canal treatment would be screened for possible involvement in this study

All patients who need root canal treatment would be screened to determine the periodontal condition for possible involvement in this study. the periodontitis patients would be categorized according to the new periodontitis classification 2017 world workshop.

taking an X-ray to determine bone loss level and attachment loss level for periodontitis classification

Included teeth will be dried with 4x4 gauze then tested with an Electric test using electric pulp tester (EPT).

Is deep periodontal pocket affects pulp response, therefore, affects the accuracy of pulp test using "thermal" test?

Endo-Ice would be used as a thermal test and participants will be asked to lift their hand up if they felt cold and keep it raised until the sensation is gone. Upon accessing the tooth, no bleeding would be counted as necrotic and any presence of blood counted as a vital pulp.

Is deep periodontal pocket affects pulp response, therefore, affects the accuracy of pulp test using "electrical" test?

For Electrical Pulp tester (EPT) would be used as electrical pulp test. Any response before 80 was recorded as positive. Upon accessing the tooth, no bleeding would be counted as necrotic and any presence of blood counted as a vital pulp.

Inclusion Criteria: Patients from 18 to 40 years old. Periodontitis grade II, III and IV Non-traumatized teeth. No prior non-surgical root canal treatment (NS RCT). Exclusion Criteria: Periodontitis grade I. Patients with medically compromising conditions (ASA III and above). Trauma within the last six months. Partially necrotic pulps. Previously endodontically treated or initiation of treatment will be excluded.

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