Pulp Sensitivity Testing in Multiple Sclerosis: Disease Duration and Sensory/Motor Associations—A Cross‐Sectional Study
Introduction: This study explores a relatively unexplored aspect of multiple sclerosis (MS) by examining the sensitivity threshold of dental pulp as a potential indicator of neuropathy in MS patients. Building upon earlier research that focused on assessing the response to electrical pulp testing in...
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| Published in: | Multiple sclerosis international Vol. 2024; no. 1; p. 6662518 |
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| Format: | Journal Article |
| Language: | English |
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Egypt
John Wiley & Sons, Inc
11.09.2024
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| ISSN: | 2090-2654, 2090-2662 |
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| Abstract | Introduction: This study explores a relatively unexplored aspect of multiple sclerosis (MS) by examining the sensitivity threshold of dental pulp as a potential indicator of neuropathy in MS patients. Building upon earlier research that focused on assessing the response to electrical pulp testing in MS patients who did not have a history of trigeminal neuralgia, this survey is aimed at delving into the relationship between MS duration and the threshold for stimulation in response to pulp sensitivity tests.
Materials and Methods: This study encompassed a total of 124 maxillary central incisors from patients diagnosed with relapsing‐remitting multiple sclerosis (RRMS). The participants were uniform in terms of age, falling within the 18–50 years range, and all had RRMS with no history of trigeminal neuralgia. The electric pulp sensitivity test was conducted on all samples, and the results of the electric pulp testing (EPT) were recorded according to the grade of the pulp tester that elicited a response. The threshold was considered reached when the patient first experienced a burning sensation after EPT application and the use of 1,1,1,2‐tetrafluoroethane spray. Data analysis employed paired t ‐tests, Fisher’s exact test, and Spearman correlation, with a significance level set at p < 0.05.
Results: Based on the study’s findings, the average response value to EPT was 2.69 ± 1.17, while the response time to the cold test was 2.61 ± 1.03 s. There was no statistically significant difference in the response to the cold test based on age ( p = 0.45). However, it was observed that the mean response time to the cold test was significantly longer among male participants ( p = 0.001). No significant differences were identified in the pulpal response to EPT or the cold test between patients with and without sensory‐motor involvement ( p > 0.05). Furthermore, Spearman’s analysis revealed a noteworthy positive correlation between the electrical pulp threshold and the time taken to respond to the cold test ( p = 0.025, r = 0.2).
Conclusions: The utilization of the pulpal sensitivity test in MS patients holds promise for practical clinical use. Notably, individuals with a more extended duration of the disease exhibited a notably elevated threshold for both the EPT and the cold test conducted on their maxillary central incisors. |
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| AbstractList | Introduction: This study explores a relatively unexplored aspect of multiple sclerosis (MS) by examining the sensitivity threshold of dental pulp as a potential indicator of neuropathy in MS patients. Building upon earlier research that focused on assessing the response to electrical pulp testing in MS patients who did not have a history of trigeminal neuralgia, this survey is aimed at delving into the relationship between MS duration and the threshold for stimulation in response to pulp sensitivity tests. Materials and Methods: This study encompassed a total of 124 maxillary central incisors from patients diagnosed with relapsing-remitting multiple sclerosis (RRMS). The participants were uniform in terms of age, falling within the 18-50 years range, and all had RRMS with no history of trigeminal neuralgia. The electric pulp sensitivity test was conducted on all samples, and the results of the electric pulp testing (EPT) were recorded according to the grade of the pulp tester that elicited a response. The threshold was considered reached when the patient first experienced a burning sensation after EPT application and the use of 1,1,1,2-tetrafluoroethane spray. Data analysis employed paired t-tests, Fisher's exact test, and Spearman correlation, with a significance level set at p<0.05. Results: Based on the study's findings, the average response value to EPT was 2.69±1.17, while the response time to the cold test was 2.61±1.03s. There was no statistically significant difference in the response to the cold test based on age (p=0.45). However, it was observed that the mean response time to the cold test was significantly longer among male participants (p=0.001). No significant differences were identified in the pulpal response to EPT or the cold test between patients with and without sensory-motor involvement (p>0.05). Furthermore, Spearman's analysis revealed a noteworthy positive correlation between the electrical pulp threshold and the time taken to respond to the cold test (p=0.025, r=0.2). Conclusions: The utilization of the pulpal sensitivity test in MS patients holds promise for practical clinical use. Notably, individuals with a more extended duration of the disease exhibited a notably elevated threshold for both the EPT and the cold test conducted on their maxillary central incisors. Introduction: This study explores a relatively unexplored aspect of multiple sclerosis (MS) by examining the sensitivity threshold of dental pulp as a potential indicator of neuropathy in MS patients. Building upon earlier research that focused on assessing the response to electrical pulp testing in MS patients who did not have a history of trigeminal neuralgia, this survey is aimed at delving into the relationship between MS duration and the threshold for stimulation in response to pulp sensitivity tests. Materials and Methods: This study encompassed a total of 124 maxillary central incisors from patients diagnosed with relapsing‐remitting multiple sclerosis (RRMS). The participants were uniform in terms of age, falling within the 18–50 years range, and all had RRMS with no history of trigeminal neuralgia. The electric pulp sensitivity test was conducted on all samples, and the results of the electric pulp testing (EPT) were recorded according to the grade of the pulp tester that elicited a response. The threshold was considered reached when the patient first experienced a burning sensation after EPT application and the use of 1,1,1,2‐tetrafluoroethane spray. Data analysis employed paired t ‐tests, Fisher’s exact test, and Spearman correlation, with a significance level set at p < 0.05. Results: Based on the study’s findings, the average response value to EPT was 2.69 ± 1.17, while the response time to the cold test was 2.61 ± 1.03 s. There was no statistically significant difference in the response to the cold test based on age ( p = 0.45). However, it was observed that the mean response time to the cold test was significantly longer among male participants ( p = 0.001). No significant differences were identified in the pulpal response to EPT or the cold test between patients with and without sensory‐motor involvement ( p > 0.05). Furthermore, Spearman’s analysis revealed a noteworthy positive correlation between the electrical pulp threshold and the time taken to respond to the cold test ( p = 0.025, r = 0.2). Conclusions: The utilization of the pulpal sensitivity test in MS patients holds promise for practical clinical use. Notably, individuals with a more extended duration of the disease exhibited a notably elevated threshold for both the EPT and the cold test conducted on their maxillary central incisors. Surveys, such as the Atlas survey, have revealed significant variation in the age of diagnosis among different countries, but when comparing mean ages across various time points, no discernible trend towards earlier diagnosis on a global scale is evident [6]. [...]this understanding can shed light on the initial phases of disease progression, as damage to peripheral nerves may occur before or alongside CNS harm [10]. [...]by assessing peripheral sensory function, we may discover potential biomarkers for monitoring disease and gauging treatment response. Sample Size Calculation and Sampling Method According to Owlia et al.’s study [20] which had an SD=0.567, the researchers determined the standard deviation of the electrical stimulation threshold score. This study explores a relatively unexplored aspect of multiple sclerosis (MS) by examining the sensitivity threshold of dental pulp as a potential indicator of neuropathy in MS patients. Building upon earlier research that focused on assessing the response to electrical pulp testing in MS patients who did not have a history of trigeminal neuralgia, this survey is aimed at delving into the relationship between MS duration and the threshold for stimulation in response to pulp sensitivity tests. This study encompassed a total of 124 maxillary central incisors from patients diagnosed with relapsing-remitting multiple sclerosis (RRMS). The participants were uniform in terms of age, falling within the 18-50 years range, and all had RRMS with no history of trigeminal neuralgia. The electric pulp sensitivity test was conducted on all samples, and the results of the electric pulp testing (EPT) were recorded according to the grade of the pulp tester that elicited a response. The threshold was considered reached when the patient first experienced a burning sensation after EPT application and the use of 1,1,1,2-tetrafluoroethane spray. Data analysis employed paired -tests, Fisher's exact test, and Spearman correlation, with a significance level set at < 0.05. Based on the study's findings, the average response value to EPT was 2.69 ± 1.17, while the response time to the cold test was 2.61 ± 1.03 s. There was no statistically significant difference in the response to the cold test based on age ( = 0.45). However, it was observed that the mean response time to the cold test was significantly longer among male participants ( = 0.001). No significant differences were identified in the pulpal response to EPT or the cold test between patients with and without sensory-motor involvement ( > 0.05). Furthermore, Spearman's analysis revealed a noteworthy positive correlation between the electrical pulp threshold and the time taken to respond to the cold test ( = 0.025, = 0.2). The utilization of the pulpal sensitivity test in MS patients holds promise for practical clinical use. Notably, individuals with a more extended duration of the disease exhibited a notably elevated threshold for both the EPT and the cold test conducted on their maxillary central incisors. Introduction: This study explores a relatively unexplored aspect of multiple sclerosis (MS) by examining the sensitivity threshold of dental pulp as a potential indicator of neuropathy in MS patients. Building upon earlier research that focused on assessing the response to electrical pulp testing in MS patients who did not have a history of trigeminal neuralgia, this survey is aimed at delving into the relationship between MS duration and the threshold for stimulation in response to pulp sensitivity tests. Materials and Methods: This study encompassed a total of 124 maxillary central incisors from patients diagnosed with relapsing-remitting multiple sclerosis (RRMS). The participants were uniform in terms of age, falling within the 18-50 years range, and all had RRMS with no history of trigeminal neuralgia. The electric pulp sensitivity test was conducted on all samples, and the results of the electric pulp testing (EPT) were recorded according to the grade of the pulp tester that elicited a response. The threshold was considered reached when the patient first experienced a burning sensation after EPT application and the use of 1,1,1,2-tetrafluoroethane spray. Data analysis employed paired t-tests, Fisher's exact test, and Spearman correlation, with a significance level set at p < 0.05. Results: Based on the study's findings, the average response value to EPT was 2.69 ± 1.17, while the response time to the cold test was 2.61 ± 1.03 s. There was no statistically significant difference in the response to the cold test based on age (p = 0.45). However, it was observed that the mean response time to the cold test was significantly longer among male participants (p = 0.001). No significant differences were identified in the pulpal response to EPT or the cold test between patients with and without sensory-motor involvement (p > 0.05). Furthermore, Spearman's analysis revealed a noteworthy positive correlation between the electrical pulp threshold and the time taken to respond to the cold test (p = 0.025, r = 0.2). Conclusions: The utilization of the pulpal sensitivity test in MS patients holds promise for practical clinical use. Notably, individuals with a more extended duration of the disease exhibited a notably elevated threshold for both the EPT and the cold test conducted on their maxillary central incisors.Introduction: This study explores a relatively unexplored aspect of multiple sclerosis (MS) by examining the sensitivity threshold of dental pulp as a potential indicator of neuropathy in MS patients. Building upon earlier research that focused on assessing the response to electrical pulp testing in MS patients who did not have a history of trigeminal neuralgia, this survey is aimed at delving into the relationship between MS duration and the threshold for stimulation in response to pulp sensitivity tests. Materials and Methods: This study encompassed a total of 124 maxillary central incisors from patients diagnosed with relapsing-remitting multiple sclerosis (RRMS). The participants were uniform in terms of age, falling within the 18-50 years range, and all had RRMS with no history of trigeminal neuralgia. The electric pulp sensitivity test was conducted on all samples, and the results of the electric pulp testing (EPT) were recorded according to the grade of the pulp tester that elicited a response. The threshold was considered reached when the patient first experienced a burning sensation after EPT application and the use of 1,1,1,2-tetrafluoroethane spray. Data analysis employed paired t-tests, Fisher's exact test, and Spearman correlation, with a significance level set at p < 0.05. Results: Based on the study's findings, the average response value to EPT was 2.69 ± 1.17, while the response time to the cold test was 2.61 ± 1.03 s. There was no statistically significant difference in the response to the cold test based on age (p = 0.45). However, it was observed that the mean response time to the cold test was significantly longer among male participants (p = 0.001). No significant differences were identified in the pulpal response to EPT or the cold test between patients with and without sensory-motor involvement (p > 0.05). Furthermore, Spearman's analysis revealed a noteworthy positive correlation between the electrical pulp threshold and the time taken to respond to the cold test (p = 0.025, r = 0.2). Conclusions: The utilization of the pulpal sensitivity test in MS patients holds promise for practical clinical use. Notably, individuals with a more extended duration of the disease exhibited a notably elevated threshold for both the EPT and the cold test conducted on their maxillary central incisors. |
| Audience | Academic |
| Author | Zarchi, Marzieh Abutorabi Kazemipoor, Maryam Noori, Fereshteh Owlia, Fatemeh |
| AuthorAffiliation | 3 Department of Endodontics School of Dentistry Shahid Sadoughi University of Medical Sciences , Yazd, Iran 2 Department of Neurology School of Medicine Shahid Sadoughi University of Medical Sciences and Health Services , Yazd, Iran 1 Department of Oral and Maxillofacial Medicine School of Dentistry Shahid Sadoughi University of Medical Sciences and Health Services , Yazd, Iran |
| AuthorAffiliation_xml | – name: 2 Department of Neurology School of Medicine Shahid Sadoughi University of Medical Sciences and Health Services , Yazd, Iran – name: 1 Department of Oral and Maxillofacial Medicine School of Dentistry Shahid Sadoughi University of Medical Sciences and Health Services , Yazd, Iran – name: 3 Department of Endodontics School of Dentistry Shahid Sadoughi University of Medical Sciences , Yazd, Iran |
| Author_xml | – sequence: 1 givenname: Fatemeh orcidid: 0000-0001-5869-9238 surname: Owlia fullname: Owlia, Fatemeh – sequence: 2 givenname: Fereshteh orcidid: 0000-0002-5845-2136 surname: Noori fullname: Noori, Fereshteh – sequence: 3 givenname: Marzieh Abutorabi orcidid: 0000-0002-4531-2134 surname: Zarchi fullname: Zarchi, Marzieh Abutorabi – sequence: 4 givenname: Maryam orcidid: 0000-0002-3543-9537 surname: Kazemipoor fullname: Kazemipoor, Maryam |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/39295924$$D View this record in MEDLINE/PubMed |
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| Copyright | Copyright © 2024 Fatemeh Owlia et al. COPYRIGHT 2024 John Wiley & Sons, Inc. Copyright © 2024 Fatemeh Owlia et al. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright © 2024 Fatemeh Owlia et al. 2024 |
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| Keywords | dental pulp diagnosis electric pulp test thermal pulp test multiple sclerosis |
| Language | English |
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| Snippet | Introduction: This study explores a relatively unexplored aspect of multiple sclerosis (MS) by examining the sensitivity threshold of dental pulp as a... This study explores a relatively unexplored aspect of multiple sclerosis (MS) by examining the sensitivity threshold of dental pulp as a potential indicator of... Surveys, such as the Atlas survey, have revealed significant variation in the age of diagnosis among different countries, but when comparing mean ages across... |
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| SubjectTerms | Adults Analysis Cotton Cross-sectional studies Diabetes Diseases Health aspects Iran Medical research Medicine, Experimental Motor ability Multiple sclerosis Patients Quality of life Sensory perception Teeth Tetrafluoroethane |
| Title | Pulp Sensitivity Testing in Multiple Sclerosis: Disease Duration and Sensory/Motor Associations—A Cross‐Sectional Study |
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