Incidence of False Positive Percussion Test in Adjacent Teeth in Posterior Permanent Maxillary Molars and Anterior Permanent Maxillary Incisors Presenting with Symptomatic Irreversible Pulpitis with Symptomatic Apical Periodontiti

Hannan Humayun  Khan; Jawad Ali  Shah; Hasan  Sardar

doi:10.51253/pafmj.v76iSUPPL-2.11696

Authors

Hannan Humayun Khan Department of Operative Dentistry & Endodontics, 5 Military Dental Center, Hyderabad Pakistan
Jawad Ali Shah Department of Operative Dentistry & Endodontics, 22 Military Dental Center, Malir Pakistanc
Hasan Sardar Department of Operative Dentistry & Endodontics, 5 Military Dental Center, Hyderabad Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-2.11696

Keywords:

Percussion Text, Maxillary Anterior Incisors, Posterior Maxillary Molars, Periodontal Ligament

Abstract

Objective: To compare the incidence of false positive percussion test in adjacent teeth in posterior permanent maxillary molars and anterior permanent maxillary incisors diagnosed with symptomatic irreversible pulpitis with symptomatic apical periodontitis.

Study Design: Cross-sectional observational study.

Place and Duration of Study: 5 Military Dental Centre Hyderabad, Pakistan from Nov 2023 to Jan 2024.

Methodology: 60 patients (30 male and 30 female) ranging from 20-40 years with symptomatic irreversible pulpitis with symptomatic apical periodontitis presenting to out-patient department were selected through convenience sampling. They were tested for incidence of false positive percussion test in adjacent teeth in maxillary posterior molars and maxillary anterior incisors. Chi square statistics were used to compare the groups.

Results: The patients selected for posterior maxillary molars percussion test for adjacent teeth revealed 04(13%) patients with no pain, 05(17%) patients with mild pain, 06(20%) patients with moderate pain, 15(50%) patients with severe pain. The patients selected for anterior maxillary incisors percussion test for adjacent teeth revealed 15(50%) patients with no pain, 07(23%) patients with mild pain, 06(20%) patients with moderate pain and 02(7%) patients with severe pain on percussion. The p-value was 0.001 which is highly significant.

Conclusion: The incidence of false positive percussion test in adjacent teeth in posterior maxillary molars is more as compared to the maxillary anterior incisors.

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References

Ramachandran Nair PN. Light and electron microscopic studies of root canal flora and periapical lesions. J Endod 1987; 13(1): 29-39. https://doi.org/10.1016/s0099-2399(87)80089-4

2. Nair PN. Pathogenesis of apical periodontitis and the causes of endodontic failures. Crit Rev Oral Biol Med 2004; 15(6): 348-381.

https://doi.org/10.1177/154411130401500604

3. Galler KM, Weber M, Korkmaz Y, Widbiller M, Feuerer M. Inflammatory Response Mechanisms of the Dentine-Pulp Complex and the Periapical Tissues. Int J Mol Sci 2021; 22(3): 1480. https://doi.org/10.3390/ijms22031480

4. Richert R, Ducret M, Alliot-Licht B, Bekhouche M, Gobert S, Farges JC et al. A critical analysis of research methods and experimental models to study pulpitis. Int Endod J 2022; 55 (Suppl 1): 14-36. https://doi.org/10.1111/iej.13683

5. Huang H, Okamoto M, Watanabe M, Matsumoto S, Moriyama K, Komichi S, et al. Development of Rat Caries-Induced Pulpitis Model for Vital Pulp Therapy. J Dent Res 2023; 102(5): 574-582. https://doi.org/10.1177/00220345221150383

6. Piancino MG, Isola G, Cannavale R, Cutroneo G, Vermiglio G, Bracco P et al. From periodontal mechanoreceptors to chewing motor control: a systematic review. Arch Oral Biol 2017; 78: 109–121. https://doi.org/10.1016/j.archoralbio.2017.02.010

7. Trulsson M. Sensory-motor function of human periodontal mechanoreceptors. J Oral Rehabil 2006; 33(4): 262–273.

https://doi.org/10.1111/j.1365-2842.2006.01629.x

8. Pantera E. Diagnosing endodontic-periodontal disease. Periodontal Insights. 1994; 1: 5.

9. White SC, Pharoah MJ. Oral Radiology: Principles and interpretations. 7th edition. Mosby Elsevier, 2014: p 134-135.

10. Seltzer S, Bender B, Ziontz M. The dynamics of pulpal inflammation: Correlations between diagnostic data and actual histologic findings in the pulp. Oral Surg Oral Med Oral Pathol 1972; 33(4): 623-630.

https://doi.org/10.1016/0030-4220(63)90323-2

11. Gutmann L, Harrison W. Posterior endodontic therapy: Survey of failures. J Endod 1991; 17(2): 56-59.

https://doi.org/10.1016/s0099-2399(06)81702-4

12. Igna A, Mircioagă D, Boariu M, Stratul ȘI. A Diagnostic Insight of Dental Pulp Testing Methods in Pediatric Dentistry. Medicina 2022; 58(5): 665. https://doi.org/10.3390/medicina58050665

13. Krastl G, Weiger R, Filippi A, Van Waes H, Ebeleseder K, Ree M, et al. European Society of Endodontology position statement: Endodontic management of traumatized permanent teeth. Int Endod J 2021; 54(9): 1473–1481.

https://doi.org/10.1111/iej.13543

14. Motoki O, Fergus D, Yusuke T, Nanako K., Matsumoto S, Mikako H et al. Partial Pulpotomy to Successfully Treat a Caries-Induced Pulpal Micro-Abscess: A Case Report. Front Dent Med 2021; 2: 678632.

https://doi.org/10.3389/fdmed.2021.678632

15. Santos M, Pereira F, Marques A, Sequeira B, Friedman S. Vital pulp therapy in permanent mature posterior teeth with symptomatic irreversible pulpitis: A systematic review of treatment outcomes. Medicina 2021; 57(6): 573.

https://doi.org/10.3390/medicina57060573

16. Tomer K, Ajaz A, Bin F, Bhatt M. Recent advances in pulp vitality testing: A review. Int J Appl Dent Sci 2019; 5(3): 8–12.

17. Belcheva A, Shindova M, Hanna R. Efficacy of Laser Doppler Flowmetry, as a Diagnostic Tool in Assessing Pulp Vitality of Traumatised Teeth: A Split Mouth Clinical Study. J Pers Med 2021; 11(8): 801.

https://doi.org/10.3390/jpm11080801

18. Lee N, Yan Y, Huang Y, Chen C, Pan Y, Jeng H, et al. Laser Doppler for Accurate Diagnosis of Oehler’s Type III Dens Invaginatus: A Case Report. Appl Sci 2021; 11(9): 3848.

https://doi.org/10.3390/app11093848