Laser doppler flowmetry to detect pulp vitality, clinical reference range and coincidence rate for pulpal blood flow in permanent maxillary incisors in Chinese children: a clinical study

BMC Oral Health

Research

Kuan Yang¹  Ruizhe Huang²  Zhifei Zhou³  Xiaojing Wang³  Zeming Hui³  Yujiang Chen³  Zirui Wang³  Feifei Guo³  Junhui Wang³  Xin Ge³ 

[1] Department of Orthodontics, College of Stomatology, Xi’an Jiaotong University, Xi’an, China;Department of Orthodontics, Affiliated Hospital of Qingdao University, School of Stomatology, Qingdao University, Qingdao, China;Key laboratory of Shaanxi Province for Craniofacial Precision Medicine Research，College of Stomatology, Xi’an Jiaotong University, Xi’an, China;State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases and Shanxi Key Laboratory of Stomatology, Department of Pediatric Dentistry, Fourth Military Medical University, 710032, Xi’an, China;

关键词: Clinical reference range;    Clinical coincidence rate;    Laser doppler;    Pulp vitality;    Pulpal blood flow;   

DOI  :  10.1186/s12903-023-02747-z

 received in 2022-03-31, accepted in 2023-01-16,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundA laser doppler flowmetry (LDF) test can reflect the pulp vitality caused by the change in pulp blood flow (PBF). This study aimed to investigate the PBF of the permanent maxillary incisors using LDF and to calculate the clinical reference range and coincidence rate for pulp vitality using PBF as an indicator.MethodsSchool-age children (7–12 years) were recruited randomly. A total of 455 children (216 female and 239 male) were included in this study. An additional 395 children (7–12 years) who attended the department due to anterior tooth trauma from October 2015 to February 2018 were included to assess the clinical occurrence rate. The PBF was measured using LDF equipment and an LDF probe.ResultsThe clinical reference range of PBF values for the permanent maxillary incisors (teeth 11, 12, 21, and 22) in children were from 7 to 14 perfusion units (PU), 11 (6.016; 11.900 PU), 12 (6.677; 14.129 PU), 21 (6.043;11.899 PU), and 22 (6.668; 14.174 PU). There was a statistically significant correlation between PBF and children’s age (p < 0.000) without any significant gender discrimination (p = 0.395). For all incisors, for any age group, the PBF detection value of the lateral incisors was significantly higher than that of the central incisors (p < 0.05). The clinical coincidence rate of detecting PBF in the traumatic teeth was 90.42% and the sensitivity and specificity were 36.99% and 99.88%, respectively.ConclusionsThe determination of the PBF clinical reference range and clinical coincidence rate for the permanent maxillary incisors in children using LDF provided a promising theoretical basis for clinical applications.

【 授权许可】

CC BY   
© The Author(s) 2023

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