8/10/2019 Vitality Testing Procedures

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VITALITY TESTING EXERCISEUNC Department of Endodontics

Cold testing Procedures:1- Identify the teeth you are going to evaluate (3 teeth minimum; more are usually indicated). Start with what

you believe to be normal teeth to establish a baseline. Cold testing is erformed on enamel! dentin! or anyrestoration; it IS erformed directly on crown restorations.

"- Instruct your atient on what they are about to e# erience! and to let you $now when they feel the cold

sensation by raising their hand.3- %ry the teeth that will be tested with cotton rolls or gau&e (do not use air syringe).'- Isolate the area with the use of cotton rolls or gau&e (buccal and lingual for mandibular teeth).

- old a loosened (ie. not tightly balled-u ) large cotton ellet using the bea$s of the cotton liers and s raywith the refrigerant! *ndo Ice (+-ti s may also be used if loosened). ,ou will see crystals form.

- ly cotton ellet to the buccal surface at the /unction of the middle and a ical thirds of each tooth for 10-1 seconds 2 until the atient indicates that they feel a cold res onse (whichever is first). e careful not tohave e#cess refrigerant s ray dro on the atient.

4- 2ecord the result using 5 or 6 for ositive or negative res onses res ectively on the 7re-Consultation8or$sheet.

9- 2e eat ste s -4 for each tooth to be tested. 8et the cotton roll or gau&e before removing to revent :cotton

burn .

Electric Pulp Testing (EPT) Procedures:1- Identify the teeth you are going to evaluate (3 teeth minimum; more are usually indicated). Start with what

you believe to be normal teeth to establish a baseline. *7< testing is only erformed on enamel or dentin; itis = < to be erformed directly on crown (or any com osite! orcelain and>or metal) restorations.

"- Instruct your atient on what they are about to e# erience! and to let you $now when they feel a tinglysensation.

3- %ry the teeth that will be tested with cotton rolls or gau&e (do not use air syringe).'- Isolate the area with the use of cotton rolls or gau&e (buccal and lingual for mandibular teeth).

- I?7 2< =