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Sensitivity, Specificity, Predictive Values, and Accuracy of Three Diagnostic Tests to Predict Inferior Alveolar Nerve Blockade Failure in Symptomatic Irreversible Pulpitis
المؤلفون المشاركون
Chavarria-Bolaños, Daniel
Esparza-Villalpando, Vicente
Rodríguez-Wong, Laura
Noguera-González, Danny
Montero-Aguilar, Mauricio
Pozos-Guillen, Amaury
المصدر
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-06-14
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Introduction.
The inferior alveolar nerve block (IANB) is the most common anesthetic technique used on mandibular teeth during root canal treatment.
Its success in the presence of preoperative inflammation is still controversial.
The aim of this study was to evaluate the sensitivity, specificity, predictive values, and accuracy of three diagnostic tests used to predict IANB failure in symptomatic irreversible pulpitis (SIP).
Methodology.
A cross-sectional study was carried out on the mandibular molars of 53 patients with SIP.
All patients received a single cartridge of mepivacaine 2% with 1 : 100000 epinephrine using the IANB technique.
Three diagnostic clinical tests were performed to detect anesthetic failure.
Anesthetic failure was defined as a positive painful response to any of the three tests.
Sensitivity, specificity, predictive values, accuracy, and ROC curves were calculated and compared and significant differences were analyzed.
Results.
IANB failure was determined in 71.7% of the patients.
The sensitivity scores for the three tests (lip numbness, the cold stimuli test, and responsiveness during endodontic access) were 0.03, 0.35, and 0.55, respectively, and the specificity score was determined as 1 for all of the tests.
Clinically, none of the evaluated tests demonstrated a high enough accuracy (0.30, 0.53, and 0.68 for lip numbness, the cold stimuli test, and responsiveness during endodontic access, resp.).
A comparison of the areas under the curve in the ROC analyses showed statistically significant differences between the three tests (p<0.05).
Conclusion.
None of the analyzed tests demonstrated a high enough accuracy to be considered a reliable diagnostic tool for the prediction of anesthetic failure.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Chavarria-Bolaños, Daniel& Rodríguez-Wong, Laura& Noguera-González, Danny& Esparza-Villalpando, Vicente& Montero-Aguilar, Mauricio& Pozos-Guillen, Amaury. 2017. Sensitivity, Specificity, Predictive Values, and Accuracy of Three Diagnostic Tests to Predict Inferior Alveolar Nerve Blockade Failure in Symptomatic Irreversible Pulpitis. Pain Research and Management،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1197370
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Chavarria-Bolaños, Daniel…[et al.]. Sensitivity, Specificity, Predictive Values, and Accuracy of Three Diagnostic Tests to Predict Inferior Alveolar Nerve Blockade Failure in Symptomatic Irreversible Pulpitis. Pain Research and Management No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1197370
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Chavarria-Bolaños, Daniel& Rodríguez-Wong, Laura& Noguera-González, Danny& Esparza-Villalpando, Vicente& Montero-Aguilar, Mauricio& Pozos-Guillen, Amaury. Sensitivity, Specificity, Predictive Values, and Accuracy of Three Diagnostic Tests to Predict Inferior Alveolar Nerve Blockade Failure in Symptomatic Irreversible Pulpitis. Pain Research and Management. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1197370
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1197370
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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