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spelling ODONTOS313532021-06-09T00:13:47Z Identification of the Most Appropriate Site for the Cold Test in Molar Teeth Castillo-Silva MSc, PhD, Brenda E. Patiño-Marín MSc, PhD, Nuria Martínez-Castañón MSc, PhD, Gabriel Alejandro Medina-Solís DDS, MS, Carlo E. Zavala Alonso MSc, PhD, Norma Verónica Silva-Herzog DDS, PhD, Daniel Ramírez-Ortíz DDS, MSc, Mariana Laredo-Naranjo DDS, MSc, Martha Alicia Cold test Sites Accuracy Predictive values Molar teeth A test frequently used to complement endodontic diagnoses is the cold test; however, in the last 20 years, authors have reported incorrect results within pulp sensitivity tests. Specifically, a high frequency of false results in posterior teeth, were found. The aim of this study was to identify the most appropriate site for the cold test in molar teeth with a need for endodontic treatment, calculating predictive values, accuracy and reproducibility. A cross-sectional study was performed, evaluating 390 subjects. A total of 152 subjects of both genders from the ages of 15-65 years old participated. The ideal standard was established by direct pulp inspection, and the cold test agent used was 1,1,1,2-tetrafluoroethane. The patients were divided into four groups in relation to the molar tooth: (1) mandibular first molar, (2) mandibular second molar, (3) maxillary first molar, and (4) maxillary second molar. 169 teeth and 676 sites were studied. (a) The most appropriate sites for cold test were the middle third of the buccal surface and cervical third of the buccal surface in the mandibular molars with the following results: Middle third of the first molar: Accuracy 0.93, positive predictive value 0.90 and negative predictive value 0.96. Middle third of the second molar: Accuracy 0.93, positive predictive value 1.00 and negative predictive value 0.90. In relation to third cervical the results were: First molar: Accuracy 0.93, positive predictive value 0.89 and negative predictive value 0.97 y second molar: Accuracy 0.93, positive predictive value 1.00 and negative predictive value 0.90. (b) The highest reproducibility was observed in the middle third of the buccal surface with cervical third of the buccal surface in the mandibular second molar (1.00). The most appropriate site and reproducibility of the sites are auxiliary to complement endodontic diagnose with the cold test. Universidad de Costa Rica 2017-07-04 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Article clinical research application/pdf text/html https://revistas.ucr.ac.cr/index.php/Odontos/article/view/31353 10.15517/ijds.v20i1.31353 Odovtos - International Journal of Dental Sciences; Vol. 20 No. 1 (2018): (January- April) ODOVTOS - International Journal of Dental Sciences; 79-88 Odovtos International Journal of Dental Sciences; Vol. 20 Núm. 1 (2018): (January- April) ODOVTOS - International Journal of Dental Sciences; 79-88 2215-3411 1659-1046 10.15517/ijds.v20i1 eng https://revistas.ucr.ac.cr/index.php/Odontos/article/view/31353/31053 https://revistas.ucr.ac.cr/index.php/Odontos/article/view/31353/31054 Copyright (c) 2017 Odovtos - International Journal of Dental Sciences
institution Universidad de Costa Rica
collection Odovtos International Journal of Dental Sciences
language eng
format Online
author Castillo-Silva MSc, PhD, Brenda E.
Patiño-Marín MSc, PhD, Nuria
Martínez-Castañón MSc, PhD, Gabriel Alejandro
Medina-Solís DDS, MS, Carlo E.
Zavala Alonso MSc, PhD, Norma Verónica
Silva-Herzog DDS, PhD, Daniel
Ramírez-Ortíz DDS, MSc, Mariana
Laredo-Naranjo DDS, MSc, Martha Alicia
spellingShingle Castillo-Silva MSc, PhD, Brenda E.
Patiño-Marín MSc, PhD, Nuria
Martínez-Castañón MSc, PhD, Gabriel Alejandro
Medina-Solís DDS, MS, Carlo E.
Zavala Alonso MSc, PhD, Norma Verónica
Silva-Herzog DDS, PhD, Daniel
Ramírez-Ortíz DDS, MSc, Mariana
Laredo-Naranjo DDS, MSc, Martha Alicia
Identification of the Most Appropriate Site for the Cold Test in Molar Teeth
author_facet Castillo-Silva MSc, PhD, Brenda E.
Patiño-Marín MSc, PhD, Nuria
Martínez-Castañón MSc, PhD, Gabriel Alejandro
Medina-Solís DDS, MS, Carlo E.
Zavala Alonso MSc, PhD, Norma Verónica
Silva-Herzog DDS, PhD, Daniel
Ramírez-Ortíz DDS, MSc, Mariana
Laredo-Naranjo DDS, MSc, Martha Alicia
author_sort Castillo-Silva MSc, PhD, Brenda E.
title Identification of the Most Appropriate Site for the Cold Test in Molar Teeth
title_short Identification of the Most Appropriate Site for the Cold Test in Molar Teeth
title_full Identification of the Most Appropriate Site for the Cold Test in Molar Teeth
title_fullStr Identification of the Most Appropriate Site for the Cold Test in Molar Teeth
title_full_unstemmed Identification of the Most Appropriate Site for the Cold Test in Molar Teeth
title_sort identification of the most appropriate site for the cold test in molar teeth
publisher Universidad de Costa Rica
publishDate 2017
url https://revistas.ucr.ac.cr/index.php/Odontos/article/view/31353
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