[New method of testing dental pulp vitality].
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The antinociceptive efficacy of Coumarin was tested in mice, rats, and rabbits. No increase in threshold for the antinociceptive reaction was observed in the hot plate test and tail flick response in mice and rats. Using the tooth pulp test in rabbits, the threshold for the licking reaction was increased. This effect was dose dependent and could, at least partially, be antagonized by Naloxone. Because there is no direct opiate-like activity of Coumarin, these results suggest that the effect may be mediated by the release of endogeneous opiate-like peptides. It remains totally unclear why this effect could only be demonstrated in one particular test in one species.
The authors test by means of a measuring device of high precision the resistence of health or sick human pulpa, comparing it to them of gums, excluding in the same time the sensibility of the patient in question. The authors corroborate the obtained dates with clinical symptomatology and the histopathological photos, discussing the possibility of objective electrical test as an expedient in the diagnosis of pulpa-affections.
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AIM: Studies of the descriptions of pain by children have neglected their linguistic development, therefore estimates of dental pain in children may not be accurate. This study sought (1) to identify words chosen by children to describe dental pain and (2) to establish the effect of linguistic development on that description. SAMPLE: Seventy-eight consecutive children between the ages of 5 and 13 years attending a paediatric dental clinic. METHOD: Each child completed the WORD reading comprehension test. They then underwent a pulp test and a simulated pulp test, administered by a dentist in a counterbalanced order, of a healthy primary canine or permanent incisor, according to the child's age. To describe each test, the children had to (1) select words from a list of 58 read by the experimenter and (2) give ratings on scales representing 'sore' and 'tingly'. RESULTS: Analysis of variance confirmed that the children chose more words for the pulp test than for the simulated test (P < 0.001); the former also elicited higher ratings for 'sore' and 'tingly'. The numbers of words chosen were transformed by a square root constant to ensure a normal distribution. Multiple regression analysis then showed that (1) the better the children's reading comprehension, the fewer words they chose, possibly because they were less inclined to choose unfamiliar words, and (2) the older they were, the more words they chose, possibly because of having more experience of pain. There were similar findings for ratings of 'sore' and 'tingly'. CONCLUSIONS: To assess children's experience of pain (1) they need to be presented with a list of words like the ones in this study, (2) the numbers of words chosen by them would represent the severity of pain, and (3) those numbers need to be adjusted for the children's reading comprehension and age.
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