Journal of Endodontics
Volume 35, Issue 3 , Pages 329-333 , March 2009

Pulse Oximetry: Review of a Potential Aid in Endodontic Diagnosis

  • Hamid Jafarzadeh, DDS, MSc

      Affiliations

    • Department of Endodontics, Faculty of Dentistry and Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
    • Corresponding Author InformationAddress requests for reprints to Dr Hamid Jafarzadeh, Faculty of Dentistry and Dental Research Center, Vakilabad Blvd, Mashhad, Iran.
    • ,
  • Paul A. Rosenberg, DDS

      Affiliations

    • Department of Endodontics, New York University, College of Dentistry, New York, NY, USA

References 

  1. Cohen S, Hargreaves KM. Pathways of the Pulp. 9th ed.. St. Louis: Mosby; 2006;
  2. Ingle JI, Bakland LK, Baumgartner JC. Ingle's Endodontics. 6th ed.. Hamilton: B.C: Decker Inc; 2008;
  3. Radhakrishnan S, Munshi AK, Hegde AM. Pulse oximetry: a diagnostic instrument in pulpal vitality testing. J Clin Pediatr Dent. 2002;26:141–145
  4. Kim S, Schuessler G, Chien S. Measurement of blood flow in the dental pulp of dogs with the 133xenon washout method. Arch Oral Biol. 1983;28:501–505
  5. Tönder KH, Aukland K. Blood flow in the dental pulp in dogs measured by local H2 gas desaturation technique. Arch Oral Biol. 1975;20:73–79
  6. Emshoff R, Kranewitter R, Norer B. Effect of Le Fort I osteotomy on maxillary tooth-type-related pulpal blood-flow characteristics. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;89:88–90
  7. Emshoff R, Kranewitter R, Gerhard S, et al. Effect of segmental Le Fort I osteotomy on maxillary tooth type-related pulpal blood-flow characteristics. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;89:749–752
  8. Roeykens H, Van Maele G, Martens L, et al. A two-probe laser Doppler flowmetry assessment as an exclusive diagnostic device in a long-term follow-up of traumatised teeth: a case report. Dent Traumatol. 2002;18:86–91
  9. Emshoff R, Emshoff I, Moschen I, et al. Diagnostic characteristics of pulpal blood flow levels associated with adverse outcomes of luxated permanent maxillary incisors. Dent Traumatol. 2004;20:270–275
  10. Emshoff R, Emshoff I, Moschen I, et al. Laser Doppler flowmetry of luxated permanent incisors: a receiver operator characteristic analysis. J Oral Rehabil. 2004;31:866–872
  11. Polat S, Er K, Akpinar KE, et al. The sources of laser Doppler blood-flow signals recorded from vital and root canal treated teeth. Arch Oral Biol. 2004;49:53–57
  12. Gopikrishna V, Kandaswamy D, Gupta T. Assessment of the efficacy of an indigenously developed pulse oximeter dental sensor holder for pulp vitality testing. Indian J Dent Res. 2006;17:111–113
  13. Gopikrishna V, Tinagupta K, Kandaswamy D. Comparison of electrical, thermal, and pulse oximetry methods for assessing pulp vitality in recently traumatized teeth. J Endod. 2007;33:531–535
  14. Gopikrishna V, Tinagupta K, Kandaswamy D. Evaluation of efficacy of a new custom-made pulse oximeter dental probe in comparison with the electrical and thermal tests for assessing pulp vitality. J Endod. 2007;33:411–414
  15. Nissan R, Trope M, Zhang CD, et al. Dual wavelength spectrophotometry as a diagnostic test of the pulp chamber contents. Oral Surg Oral Med Oral Pathol. 1992;74:508–514
  16. Miwa Z, Ikawa M, Iijima H, et al. Pulpal blood flow in vital and nonvital young permanent teeth measured by transmitted-light photoplethysmography: a pilot study. Pediatr Dent. 2002;24:594–598
  17. Kells BE, Kennedy JG, Biagioni PA, et al. Computerized infrared thermographic imaging and pulpal blood flow: part 1. A protocol for thermal imaging of human teeth. Int Endod J. 2000;33:442–447
  18. Kells BE, Kennedy JG, Biagioni PA, et al. Computerized infrared thermographic imaging and pulpal blood flow: part 2. Rewarming of healthy human teeth following a controlled cold stimulus. Int Endod J. 2000;33:448–462
  19. Smith E, Dickson M, Evans AL, et al. An evaluation of the use of tooth temperature to assess human pulp vitality. Int Endod J. 2004;37:374–380
  20. Jafarzadeh H, Udoye CI, Kinoshita JI. The application of tooth temperature measurement in endodontic diagnosis: a review. J Endod. 2008;34:1435–1440
  21. Schmitt JM, Webber RL, Walker EC. Optical determination of dental pulp vitality. IEEE Trans Biomed Eng. 1991;38:346–352
  22. Schnettler JM, Wallace JA. Pulse oximetry as a diagnostic tool of pulpal vitality. J Endod. 1991;17:488–490
  23. Diaz-Arnold AM, Wilcox LR, Arnold MA. Optical detection of pulpal blood. J Endod. 1994;20:164–168
  24. Severinghaus JW, Honda Y. History of blood gas analysis. VII. Pulse oximetry. J Clin Monit. 1987;3:135–138
  25. Carlson KA, Jahr JS. A historical overview and update on pulse oximetry. Anesthesiol Rev. 1993;20:173–181
  26. Sassaroli A, Fantini S. Comment on the modified Beer-Lambert law for scattering media. Phys Med Biol. 2004;49:255–257
  27. Terenji A, Willmann S, Osterholz J, et al. Measurement of the coagulation dynamics of bovine liver using the modified microscopic Beer-Lambert law. Lasers Surg Med. 2005;36:365–370
  28. Kocsis L, Herman P, Eke A. The modified Beer-Lambert law revisited. Phys Med Biol. 2006;51:91–98
  29. McMorrow RC, Mythen MG. Pulse oximetry. Curr Opin Crit Care. 2006;12:269–271
  30. Rajkumar A, Karmarkar A, Knott J. Pulse oximetry: an overview. J Perioper Pract. 2006;16:502–504
  31. Goho C. Pulse oximetry evaluation of vitality in primary and immature permanent teeth. Pediatr Dent. 1999;21:125–127
  32. Kahan RS, Gulabivala K, Snook M, et al. Evaluation of a pulse oximeter and customized probe for pulp vitality testing. J Endod. 1996;22:105–109
  33. Calil E, Caldeira CL, Gavini G, Lemos EM. Determination of pulp vitality in vivo with pulse oximetry. Int Endod J. 2008;41:741–746
  34. Schnapp LM, Cohen NH. Pulse oximetry. Uses and abuses. Chest. 1990;98:1244–1250
  35. Benaron DA, Benitz WE, Ariagno RL, et al. Noninvasive methods for estimating in vivo oxygenation. Clin Pediatr. 1992;31:258–273
  36. American Medical Association . The use of pulse oximetry during conscious sedation. Council on Scientific Affairs, American Medical Association. J Am Dent Assoc. 1993;270:1463–1468
  37. Shoher I, Mahler Y, Samueloff S. Dental pulp photoplethysmography in human beings. Oral Surg Oral Med Oral Pathol. 1973;36:915–921
  38. Gandy SR. The use of pulse oximetry in dentistry. J Am Dent Assoc. 1995;126:1274–1276
  39. Bhaskar SN. Orban's Oral Histology and Embryology. 11th ed.. St. Louis: Mosby; 1991;
  40. Bowes WA, Corke BC, Hulka J. Pulse oximetry: a review of the theory, accuracy, and clinical applications. Obstet Gynecol. 1989;74:541–546
  41. Mardirossian G, Schneider RE. Limitations of pulse oximetry. Anesth Prog. 1992;39:194–196
  42. Mendelson Y. Pulse oximetry: theory and applications for noninvasive monitoring. Clin Chem. 1992;38:1601–1607
  43. Mills RW. Pulse oximetry—a method of vitality testing for teeth?. Br Dent J. 1992;172:334–335
  44. Oikarinen K, Kopola H, Mäkiniemi M, et al. Detection of pulse in oral mucosa and dental pulp by means of optical reflection method. Endod Dent Traumatol. 1996;12:54–59
  45. Arrigoni J, Lambrecht JT, Filippi A. Cardiovascular monitoring and its consequences in oral surgery. Schweiz Monatsschr Zahnmed. 2005;115:208–213
  46. Fukayama H, Yagiela JA. Monitoring of vital signs during dental care. Int Dent J. 2006;56:102–108
  47. Kitagawara K, Kobayashi T, Goto H, et al. Effects of mandibular setback surgery on oropharyngeal airway and arterial oxygen saturation. Int J Oral Maxillofac Surg. 2008;37:328–333
  48. Wallace JA, Schnettler J. Pulse oximetry as a definitive diagnostic tool. J Endod. 1993;19:186;(abstr)
  49. Mueller WA, Drummond JN, Pribisco TA, et al. Pulse oximetry monitoring of sedated pediatric dental patients. Anesth Prog. 1985;32:237–240
  50. Blackwell GR. The technology of pulse oximetry. Biomed Instrum Technol. 1989;23:188–193
  51. Hovagim AR, Vitkun SA, Manecke GR, et al. Arterial oxygen desaturation in adult dental patients receiving conscious sedation. J Oral Maxillofac Surg. 1989;47:936–939
  52. Poswillo DE. General anaesthesia, sedation and resuscitation in dentistry. Report of an expert working party. London: Department of Health; March 1990;
  53. Bennett JA, Kinnear WJ. Sleep on the cheap: the role of overnight oximetry in the diagnosis of sleep apnoea hypopnoea syndrome. Thorax. 1999;54:958–959
  54. Giuliano KK, Higgins TL. New-generation pulse oximetry in the care of critically ill patients. Am J Crit Care. 2005;14:26–37
  55. Netzer N, Eliasson AH, Netzer C, et al. Overnight pulse oximetry for sleep-disordered breathing in adults: a review. Chest. 2001;120:625–633
  56. Petterson MT, Begnoche VL, Graybeal JM. The effect of motion on pulse oximetry and its clinical significance. Anesth Analg. 2007;105:78–84
  57. Amar D, Neidzwski J, Wald A, et al. Fluorescent light interferes with pulse oximetry. J Clin Monit. 1989;5:135–136
  58. Elliott M, Tate R, Page K. Do clinicians know how to use pulse oximetry? A literature review and clinical implications. Aust Crit Care. 2006;19:139–144
  59. Noblett WC, Wilcox LR, Scamman F, et al. Detection of pulpal circulation in vitro by pulse oximetry. J Endod. 1996;22:1–5
  60. Anderson JA, Lambert DM, Kafer ER, et al. Pulse oximetry: evaluation of accuracy during outpatient general anesthesia for oral surgery. Anesth Prog. 1988;35:53–60
  61. Fanconi S. Pulse oximetry for hypoxemia: a warning to users and manufacturers. Intensive Care Med. 1989;15:540–542
  62. Lopert H. Pulse oximeter in the dental surgery. Anesth Prog. 1989;36:146–147
  63. McGough EK, Boysen PG. Benefits and limitations of pulse oximetry in the I.C.U. J Crit III. 1989;4:23–31
  64. Kamat V. Pulse oximetry. Indian J Anaesth. 2002;46:261–268
  65. Beer G, Negari H, Samueloff S. Feline dental pulp photoplethysmography during stimulation of vasomotor nerve supply. Arch Oral Biol. 1974;19:81–86
  66. Ikawa M, Horiuchi H, Ikawa K. Optical characteristics of human extracted teeth and the possible application of photoplethysmography to the human pulp. Arch Oral Biol. 1994;39:821–827
  67. Torabinejad M, Walton RE. Endodontics: Principles and practice. 4th ed.. UK: Elsevier; 2008;

PII: S0099-2399(08)01168-0

doi: 10.1016/j.joen.2008.12.006

Journal of Endodontics
Volume 35, Issue 3 , Pages 329-333 , March 2009

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