Digitest 3: a pulp vitality tester with a fast learning curve

Digitest 3 is an easy to use instrument that allows clinicians to check the vitality of a tooth in the diagnostic phase and control the tooth over time.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.1
What is it?
Digitest 3 is an electrical tester that uses electrical impedance.
To make it works, we should hook a ” hook ” to the lip (very close to apex detectors) and then touch the tooth with the Digitest 3 tip.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.2
Alternatively, the manufacturer suggest that the patient holds the “hook”. The electrical circuit should be closed.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.3
What’s in the box

  • 1 Digitest® 3 Pulp Tester;
  • 1 Ground Wire and 1 Clip;
  • 4 Autoclavable Probe Tips for all different clinical situations

Below some different clinical cases in which I used Digitest 3

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.4
Close to an old onlay.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.5
Stump under a crown.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.6
Thin, curved tip for distal access to a crown or fork.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.7
Straight thin tip for direct access to an exposed tooth collar.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.8
Curved tip for palatal access to an abutment.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.9
How it works:
Placing some gel toothpaste on the top of the instrument helps to conduct electricity in order to have a more precise measurement.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.10
It’s important to put the gel only on the tooth we are testing.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.11
TIP: The gel should not ” go ” on other nearby teeth, otherwise it will conduct the electrical impulse to them too! In this example, the test will not only measure the values ​​of the first premolar, as it should have done if the gel had remained only on that tooth.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.12
When we turn on Digitest 3 a progressive discharge of electricity starts.
We can decide to increase it or to stop it at any time.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.13
Start from 0

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.14
and than increase

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.15
more and more

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.16
until we reach a response from the patient.
Digitest 3 can be used to measure if the tooth is sensitive (and therefore alive) and also by what numerical value is sensitive.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.17
TIP: It’s important to notice, in addition to the patient’s conscious response, also and above all the unconscious response given by the eyebrows.
When the patient starts frowning, it means that he is starting to feel pain. This is the first signal.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.18

Digitest 3 can be used in 2 different cases:

  1. To detect if a tooth is alive:
    If the patient, even if we increase the electrical impulse till the end of the scale (maximum 66), perceives nothing, then most probably the tooth is no longer vital.
    TIP: It’s always useful to test also a nearby or contralateral tooth, to verify that the instrument is working well and to make the patient understand what he should have felt.
  2. To detect if a restored tooth is still viable over time:
    If we made a deep restoration or a pulp hooding we need to check over time if this restored tooth is still alive or is most probably no longer viable.
Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.19
Let’s see the step by step procedure.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.20
Put the gel both on the tooth and on the tip of the instrument.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.21
Touch the tooth where you put the gel before.
Using gel toothpaste helps as these are usually high density gels.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.22
In this case, instead, we start with the gel on the tip of Digitest 3.
TIP: If you want to check that the gel does not touch other teeth, I suggest you to use a colored gel, to work as a stain with teeth and gum.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.23
Once in contact, we can start the measurement.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.24
Different tip angle do not affect the measurement.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.25
Using the tip without gel we will have no conduction and the measurement will be less precise.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.26
Better to add some toothpaste…

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.27
The curved tip is perfect for difficult to reach areas…

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.28
Thanks to the different shapes of Digitest 3 tips, we can reach all areas useful for testing the tooth.

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.29
Vestibular areas

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.30
In the distal portions

Digitest 3 a pulp vitality tester with a fast learning curve style italiano styleitaliano

Fig.31
As well as in the palatal – lingual portions.

Conclusions

It is an incredibly easy to use instrument, useful for both diagnosis and monitoring!
Compared to other tests such as the traditional cold cotton one, Digitest 3 is less annoying for the patient, as we can modulate the discharge intensity.
Immediate understanding by both the clinician and the patient!

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