vitale/sensible Reaktion

English translation: vital reaction/sensitivity to stimuli

13:32 Jan 17, 2001
German to English translations [PRO]
Medical
German term or phrase: vitale/sensible Reaktion
What follows are two of the intra-oral findings of a patient who fractured his lower jaw a few years previously.
'eingeschränkte vitale Reaktion der Zähne 12, 13, 37'
'fehlende sensible Reaktion der Zähne 34, 33, 32, 42'
Can I use vital reaction in English or is it not as simple as that? Does the second phrase mean that the teeth have no sensitivity? What is the difference between vitale and sensible? I'd be grateful for any help.
Julie Neill
Spain
Local time: 10:05
English translation:vital reaction/sensitivity to stimuli
Explanation:
Can't compete with the essays of my predecessors, but know that in the field of medicine you talk about 'vital reaction' when body parts react to certain stimuli (pain, cold etc) and about 'no sensitivity' in the absence of such a reaction. This, of course, refers to the 'vitality' or 'sensitivity' of the nerves involved.
Latin: vita = life
sentire = to feel

GL
Selected response from:

ruebaer
Local time: 09:05
Grading comment
4 KudoZ points were awarded for this answer



Summary of answers provided
navital reaction/sensitivity to stimuli
ruebaer
nareaction to vitality testing/ sensitivity to stimuli
Tom Funke
navital reaction / sensitive reaction
Ulrike Lieder (X)


  

Answers


33 mins
vital reaction / sensitive reaction


Explanation:
See also the following which might shed some light on your questions:

Inflammatory processes of the tissues about the teeth are a direct expression, and therefore a measure of the vital capacity for reaction of that individual to an irritant, during those stages of these lesions, characterised by an abnormally high vital reaction.
www.zip.com.au/~rgammal/WestonPriceSumaries.htm

Vital Reaction - A reaction in a living tissue such as inflammation or hemorrhage. It is often used to determine whether a wound was antemortem or postmortem.
www.hcis.net/users/usart3

This indicated that the probability of a non-sensitive reaction representing a necrotic pulp was 89% with the cold test, 48% with the heat test and 88% with the electrical test. It also indicated that the probability of a sensitive reaction representing a vital pulp was 90% with the cold test, 83% with the heat test and 84% with the electrical test.4
www.worldmedicus.com/servlet/Controller/$700a00220ecf0000.sj_viewa/

HTH

Ulrike Lieder (X)
Local time: 01:05
Native speaker of: German
PRO pts in pair: 3525
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1 hr
reaction to vitality testing/ sensitivity to stimuli


Explanation:
reaction to vitality testing/ sensitivity to stimuli

‘reduced/limited reaction to [pulp] vitality testing ...’
‘no/absent sensitivity of the teeth [to stimuli] ...’

vitality is the physiologic condition (of the tooth, specifically of its pulp being alive and, hopefully well or curable). Sensitivity is the sign/symptom associated with vitality. A necrotic tooth feels no pain (but an abscess near its root apex/apices may hurt like the dickens.

Vitality can be tested in a number of ways 9not counting x-rays):

>>Systematic Endodontic Diagnosis (Excerpt:)
4. Clinical Tests-Most tests have inherent limitations. They require care on application and interpretation. The objective is to discover which tooth is different from the patient's other teeth. Always test healthy control teeth first..
a. Periradicular Tests
Percussion-a painful response is an indicator of periradicular inflammation.
Palpation-same as above
b. Pulp Vitality Tests-These determine response to stimuli and may identify the offending tooth with an abnormal response. Always include stimuli similar to those that provoke the patient's chief complaint.
Cold Test
Intense, prolonged pain indicates an irreversible pulpitis.
Necrotic pulps do not respond.
A false-negative response may occur with constricted canals.
2. Heat Test-same as for cold test

Electric Pulp Testing
Contrary to popular opinion and persistent notion, different response levels in electric pulp testing do not indicated different stages of pulp degeneration. Electric pulp testers do not measure the degree of health or disease of a pulp. A "yes or no" response is merely a rough indicator of the presence or absence of vital nerve tissue in the root canal system.
3. Electric Pulp Testing
Before testing, clean dry, and isolate the teeth, then place a small amount of toothpaste or other conductor on the electrode. Be sure to follow your manufacturer's instructions for establishing an electrical circuit and to ensure accurate measurement with your instrument.
Sensation may be described as tingling, stinging, or a feeling of heat, "fullness," or pressure.
4. Test cavity-may be helpful, especially for a tooth with a porcelain-fused-to-metal crown (PFM). Sudden, sharp sensation when the bur cuts dentin indicates that the pulp contains vital tissue.
c. Peridontal Examination-periodontal probing cannot be overemphasized, since pulpal and periodontal pathosis sometimes mimic each other and must be differentiated.
http://www.rootcanaldoc.com/endodont.htm
background also at:
http://www.dent.ucla.edu/1999/spring98/week3/ae3.html
http://www.nwol.net/virtdomains/jgoates/rootcanal.htm



    see above
Tom Funke
Local time: 04:05
Native speaker of: English
PRO pts in pair: 2419
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2 hrs
vital reaction/sensitivity to stimuli


Explanation:
Can't compete with the essays of my predecessors, but know that in the field of medicine you talk about 'vital reaction' when body parts react to certain stimuli (pain, cold etc) and about 'no sensitivity' in the absence of such a reaction. This, of course, refers to the 'vitality' or 'sensitivity' of the nerves involved.
Latin: vita = life
sentire = to feel

GL


    xx
ruebaer
Local time: 09:05
PRO pts in pair: 16
Login to enter a peer comment (or grade)



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