Evaluation of postoperative sensitivity in restorations with self-adhesive resin: a randomized split-mouth design controlled study

Oliveira, Natália Gomes de; Lima, Alessandra Souza Leão Costa; Silveira, Marina Torreão da; Araújo, Pollyana Rodrigues de Souza; Monteiro, Gabriela Queiroz de Melo; Carvalho, Marianne de Vasconcelos

doi:10.1007/s00784-019-03046-0

Cited by 10 publications

(6 citation statements)

References 19 publications

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“…We observed that the materials used, depth and extension of the Class I cavities promoted similar response regarding postoperative sensitivity. This was observed in other study [27]. In addition, a systematic review and metaanalysis performed to evaluated the risk and intensity of postoperative sensitivity in posterior resin composites restorations bonded with selfetch and etch-and-rinse adhesives showed that the type of adhesive strategy for posterior resin composites restorations does not influence the risk and intensity of postoperative sensitivity [8].…”

Section: Discussionmentioning

confidence: 57%

Clinical Evaluation of Postoperative Sensitivity in Class I Resin Composite Restorations

Cardoso

Veras

Pedrosa

et al. 2020

BDS

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Objective: To evaluate the postoperative sensitivity in posterior restorations with different resin composites and adhesive systems as well as the influence of the depth and extent of the dental cavity. Material and Methods: A double-blind clinical trial was carried out with 80 class I restorations of 16 patients. The participants were divided into 4 groups according to the adhesive system + composite: F + P (Filtek P90™ + P90™); R + S (Rok™ + Stae™); P + A (P60™ + Adper SE PLUS™); E + X (Evolux™ + XPBond™ Adhesive). After 7, 15 and 30 days, the presence of postoperative sensitivity was evaluated and classified according to type and intensity. The data were submitted to Pearson's chi-square test, Fisher's exact teste, Student’s t-test and ANOVA. A significance level of 5% was used for all tests. Results: The presence of postoperative sensitivity was approximately 6% of the total sample. The sensitivity decreased with the evaluation time, with the smallest reduction occurring from the 7-day evaluation compared to the other evaluations. Conclusion: There was found no evidence of influence of the resin composite and adhesive type, depth and extension of the cavities for the presence of postoperative sensitivity. Keywords Dentistry; Dentin sensitivity; Adhesives; Composite resins.

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Section: Discussionmentioning

confidence: 57%

Clinical Evaluation of Postoperative Sensitivity in Class I Resin Composite Restorations

Cardoso

Veras

Pedrosa

et al. 2020

BDS

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“…Postoperative hypersensitivities of 4 to 14% were reported in the rst week after composite placement, decreasing over the weeks and with an occurrence being higher in deeper cavities and Class II restorations 24 . Postoperative hypersensitivity of a self-adhesive owable composite was comparable with that of a hybrid composite in conjunction with a self-etching adhesive, decreasing two weeks after class I restoration placement 25 . In another clinical study, postoperative hypersensitivities of (self-adhesive) bulk-ll restoratives decreased over one month from 4.2-0% for Activa Bioactive, from 12.5-4.2% for Equia Forte, and from 29.2-10.4%…”

Section: Resultsmentioning

confidence: 79%

One-year Clinical Results of Restorations Using a Novel Self-adhesive Composite Hybrid

Rathke

Pfefferkorn

McGuire

et al. 2021

Preprint

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This prospective study assessed the dual-curing self-adhesive composite hybrid Surefil one. The restorations were placed and reviewed by dental practitioners who are members of a practice-based research network in the United States. Seven practitioners filled 60 cavities (20 class I, 19 class II and 21 class V) in 41 patients with Surefil one without adhesive, according to the manufacturer’s instructions. The restorations were evaluated using modified rating criteria at baseline and after 3 months and 1 year. Patients were also contacted to report postoperative hypersensitivity 1 to 4 weeks after placement. Recall rates were 98% after 3 months and 82% after 1 year. The only patient that showed moderate hypersensitvity after 1 year had previously reported symptoms that were unlikely associated to the class I molar restoration. One class II restoration in a broken maxillary molar was partially lost. The remaining 48 restorations were found to be in clinically acceptable condition resulting in an annual failure rate of 2%. The lowest number of acceptable scores (88%) was for color match. Self-adhesive composite hybrid restorations showed promising results in stress-bearing class I and II as well as non-retentive class V cavities at 1-year recall.

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“…This layer was evidently thicker in these groups, proving that without a priming step, the self-adhesive composite cannot penetrate effectively and reach the demineralization depth. This may mean that the viscous material is collapsing and plasticizing the collagen further and forming an agglomeration of particles on top of the etch dentin, which makes it in turn even harder to infiltrate and envelop fibrils, justifying the low bond strength results [ 25 , 46 , 63 ]. In the OBFL group, a red stain is also visible.…”

Section: Discussionmentioning

confidence: 99%

Comparative Assessment of Different Pre-Treatment Bonding Strategies to Improve the Adhesion of Self-Adhesive Composites to Dentin

et al. 2022

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The aim of this study is to compare the adhesive interface formed in dentin, using self-adhesive composites applied with different bonding strategies, by testing the microtensile bond strength (μTBS) and ultramorphology through the use of light microscopy. Permanent, sound human molars were randomly allocated to six experimental groups. The groups included a negative control group, where only etching was performed via EtchOnly; a positive control group where an adhesive was applied, OptiBondFL (OBFL); and an experimental group where a primer was applied using a co-curing strategy together with a composite (Primer_CoCuring). The samples were sectioned into microspecimens for μTBS (n = 8) and into 1-mm thick slabs for light microscopy using Masson’s trichrome staining protocol (n = 3). The statistical analysis included a two-way ANOVA for μTBS data and Tukey’s HSD was used as a post-hoc test (significance level of 5%; SPSS v. 26.0). The results of the μTBS revealed that the self-adhesive composite (F = 6.0, p < 0.018) and the bonding strategy (F = 444.1, p < 0.001) significantly affected the bond strength to dentin. However, their interactions were not significant (F = 1.2, p = 0.29). Etching dentin with no additional treatment revealed the lowest μTBS (VF_EtchOnly = 2.4 ± 0.8 MPa; CC_EtchOnly = 2.0 ± 0.4 MPa), which was significantly different from using a primer (VF_CoCu = 8.8 ± 0.8 MPa; CC_CoCu = 6.3 ± 1.0 MPa) or using the full adhesive (VF_OptiBondFL = 22.4 ± 0.3 MPa; CC_OptibondFL = 21.2 ± 0.4 MPa). Microscopy images revealed that the experimental Primer_CoCuring was the only group with no collagen fibers exposed to the dentin–composite interface. Overall, the use of a primer, within the limitations of this study, increased the bonding of the self-adhesive composite and provided sufficient infiltration of the collagen based on light-microscopic imaging.

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Evaluation of postoperative sensitivity in restorations with self-adhesive resin: a randomized split-mouth design controlled study

Cited by 10 publications

References 19 publications

Clinical Evaluation of Postoperative Sensitivity in Class I Resin Composite Restorations

Clinical Evaluation of Postoperative Sensitivity in Class I Resin Composite Restorations

One-year Clinical Results of Restorations Using a Novel Self-adhesive Composite Hybrid

Comparative Assessment of Different Pre-Treatment Bonding Strategies to Improve the Adhesion of Self-Adhesive Composites to Dentin

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