The Phenomenon of Postoperative Sensitivity and Composite Restorations – A Review

Bhatti, Usman Anwer; Medical, Islamabad

doi:10.25301/jpda.281.33

Cited by 12 publications

(9 citation statements)

References 44 publications

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“…Table (1): the results of the tested groups In all the tested groups 1 day gave a significant difference than one week (P= 0.011*), when comparing the control group to the gluma group, t-test gave a significant difference (0.0003*) after one day, postoperatively, and when comparing the control group to the SAD group there was also significant difference (0.01*) by using t-test (P ≤ 0.05), but when comparing all the tested groups after one week and one month by using One-Way ANOVA test, there was no significant difference (P-value= 0.36).…”

Section: Resultsmentioning

confidence: 99%

“…The dentistry field has noticeable advances in the last few decades as well as advances in restorative dentistry, especially in bonding systems and restorative materials (1) . The recent bonding systems can achieve bonding to enamel and dentin effectively, but post-operative hypersensitivity remains a major concern for dentists after the placement of composite restorations.…”

Section: Introductionmentioning

confidence: 99%

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Effect of two desensitizing agents on post-operative hypersensitivity of composite resin restorations

El-Ghany

Elsayed

Goda

et al. 2021

ijhs

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Post-operative hypersensitivity still occurs although the improvements in adhesive systems and their techniques, so the current study was conducted to evaluate the efficacy of two desensitizing systems. Materials and methods: A total No. of 48 patients were randomly divided into 3 groups (n=16); Gluma group, SAD group, and control group. Class I cavity preparation and self-etch bonding technique was used by Universal bonding system in the control group, before that desensitizing agent was applied in the two desensitizing tested groups, light cured and composite placement incrementally (Tetric N-ceram) and light cured, finishing, and polishing of composite restorations, then VAS system was used to record post-operative hypersensitivity by patients, and after 1 day,1 week and 1 month the data collected and statistically analyzed. Results: Total number of patients who suffered from post-operative hypersensitivity was 15 patients (31.25 %) after one day of treatment, the total number decreased to 9 patients (18.75 %) after one week postoperatively, and after one month the total number decreased again to 4 patients (8.33 %). In all the tested groups 1 day gave a significant difference than one week ( P= 0.011*),,,

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of two desensitizing agents on post-operative hypersensitivity of composite resin restorations

El-Ghany

Elsayed

Goda

et al. 2021

ijhs

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“…11 Applying etchant in deep cavity as a component of the etch and rinse approach removed the smear layer and increased the permeability of dentin make the tooth vulnerable to postoperative sensitivity if dentinal tubules were not occluded by hybridization. 12 Amin et al conducted a similar study over a period of one week and concluded post-operative sensitivity with both self-etch adhesive and total etch adhesive remains till one week. 1 Manchorova-Veleva et al concluded in six months follow up study that there was no significant difference in the frequencies of postoperative sensitivity between self-etch and total etches adhesive.…”

Section: Discussionmentioning

confidence: 99%

Total Etch versus Self Etch Adhesive; Effect on Post-Operative Sensitivity

Iftikhar,

Hussain,

Zahra

et al. 2023

PAFMJ

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Objective: To compare post-operative sensitivity after placement of composite restoration in Class I cavity using total etch adhesive and self-etch adhesive. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Operative Dentistry, Armed Forces Institute of Dentistry (AFID), Rawalpindi Pakistan, from Jul to Dec 2019. Methodology: Total 80 patients were chosen with Class-I cavities present on premolars and molars of both maxillary and mandibular arch. They were divided into two groups. 40 patients each in Group-A (Self etch adhesive) and in Group-B (Total etch adhesive). Composite restorations were sited in both groups and evaluated for post-operative sensitivit y after 24 hours and after one week. Data was recorded by using Visual Analog Score in response to air stimulus. Results: The mean VAS scores for the Self Etch Group, group was lower than the Total Etch group at the 1-day (0.525 and 0.850 respectively), and 1-week (0.050 and 0.10 respectively) evaluation periods with a statistically significant difference after 24 hours only. Conclusion: Significantly less post-operative sensitivity observed with Self Etch adhesive as compared to total etch following 24 hours of restoration placement. Sensitivity faded over the period of one week.

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“…Based on this consideration, we chose in this study to evaluate the dentinal marginal sealing given the reduced sealing quality compared to that of enamel. However, Bhatti et al [37,38] concluded that none of the adhesive strategies are able to eliminate microleakage gaps at the cervical margins. Tjaderhane et al [19] reported that regardless of the used adhesive strategy, the portions of collagen that do not bond to the resin become prone to degradation and the quality of the adhesive bond depends on the available substrate.…”

Section: Discussionmentioning

confidence: 99%

The Evaluation of the Cervical Marginal Sealing of Direct vs. Indirect Composite Resin Restorations in MOD Cavities

Tiron,

Forna,

Tărăboanță

et al. 2024

Dentistry Journal

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Introduction: The aim of this in vitro study was to compare the quality of marginal sealing at the cervical margins of indirect and direct composite resin restorations in mesio-occluso-distal (MOD) cavities. Material and method: MOD preparations were performed on 30 extracted teeth. The mesial cervical margin of each tooth was relocated using a flow composite resin (Enamel Plus HRi Flow, Micerium, Avegno, GE, Italy), then the samples were divided into three groups. In group A, the cavities were directly restored using a nanohybrid composite resin (Miris 2 Coltène Whaledent, Altstaetten, Switzerland) and a universal adhesive (ScotchBond Universal, 3M ESPE, St. Paul, MN, USA) by the etch-and-rinse strategy, for group B, the restoration procedure was similar but the self-etch strategy was used, and the samples in group C were filled using the inlay technique. Each sample was stored for 48 h in a 2% methylene blue solution, then it was cut in a mesio-distal direction using a Struers Secotom 50 device (Cleveland, OH, USA). The marginal sealing and adhesive interface were assessed for each sample at the cervical margin by optical microscopy (OM) and scanning electron microscopy (SEM). One-way ANOVA and Bonferroni post-hoc tests were used with a significance level of 0.05. Results: Significant differences were recorded within groups A and C, between mesial and distal margins (p = 0.02 in group A and p = 0.043 in group C). Conclusions: The marginal sealing is more effective in MOD inlay restoration compared to direct restorations. Relocation of the cervical margin with flow composite resin and the use of different adhesive strategies do not improve the marginal sealing.

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The Phenomenon of Postoperative Sensitivity and Composite Restorations – A Review

Cited by 12 publications

References 44 publications

Effect of two desensitizing agents on post-operative hypersensitivity of composite resin restorations

Effect of two desensitizing agents on post-operative hypersensitivity of composite resin restorations

Total Etch versus Self Etch Adhesive; Effect on Post-Operative Sensitivity

The Evaluation of the Cervical Marginal Sealing of Direct vs. Indirect Composite Resin Restorations in MOD Cavities

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