Comparative Evaluation of Postoperative Sensitivity Following Restoration of Class I Lesions with Different Restorative Materials: An In Vivo Study (original) (raw)
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Post-operative sensitivity on direct resin composite restorations: clinical practice guidelines
Pain is one of the most frequent reasons for seeking dental treatment and clinical observations confirm that patients complain of dentinal sensitivity under different conditions and degrees of intensity. This is a very frequent problem after dental restorations with resin composite, even when there is no visible failure in the restoration. The aim of this bibliographic review was to identify the causes of post-operative sensitivity in resin composite restorations and how it can be avoided so that professionals can use this information to reduce the occurrence of this inconvenience in their daily practice. Complete texts of relevant articles on the subject were analysed. There are various causes of post-operative sensitivity in direct resin composite restorations related to failures in diagnosis and indications for treatment and/or cavity preparation, the stages of hybridization of hard dental tissues, insertion of the material, and finishing and polishing the restoration. To avoid o...
Post-operative sensitivity in direct resin composite restorations: Clinical practice guidelines
Pain is one of the most frequent reasons for seeking dental treatment and clinical observations confirm that patients complain of dentinal sensitivity under different conditions and degrees of intensity. This is a very frequent problem after dental restorations with resin composite, even when there is no visible failure in the restoration. The aim of this bibliographic review was to identify the causes of post-operative sensitivity in resin composite restorations and how it can be avoided so that professionals can use this information to reduce the occurrence of this inconvenience in their daily practice. Complete texts of relevant articles on the subject were analysed. There are various causes of post-operative sensitivity in direct resin composite restorations related to failures in diagnosis and indications for treatment and/or cavity preparation, the stages of hybridization of hard dental tissues, insertion of the material, and finishing and polishing the restoration. To avoid or minimize the occurrence of post-operative sensitivity, it is imperative to make a good diagnosis and use the correct technique at all stages of the restorative procedure.
Compendium of continuing education in dentistry (Jamesburg, N.J.: 1995)
Posterior permanent teeth with carious lesions radiographically extending no farther than halfway into dentin (n = 565) were restored using a resin-based composite by 38 dentists in a practice-based research network. Preoperative and 1-, 4-, and 13-week-posttreatment hypersensitivity was recorded using an 11-point visual analog scale filled out anonymously by subjects. Analyses were conducted to determine whether any correlation or association existed among several variables, including degree of carious activity, cavity extent, application of antimicrobial or desensitizing agents, application of liner, dentin bonding agent and resin-based composite employed, and composite placement method. Three results were fairly unexpected: only 36% of lesions were ranked as caries-active, 31% of teeth had appreciable preoperative hypersensitivity, and 16% of teeth with no preoperative hypersensitivity had appreciable hypersensitivity at 1 week posttreatment. Preoperative hypersensitivity was correlated with lesion visibility on radiographs but not with dentin caries activity (ranked on opening enamel), preparation depth, or preparation volume. Accrual to the study continues, and conclusions regarding other relationships awaits 13-week results.
Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)
Posterior permanent teeth with carious lesions radiographically extending no further than halfway into dentin (N = 565) were restored by 38 dentists in a practice-based research network, using a resin-based composite. Preoperative and 1-, 4-, and 13-week posttreatment hypersensitivity was recorded with an 11-point visual analog scale that was completed anonymously by participants. The analyses determined whether any correlation or association existed among several variables, including degree of carious activity; cavity extent; application of antimicrobial or desensitizing agents; application of liner, dentin-bonding agent and resin-based composite employed; and composite placement method. Three results were fairly unexpected: Only 36% of lesions were ranked as caries-active, 31% of teeth had appreciable preoperative hypersensitivity, and 16% of teeth with no preoperative hypersensitivity had appreciable hypersensitivity at 1 week posttreatment. Preoperative hypersensitivity was corr...
Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995), 2013
This study investigated postoperative hypersensitivity at 1, 4, and 13 weeks following resin-based composite (RBC) restorations of occlusal caries and its relationship with prepreparation (baseline) sensitivity and preparation-related variables, including dentin caries activity, cavity dimension and volume, and lesion radiographic visibility. Investigators in a practice-based research network enrolled patients with occlusal caries deemed to require operative treatment. The 45 dental practitioners then placed restorations using their preferred techniques. Complete baseline data on 665 restorations from 602 patients included patient-reported sensitivity (pre-preparation); dentists' ranking of dentin caries on opening the enamel; measurements of preparation depth, width, and length; and patient demographics. At 1, 4, and 13 weeks post-treatment, patients anonymously reported any sensitivity to hot and cold stimuli, sweets, clenching, and chewing, as well as quality-of-life indicato...
Egyptian Dental Journal, 2018
Objective: This prospective randomized clinical study had two objectives, the first was to evaluate the influence of the cavity depth (medium and deep) and the insertion technique (flowable bulk and incremental layering) on the occurrence of postoperative sensitivity (POS) in singlesurface (class I) posterior composite resin restorations; and the second was to evaluate the clinical performance of these restorations over two-year period using selected united states public health service (USPHS) Criteria. Methods: A total of 15-females and 17 males of an average age 25.6 ± 6.1 years were enrolled in this clinical study. Patient selection was based on predetermined clinical criteria. In each patient, one pair of active occlusal caries (class I) of almost the same depth were included, each of which was located in a different quadrant (split-mouth design). Patients were divided into two groups based on the cavity depth: G1 included 21-pairs of medium-class I and G2 included 11-pairs of deep-class I. Cavities were randomly allocated to one of the two composite resin insertion methods: incremental layering using a nanohybrid resin composite only as control (CeramX-Mono) and a flowable bulk-fill base (SDR) veneered with CeramX-Mono. Methods used in cavity preparation, bonding procedures, finishing, and polishing were standardized and rubber-dam was used for all the clinical procedures. Evaluation of postoperative sensitivity (POS) was carried out at baseline (immediately after restoration), one-day, one-week, and one-month after treatment using cold/air stimuli, and recorded using a visual analog scale. The clinical evaluation of the restorations was carried out at baseline, one year and two-years, using modified USPHS selected relevant criteria according to van Dijken (1986): anatomic form, marginal integrity, color match and secondary caries. Scores of POS were statistically analyzed using Chi-square test, Fisher's exact test and ordinal regression at the level of significance P ≤ 0.05. Scores of the clinical criteria were analyzed using cumulative frequency distribution of scores. Fisher's Exact test was used to compare between the two cavity depths. Wilcoxon signed-rank test was used to compare between the two techniques. Friedman's test was used to study the changes by time within each group.
2020
Aim: to evaluate the efficacy of immediate dentin sealing using universal adhesive in comparison to delayed dentin sealing in the reduction of the hypersensitivity in teeth prepared for indirect tooth composite restorations using Visual Analog Scale (VAS). Materials and methods: Fifty-four patients between 18 and 30 years of age were recruited and randomized to the treatment protocols. After baseline preoperative data collection, diagnosis of caries was done depending on the basis of clinical examination that was done tentatively and radiographic examination was done as well. After cavity preparation was done, for the cavities to be managed with immediate dentine sealing, the single bond universal adhesive was applied over all the dentinal surfaces according to the manufacturer's instructions. For the cavities to be managed with delayed dentine sealing, no adhesive was applied on the dentinal surfaces and the impression was taken directly after cavity preparation using two-step technique. Hyper-Sensitivity was evaluated both intra-operatively (at baseline one day after the cavity preparation: by applying air from the triple way syringe directly over the prepared cavity and one week during temporization) and post operatively using (VAS). After try in and cementation of the indirect composite restoration post-cementation evaluation was done. (VAS) results were tabulated and statistically analyzed. Results: Delayed dentin sealing group (4.75) had a significantly higher median value of (VAS) than immediate dentin sealing group (0.32) (P<0.001). There was a significant difference between the scores at different follow-up intervals (P<0.001). The highest median value of (VAS) was found at baseline (3.37) followed by that found one week during temporization (2.91) while the lowest median value was found one week after cementation (0.16). Pairwise comparisons showed median value found one week after cementation (0.16) to be significantly lower than those found at baseline (3.37) and one week during temporization (2.91) (P<0.001). Conclusions: Inter-operative and post-cementation hypersensitivity problem after indirect resin composite restorations could be solved by using the immediate dentin sealing protocol using a self-etch adhesive.
Cureus
Objective: The objective is to evaluate the efficacy of different desensitizing agents in the reduction of postoperative sensitivity after composite restoration. Materials and methods: Class I cavities were prepared in 39 patients by the same operator. The patients included in the study were between 20 and 45 years with vital pulp and a remaining dentin thickness of 1mm. Previously restored, nonvital and tooth with periodical changes were excluded. Patients were randomly assigned into three groups of 13 each-Group I (Control); Group II (Gluma desensitizer) and Group III (shield active desensitizer [SAD]). After the surface treatment, the teeth were restored with composite. The patients were assessed for postoperative sensitivity at 24 hours and one week with a visual analog scale (VAS). Statistical Analysis: Data were analyzed using SPSS v23 software. Data were analyzed using one-way ANOVA and post-hoc Tukey test. Results: Gluma and SAD on comparison with control group i.e. composite group showed statistical significance difference at day 1 (P-value 0.003), but on comparing the sensitivity after one week, there is no significant difference in sensitivity score between all three groups (P-value 0.073). There was no statistically significant difference between day 1 and one week when comparing Gluma desensitizer and SAD. Conclusion: The application of the desensitizer led to a statistically significant reduction in postoperative sensitivity on day 1 and a clinically significant reduction was observed at one week.
2014
This study was conducted to assess the post-operative sensitivity in different depths of Class I cavities in molars restored with posterior composite resin. It was an Experimental study and was conducted in Fatima Jinnah Dental Hospital, Karachi from May 2010 to October 2010. One hundred and thirty one patients had Class I cavities (depth of cavities between 3-4mm) were selected after clinical and radiographic examination. After rubber dam isolation, Class 1 cavity prepared on molars teeth. Incremental technique was used to restore cavity with posterior composite resin. After finishing the filling, patient was recalled at day 7 to assess post-operative sensitivity with cold and hot stimuli. Data were collected using data collection proforma, were computerized and analyzed by using SPSS (Statistical Package of Social Sciences) version 17. One hundred thirty one patients, 61 male and 70 female formed the study group. The mean age was 29.6 (±9.004) years. The mean score of post-operati...
Journal of Advances in Medicine and Medical Research
Aims: Over the period of time lot of advancement has been done in the field of dentistry. In spite of these newer materials and improvement in the properties of composite material post-operative sensitivity is still a major concern for a dentist after composite restoration placement. Dentine bonding agents; dentine adhesives are either a “total-etch technique” or “self-etch technique” which bond to the tooth structure. The purpose of this study was to evaluate the clinical efficacy of self -etch and total-etch with strict inclusion and exclusion criteria. Self-etching adhesives are used to prevent postoperative sensitivity when used before placing posterior resin-based composite restorations. The purpose of this study was to see whether self-etch adhesive would result in less postoperative sensitivity than a total-etch adhesive; Total Etch adhesive would result in a better enamel marginal integrity than Self Etch Adhesive. Study Design: Clinical Trial. Place and Duration of Study: D...