Clinical Evaluation of Postoperative Sensitivity in Class I Resin Composite Restorations
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.
Dentistry; Dentin sensitivity; Adhesives; Composite resins.
Anusavice KJ, Shen C, Rawls HR. Phillips' science of dental materials: Elsevier Health Sciences; 2012.
Dietschi D. Free-hand composite resin restorations: a key to anterior aesthetics. Practical periodontics and aesthetic dentistry: PPAD. 1995;7(7):15-25; quiz 7.
Jang J, Park S, Hwang I. Polymerization shrinkage and depth of cure of bulk-fill resin composites and highly filled flowable resin. Operative dentistry. 2015;40(2):172-80.
Buonocore MG. A simple method of increasing the adhesion of acrylic filling materials to enamel surfaces. Journal of dental research. 1955;34(6):849-53.
Nakabayashi N, Kojima K, Masuhara E. The promotion of adhesion by the infiltration of monomers into tooth substrates. Journal of biomedical materials research. 1982;16(3):265-73.
Perdigao J, Geraldeli S, Hodges JS. Total-etch versus self-etch adhesive: effect on postoperative sensitivity. The Journal of the American Dental Association. 2003;134(12):1621-9.
Miyazaki M, Onose H, Iida N, Kazama H. Determination of residual double bonds in resin–dentin interface by Raman spectroscopy. Dental Materials. 2003;19(3):245-51.
Berkowitz GS, Horowitz AJ, Curro FA, Craig RG, Ship JA, Vena DA, et al. Postoperative hypersensitivity in class I resin-based composite restorations in general practice: interim results. Compendium of continuing education in dentistry (Jamesburg, NJ: 1995). 2009;30(6):356.
Murray P, Windsor L, Hafez A, Stevenson R, Cox C. Comparison of pulp responses to resin composites. OPERATIVE DENTISTRY-UNIVERSITY OF WASHINGTON-. 2003;28(3):242-50.
de Veras BML, dos Santos Menezes GP, Barros HLM, Rocha MCM, de Carvalho Monteiro A, da Silva Pedrosa M, et al. Clinical performance of class I occlusal composite resin restorations: a multicenter double-blinded randomized clinical trial. Brazilian Dental Science. 2018;21(3):288-95.
dos Santos Calderon P, Fernandes Peixoto R, Maron Gomes V, da Mota Corrêa AS, de Alencar EN, Nunes Rossetti LM, et al. Concordance among different pain scales in patients with dental pain. Journal of orofacial pain. 2012;26(2):126.
Unemori M, Matsuya Y, Akashi A, Goto Y, Akamine A. Self-etching adhesives and postoperative sensitivity. American Journal of Dentistry. 2004;17(3):191-5.
Casselli DSM, Martins LRM. Postoperative sensitivity in Class I composite resin restorations in vivo. Journal of Adhesive Dentistry. 2006.
Arhun N, Celik C, Yamanel K. Clinical evaluation of resin-based composites in posterior restorations: two-year results. Operative dentistry. 2010;35(4):397-404.
Swift EJ, Perdigao J, Heymann HO. Bonding to enamel and dentin: a brief history and state of the art, 1995. QUINTESSENCE INTERNATIONAL-ENGLISH EDITION-. 1995;26:95-.
Garberoglio R, Brännström M. Scanning electron microscopic investigation of human dentinal tubules. Archives of oral biology. 1976;21(6):355-62.
Pashley DH, Ciucchi B, Sano H, Horner JA. Permeability of dentin to adhesive agents. Quintessence International. 1993;24(9).
Auschill T, Koch C, Wolkewitz M, Hellwig E, Arweiler N. Occurrence and causing stimuli of postoperative sensitivity in composite restorations. Operative dentistry. 2009;34(1):3-10.
Wegehaupt F, Betke H, Solloch N, Musch U, Wiegand A, Attin T. Influence of cavity lining and remaining dentin thickness on the occurrence of postoperative hypersensitivity of composite restorations. Journal of Adhesive Dentistry. 2009;11(2).
Eames W, Reder B, Smith G. Cutting efficiency of diamond stones: effect of technique variables. Operative dentistry. 1977;2(4):156-64.
van Dijken JW, Pallesen U. A randomized controlled three year evaluation of “bulk-filled” posterior resin restorations based on stress decreasing resin technology. Dental Materials. 2014;30(9):e245-e51.
Weinmann W, Thalacker C, Guggenberger R. Siloranes in dental composites. Dental Materials. 2005;21(1):68-74.
Ferracane JL. Developing a more complete understanding of stresses produced in dental composites during polymerization. Dental Materials. 2005;21(1):36-42.
Popoff DAV, ROSA TTdAS, Oliveira WdF, Marques IP, Magalhães CSd, Moreira AN. Silorane-based composite as repair material: a six-month randomized clinical trial. RGO Revista Gaúcha de Odontologia (Online). 2013;61(4):557-63.
Klautau EB, Carneiro KK, Lobato MF, Machado SMM. Low shrinkage composite resins: influence on sealing ability in unfavorable C-factor cavities. Brazilian oral research. 2011;25(1):05-12.
Al-Boni R, Raja OM. Microleakage evaluation of silorane based composite versus methacrylate based composite. Journal of conservative dentistry: JCD. 2010;13(3):152.
Eick JD. Polymerization shrinkage of posterior composite resins and its possible influence on postoperative sensitivity. Quintessence Int. 1986;17:103-11.
Carvalho RM, Tjäderhane L, Manso AP, Carrilho MR, Carvalho CAR. Dentin as a bonding substrate. Endodontic topics. 2009;21(1):62-88.
Tay FR, Sano H, Carvalho R, Pashley EL, Pashley DH. An ultrastructural study of the influence of acidity of self-etching primers and smear layer thickness on bonding to intact dentin. Journal of Adhesive Dentistry. 2000;2(2).
Pashley DH. Dentin permeability and dentin sensitivity. Proceedings of the Finnish Dental Society Suomen Hammaslaakariseuran toimituksia. 1992;88:31-7.
Pashley DH. Dentin permeability, dentin sensitivity, and treatment through tubule occlusion. Journal of endodontics. 1986;12(10):465-74.