Download PDF
CC BY-NC-ND 4.0 · Eur J Dent 2014; 08(01): 015-022
DOI: 10.4103/1305-7456.126234
Original Article
Dental Investigation Society

Effect of different adhesive strategies on the post-operative sensitivity of class I composite restorations

Hande Sar Sancakli
1   Department of Operative Dentistry, Faculty of Dentistry, Istanbul University, Istanbul, Turkiye
,
Esra Yildiz
1   Department of Operative Dentistry, Faculty of Dentistry, Istanbul University, Istanbul, Turkiye
,
Isil Bayrak
2   Department of Operative Dentistry, Faculty of Dentistry, Bezmialem Vakif University, Istanbul, Turkiye
,
Sevda Ozel
3   Department of Biostatistics and Medical Informatics, Faculty of Medicine, Istanbul, Turkiye
› Author Affiliations
Further Information

Publication History

Publication Date:
24 September 2019 (online)

Also available at
  PDF Download Permissions and Reprints

ABSTRACT

Objective: To evaluate the post-operative sensitivity of occlusal restorations using different dentin adhesives performed by an undergraduate and a post-doctorate dentist. Materials and Methods: One hundred and eighty-eight molar occlusal restorations were placed in 39 patients (ages between 18 and 30) using 3 different kind of adhesive systems; Optibond FL (OBF), Clearfil Protect Bond (CPB), and iBond (IB) by a post-doctorate dentist or a fifth-year dental student according to the manufacturers’ instructions. Post-operative sensitivity to cold and air was evaluated using a Visual Analog Scale (VAS) after 24 hours, 30, 90, and 180 days. Data were analyzed using the Mann-Whitney U and Friedman tests (P < 0.05). Results: Post-operative sensitivity scores for OBF and CPB were higher for the dental student (P < 0.05), while IB scores did not differ statistical significantly according to the operator (P > 0.05). Conclusion: Operator skill and experience appears to play a role in determining the outcome of post-operative sensitivity of multi-step adhesive systems although the post-operative sensitivity was low. It is suggested that the less experienced clinicians (rather than experienced clinicians) should better use the self-etching dentin bonding systems with reduced application steps to minimize the potential risk of post-operative sensitivity of dental adhesives.

Key words:

Class I composite restorations - dentin bonding systems - operator skill - post-operative sensitivity
 

  • REFERENCES

  • 1 Gordan VV, Mjör IA. Short- and long-term clinical evaluation of post-operative sensitivity of a new resin-based restorative material and self-etching primer. Oper Dent 2002; 27: 543-8
    PubMedSearch in Google Scholar
  • 2 Briso AL, Mestrener SR, Delício G, Sundfeld RH, Bedran-Russo AK, de Alexandre RS. et al. Clinical assessment of postoperative sensitivity in posterior composite restorations. Oper Dent 2007; 32: 421-6
    CrossrefPubMedSearch in Google Scholar
  • 3 Brännström M. Communication between the oral cavity and the dental pulp associated with restorative treatment. Oper Dent 1984; 9: 57-68
    PubMedSearch in Google Scholar
  • 4 Opdam NJ, Roeters FJ, Feilzer AJ, Verdonschot EH. Marginal integrity and postoperative sensitivity in Class 2 resin composite restorations in vivo . J Dent 1998; 26: 555-62
    CrossrefPubMedSearch in Google Scholar
  • 5 Swift Jr EJ. Dentin/enamel adhesives: Review of the literature. Pediatr Dent 2002; 24: 456-61
    PubMedSearch in Google Scholar
  • 6 Peumans M, Munck J, Van Landuyt K, Lambrechts P, Van Meerbeek B. Three-year clinical effectiveness of a two-step self-etch adhesive in cervical lesions. Eur J Oral Sci 2005; 113: 512-8
    CrossrefPubMedSearch in Google Scholar
  • 7 Perdigão J. Dentin bonding as a function of dentin structure. Dent Clin North Am 2002; 46: 277-301 vi
    CrossrefPubMedSearch in Google Scholar
  • 8 Auschill TM, Koch CA, Wolkewitz M, Hellwig E, Arweiler NB. Occurence and causing stimuli of postoperative sensitivity in composite restorations. Oper Dent 2009; 34: 3-10
    CrossrefPubMedSearch in Google Scholar
  • 9 Perdigão J, Anauate-Netto C, Carmo AR, Hodges JS, Cordeiro HJ, Lewgoy HR. et al. The effect of adhesive and flowable composite on postoperative sensitivity: 2-week results. Quintessence Int 2004; 35: 777-84
    PubMedSearch in Google Scholar
  • 10 Baratieri LN, Ritter AV. Four-year clinical evaluation of posterior resin-based composite restorations placed using the total-etch technique. J Esthet Restor Dent 2001; 13: 50-7
    CrossrefPubMedSearch in Google Scholar
  • 11 Campos EA, Andrade MF, Porto-Neto ST, Campos LA, Saad JR, Deliberador TM. et al. Cuspal movement related to different bonding techniques using etch-and-rinse and self-etch adhesive systems. Eur J Dent 2009; 3: 213-8
    Thieme ConnectPubMedSearch in Google Scholar
  • 12 Casselli DS, Martins LR. Postoperative sensitivity in Class Icomposite resin restorations in vivo . J Adhes Dent 2006; 8: 53-8
    PubMedSearch in Google Scholar
  • 13 Unemori M, Matsuya Y, Akashi A, Goto Y, Akamine A. Composite resin restoration and postoperative sensitivity: Clinical follow-up in an undergraduate program. J Dent 2001; 29: 7-13
    CrossrefPubMedSearch in Google Scholar
  • 14 Opdam NJ, Feilzer AJ, Roeters JJ, Smale I. Class Iocclusal composite resin restorations: In vivo post-operative sensitivity, wall adaptation, and microleakage. Am J Dent 1998; 11: 229-34
    PubMedSearch in Google Scholar
  • 15 Whitworth JM, Myers PM, Smith J, Walls AW, McCabe JF. Endodontic complications after plastic restorations in general practice. Int Endod J 2005; 38: 409-16
    CrossrefPubMedSearch in Google Scholar
  • 16 Burrow MF, Banomyong D, Harnirattisai C, Messer HH. Effect of glass-ionomer cement lining on postoperative sensitivity in occlusal cavities restored with resin composite-a randomized clinical trial. Oper Dent 2009; 34: 648-55
    CrossrefPubMedSearch in Google Scholar
  • 17 Cox CF, Hafez AA, Akimoto N, Otsuki M, Suzuki S, Tarim B. Biocompatibility of primer, adhesive and resin composite systems on non-exposed and exposed pulps of non-human primate teeth. Am J Dent 1998; 11: S55-63
    PubMedSearch in Google Scholar
  • 18 Browning WD, Blalock JS, Callan RS, Brackett WW, Schull GF, Davenport MB. et al. Postoperative sensitivity: A comparison of two bonding agents. Oper Dent 2007; 32: 112-7
    CrossrefPubMedSearch in Google Scholar
  • 19 Pashley DH. Dentin permeability, dentin sensitivity, and treatment through tubule occlusion. J Endod 1986; 12: 465-74
    CrossrefPubMedSearch in Google Scholar
  • 20 Ermis RB, Kam O, Celik EU, Temel UB. Clinical evaluation of a two-step etch and rinse and a two-step self-etch adhesive system in Class II restorations: Two-year results. Oper Dent 2009; 34: 656-63
    CrossrefPubMedSearch in Google Scholar
  • 21 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. J Adhes Dent 2000; 2: 83-98
    PubMedSearch in Google Scholar
  • 22 Cardoso MV, de Almeida Neves A, Mine A, Coutinho E, Van Landuyt K, De Munck J. et al. Current aspects on bonding effectiveness and stability in adhesive dentistry. Aust Dent J 2011; 56 (Suppl. 01) 31-44
    CrossrefPubMedSearch in Google Scholar
  • 23 Sano H, Shono T, Takatsu T, Hosoda H. Microporous dentin zone beneath resin-impregnated layer. Oper Dent 1994; 19: 59-64
    PubMedSearch in Google Scholar
  • 24 Imazato S, Kinomoto Y, Tarumi H, Torii M, Russell RR, McCabe JF. Incorporation of antibacterial monomer MDPB into dentin primer. J Dent Res 1997; 76: 768-72
    Search in Google Scholar
  • 25 Peumans M, Kanumilli P, De Munck J, Van Landuyt K, Lambrechts P, Van Meerbeek B. Clinical effectiveness of contemporary adhesives: A systematic review of current clinical trials. Dent Mater 2005; 21: 864-81
    CrossrefPubMedSearch in Google Scholar
  • 26 Tanumiharja M, Burrow MF, Tyas MJ. Microtensile bond strengths of seven dentin adhesive systems. Dent Mater 2000; 16: 180-7
    CrossrefPubMedSearch in Google Scholar
  • 27 Abdalla AI, Feilzer AJ. Morphological characterization of the interface between self-etching adhesives and vital dentin. Am J Dent 2007; 20: 305-8
    PubMedSearch in Google Scholar
  • 28 Can Say E, Nakajima M, Senawongse P, Soyman M, Ozer F, Ogata M, Tagami J. Microtensile bond strength of a filled vs. unfilled adhesive to dentin using self-etch and total-etch technique. J Dent 2006; 34: 283-91
    CrossrefPubMedSearch in Google Scholar
  • 29 Pashley DH. The effects of acid etching on the pulpodentin complex. Oper Dent 1992; 17: 229-42
    PubMedSearch in Google Scholar
  • 30 Van Landuyt KL, Snauwaert J, Peumans M, De Munk J, Lambrechts P, Van Meerbeek B. The role of HEMA in one-step self-etch adhesives. Dent Mater 2008; 24: 1412-9
    CrossrefPubMedSearch in Google Scholar
  • 31 Lynch CD, McConnell RJ, Wilson NH. Teaching the placement of posterior resin-based composite restrations in U.S. dental schools. J Am Dent Assoc 2006; 137: 619-25
    CrossrefPubMedSearch in Google Scholar