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References

Brunton PA, Burke FJT, Sharif MO, Creanor S, Hosey MT, Mannocci F, Wilson NHF. Contemporary dental practice in the UK in 2008: aspects of direct restorations, endodontics and bleaching. Br Dent J. 2012; 212:63-67
Akpata ES, Sadiq W. Post-operative sensitivity in glass-ionomer versus adhesive resin-lined posterior composites. Am J Dent. 2001; 14:34-38
Akpata ES, Behbehani J. Effect of bonding systems on post-operative sensitivity from posterior composites. Am J Dent. 2006; 19:151-154
Auschill TM, Koch CA, Wolkewitz M, Hellwig E, Arweiler NB. Occurrence and causing stimuli of postoperative sensitivity in composite restorations. Oper Dent. 2009; 34:3-10
Briso AL, Mestrener SR, Delicio G, Sundfeld RH, Bedran-Russo AK, de Alexandre RS, Ambrosano GM. Clinical assessment of postoperative sensitivity in posterior composite restorations. Oper Dent. 2007; 32:(5)421-426
Tomaszewska IM, Kearns JO, Ilie N, Fleming GJP. Bulk Fill Restoratives: to cap or not to cap, that is the question?. J Dent. 2015; 43:209-215
Uctasli S, Shortall AC, Burke FJT. Effect of accelerated restorative techniques on the microleakage of Class II composites. Am Dent. 2002; 15:153-158
Burke FJT. Light curing may not be as simple as it seems!. Dent Update. 2011; 38:(3)

The cost of one post-operative sensitivity following placement of a posterior composite restoration

From Volume 42, Issue 7, September 2015 | Pages 692-693

Authors

FJ Trevor Burke

DDS, MSc, MDS, MGDS, FDS (RCS Edin), FDS RCS (Eng), FCG Dent, FADM,

Articles by FJ Trevor Burke

Article

Given the increasing popularity of posterior composite restorations,1 it is essential that these can be placed with an absence of post-operative symptoms. However, the incidence of post-operative sensitivity associated with such restorations has been found to vary between 2% and 5%.2,3,4 Furthermore, one study of 292 posterior composite restorations reported post-operative sensitivity in 26% of MOD restorations at 24 hours, decreasing to 7% at 90 days, with this sensitivity being higher in larger cavities.5

What is the cost of such sensitivity, and how may that be avoided? Regarding the cost, there will be an emergency attendance, then perhaps a review appointment to ascertain if the sensitivity has decreased, and if/when it has not, a further appointment (45 minutes perhaps – depending on the size and complexity of the restoration) to replace the restoration. Readers can work out the cost according to their hourly rate!

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