References
Opdam NJM, Bronkhorst EM, Loomans BAC, Huysmans NJM. 12-year survival of composite vs. amalgam restorations. J Dent Res. 2010; 89:1063-1067
Porto I. Post-operative sensitivity on direct resin composite restorations: clinical practice guidelines. Int J Res Develop (IJRD). 2012; 1::1-11
Akpata ES, Sadiq W. Post-operative sensitivity in glass-ionomer versus adhesive resin lined posterior composites. Am J Dent. 2001; 14:34-38
Brännström M. The elicitation of pain in the human dentine and pulp by chemical stimuli. Arch Oral Biol. 1962; 7:59-62
Brännström M. A hydrodynamic mechanism in the transmission of pain producing stimuli through the dentine. In: Anderson DJ Oxford: Pergamon Press; 1963
Langeland K.Oslo: Oslo University Press; 1957
Consensus-based recommendations for the diagnosis and management of dentine hypersensitivity. J Can Dent Assoc. 2003; 69:221-226
Zach L, Cohen G. Pulp response to externally applied heat. Oral Surg Oral Med Oral Pathol. 1965; 19:515-530
Perdigao J, Geraldeli S, Hodges J. Total-etch versus self-etch adhesive: effect on postoperative sensitivity. J Am Dent Assoc. 2003; 134:1621-1629
Ito S, Tay FR, Hashimoto M, Yoshiyama M, Saito T, Brackett WW Effects of multiple coatings of two all-in-one adhesives on dentin bonding. J Adhes Dent. 2005; 7:133-141
Arisu HD, Eligüzeloğlu E, Uçtaşli MB, Omürlü H. Effect of multiple consecutive applications of one-step self-etch adhesive on microtensile bond strength. J Contemp Dental Practice. 2009; 10:67-74
Reisa A, Loguercioa AD, Schroederb M, Luque-Martineza I, Mastersonc D, Maiad LC. Does the adhesive strategy influence the post-operative sensitivity in adult patients with posterior resin composite restorations?: A systematic review and meta-analysis. Dent Mater. 2015; 31:1052-1067
Swift EJ, Ritter AV, Heymann HO, Sturdevant JR, Wilder AD 36-month clinical evaluation of two adhesives and microhybrid resin composites in Class I restorations. Am J Dent. 2008; 21:148-152
Gupta N, Reddy UN, Vasundhar PL, Ramarao KS, Varma KP, Vinod V. Effectiveness of desensitizing agents in relieving the pre- and postcementation sensitivity for full coverage restorations: a clinical evaluation. J Contemp Dent Pract. 2013; 14:858-865
Kobler A, Schaller HG, Gernhardt CR. Effects of the desensitizing agents Gluma and Hyposen on the tensile bond strength of dentin adhesives. Am J Dent. 2008; 21:388-392
Gillam DG, Mordan NJ, Sinodinou AD, Tang JY, Knowles JC, Gibson IR. The effects of oxalate-containing products on the exposed dentine surface: an SEM investigation. J Oral Rehabil. 2001; 28:1037-1044
Kerns DG, Scheidt MJ, Pashley DH, Horner JA, Strong SL, Van Dyke TE. Dentinal tubule occlusion and root hypersensitivity. J Periodontol. 1991; 62:421-428
Pashley EL, Tao L, Pashley DH. Effects of oxalates on dentin bonding. Am J Dent. 1993; 6:116-118
Awang RAR, Masudi SM, MohdNor WZW. Effect of desensitizing agent on shear bond strength of an adhesive system. Archiv Orofac Sci (AOS). 2007; 2:32-35
Piccioni MA, Baratto-Filho F, Kuga MC, Morais EC, Campos EA. Cuspal movement related to different polymerization protocols. J Contemp Dent Pract. 2014; 15:26-28
Alomari Q, Omar R, Akpata E. Effect of LED curing modes on postoperative sensitivity after Class II resin composite restorations. J Adhes Dent. 2007; 9:477-481
Chan DC, Browning WD, Frazier KB, Brackett MG. Clinical evaluation of the soft-start (pulse-delay) polymerization technique in Class I and II composite restorations. Oper Dent. 2008; 33:265-271
Deliperi S, Bardwell D. An alternative method to reduce polymerisation shrinkage in direct posterior composite restorations. J Am Dent Assoc. 2002; 133:1387-1398
Dauvillier B, Aarnts M, Feilzer A. Developments in shrinkage control of adhesive restorations. J Esthet Dent. 2000; 12:291-299
Fleming GJ, Hall DP, Shortall AC, Burke FJ. Cuspal movement and microleakage in premolar teeth restored with posterior filling materials of varying reported volumetric shrinkage values. J Dent. 2005; 33:139-146
Fleming GJ, Khan S, Afzal O, Palin WM, Burke FJ. Investigation of polymerisation shrinkage strain, associated cuspal movement and microleakage of MOD cavities restored incrementally with resin-based composite using an LED light curing unit. J Dent. 2007; 35:97-103
Feilzer AJ, de Gee AJ, Davidson CL. Setting stress in composite resin in relation to configuration of the restoration. J Dent Res. 1987; 66:1636-1639
Ferracane JL, Hilton TJ. Polymerization stress – is it clinically meaningful?. Dent Mater. 2016; 32:1-10
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
Banerjee A, Watson TF, Kidd EA. Dentine caries: take it or leave it?. Dent Update. 2000; 27:272-276
Kaurani M, Bhagwat SV. Clinical evaluation of postoperative sensitivity in composite resin restorations using various liners. N Y State Dent J. 2007; 73:23-29
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; 34:648-655
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
Lindberg A, van Dijken JW, Horstedt P. In vivo interfacial adaptation of class II resin composite restorations with and without a flowable resin composite liner. Clin Oral Invest. 2005; 9:77-83
Efes BG, Dörter C, Gömec Y, Koray F. Two-year clinical evaluation of an ormocer, a nanofill composite with and without a flowable liner. J Adhes Dent. 2006; 8:119-126
Reis A, Loguercio AD. A 24-month follow-up of flowable resin composite as an intermediate layer in non-carious cervical lesions. Oper Dent. 2006; 31:523-529
Ziskind D, Adell I, Teperovich E, Peretz B. The effect of an intermediate layer of flowable composite resin on microleakage in packable composite restorations. Int J Paed Dent. 2005; 15:349-354
Demarco FF, Pereira-Cenci T, de Almeida André D, de Sousa Barbosa RP, Piva E, Cenci MS. Effects of metallic or translucent matrices for class II composite restorations: 4-year clinical follow-up findings. Clin Oral Invest. 2011; 15:39-47
Sabbagh J, McConnell RJ, McConnell MC. Posterior composites: update on cavities and filling techniques. J Dent. 2017; 57:86-90
Ajaj RA. Relative microhardness and flexural strength of different bulk fill resin composite restorative materials. J Am Sci. 2015; 11:155-159
Czasch P, Ilie N. In vitro comparison of mechanical properties and degree of cure of bulk fill composites. Clin Oral Investig. 2013; 17:227-235
Sabbagh J, McConnell RJ, McConnell MC Posterior composites: update on cavities and filling techniques. J Dent. 2017; 57:86-90
Hickey D, Sharif O, Janjua F, Brunton PA. Bulk dentine replacement versus incrementally placed resin composite: a randomised controlled clinical trial. J Dent. 2016; 46:18-22
Sobral MA, Garone-Netto N, Luz MA, Santos AP. Prevention of postoperative tooth sensitivity: a preliminary clinical trial. J Oral Rehabil. 2005; 32:661-668
Dababneh RH, Khouri AT, Addy M. Dentine hypersensitivity – an enigma? A review of terminology, epidemiology, mechanisms aetiology and management. Br Dent J. 1999; 187:606-611
He LH, Purton DG, Swain MV. A suitable base material for composite resin restorations: zinc oxide eugenol. J Dent. 2010; 38:290-295
Briso ALF, Mestrener SR, Delicio G, Sundfeld RH, Bedran-Russo AK, de Alexandre RS, Ambrosano GMB. Clinical assessment of postoperative sensitivity in posterior composite restorations. Oper Dent. 2007; 32:421-426
Post-operative sensitivity and posterior composite resin restorations: a review
From Volume 45, Issue 3, March 2018 | Pages 207-213
Article
In many countries the use of amalgam to restore posterior teeth is declining, with composite resin replacing it as the material of choice.1 As composite resin replaces amalgam as the material of choice for restoring posterior teeth, the incidence of post-operative sensitivity has increased, with the highest incidence in posterior composite restorations.2 The more complex the restorative procedure required for the placement of a composite resin restoration, including etching of enamel and dentine and the application of acidic adhesive monomers, may be related to the higher incidence of pain.
Post-operative sensitivity can be difficult to manage. Patients often complain of sensitivity at different levels and intensities, often with no evidence of failure of the restoration.3
Brännström first explained the physiology of pulpal pain in 1962,4 and in 1963 he described in his thesis the hydrodynamic fluid movement theory.5 Pain results from indirect innervations caused by dentinal fluid movement in the tubules, which then stimulates mechanoreceptors near the odontoblast processes. The response of the pulpal nerves is proportional to the fluid flow generated. The A-delta fibres respond to stimulation of dentinal tubules (eg airblast), whereas pulpal C-fibres respond to bradykinin or capsaicin. This study has implicated pulpal A-delta fibres in mediating dentinal sensitivity and pulpal C-afferent fibres in mediating pulpal inflammation.
Register now to continue reading
Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:
What's included
- Up to 2 free articles per month
- New content available