Article: Volume 48 Number 10 Page 823 - November 2021
Dental Update 494: 823-832 
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Restorative dentistry: Ten tips for avoiding post & operative sensitivity with posterior composite restorations
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Abstract: Patients increasingly seek tooth-coloured restorations in their posterior dentition, and with the anticipated decline in the use of amalgam as a result of the Minamata Agreement, this will increase. However, the incidence of post-operative sensitivity has been variously assessed as being between 0% and 51%, therefore information on its avoidance is essential. This article reviews the reasons for such sensitivity by examining the potential materials’ factors, plus clinical aspects, such as the configuration factor and bonding to tooth substance.
Clinical relevance: There is a significant incidence of post-operative sensitivity after placement of a posterior composite restoration, so information on how to avoid this may be of value.
Author notes: FJ Trevor Burke, DDS, MSc, MDS, MGDS, FDS (RCS Edin.), FDS RCS (Eng.), FFGDP (UK), FADM, Emeritus Professor, University of Birmingham School of Dentistry. Louis Mackenzie, BDS, FDS RCPS, Head Dental Officer, Denplan UK, Winchester; Part-time Clinical Lecturer, University of Birmingham School of Dentistry. Peter Sands, MSc, BDS, LDS, MFGDP, MCGD, General Dental Practitioner, Abingdon; Part-time Lecturer, University of Birmingham School of Dentistry. Adrian CC Shortall, DDS, BDS4, Retired staff/External secondee, University of Birmingham School of Dentistry. email: f.j.t.burke@bham.ac.uk
Objective: To review the literature on post-operative sensitivity after placement of a posterior composite restoration.
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