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Related Experiment Videos

Total-etch versus self-etch adhesive: effect on postoperative sensitivity.

Jorge Perdigão1, Saulo Geraldeli, James S Hodges

  • 1Department of Restorative Sciences, University of Minnesota, Minneapolis 55455, USA. perdi001@umn.edu

Journal of the American Dental Association (1939)
|January 15, 2004
PubMed
Summary
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Self-etching (SE) adhesives and total-etching (TE) adhesives showed no significant difference in preventing postoperative sensitivity in posterior composite restorations. Restorative technique, not adhesive type, may influence sensitivity outcomes.

Area of Science:

  • Dental Materials Science
  • Restorative Dentistry

Background:

  • Self-etching (SE) adhesives are hypothesized to reduce postoperative sensitivity in posterior resin-based composite restorations.
  • This study investigated whether SE adhesives offer superior outcomes compared to total-etching (TE) adhesives regarding sensitivity and marginal integrity.

Purpose of the Study:

  • To compare the incidence of postoperative sensitivity between SE and TE adhesives.
  • To evaluate the enamel marginal integrity of restorations using SE versus TE adhesives.

Main Methods:

  • A comparative study involving Class I and II restorations in molars and premolars.
  • Two adhesive systems were used: Clearfil SE Bond (SE) and Prime & Bond NT (TE).
  • Patients were monitored for sensitivity to cold, air, and masticatory forces, and for marginal discoloration at various recall intervals up to six months.

Related Experiment Videos

Main Results:

  • No statistically significant differences in postoperative sensitivity were observed between the SE and TE adhesive groups at any follow-up point.
  • Marginal discoloration was absent in all restorations after six months.
  • Only one tooth reported sensitivity to occlusal forces at the six-month evaluation.

Conclusions:

  • The SE adhesive demonstrated comparable performance to the TE adhesive in terms of postoperative sensitivity and marginal discoloration.
  • Postoperative sensitivity in posterior composite restorations may be more influenced by the overall restorative technique than by the specific type of dentin adhesive employed.