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Critic appraisal. Postoperative sensitivity with indirect restorations.

David Farias1, Ricardo Walter, Edward J Swift

  • 1Department of Stomatology, Federal University of Santa Catarina, Brazil.

Journal of Esthetic and Restorative Dentistry : Official Publication of the American Academy of Esthetic Dentistry ... [Et Al.]
|April 26, 2014
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Summary

Postoperative sensitivity after dental cementation can be reduced by blocking dentinal tubules with desensitizers. This review examines clinical data on traditional and self-adhesive cements to prevent this common pain. Keywords: postoperative sensitivity, dental cement, dentinal tubules, desensitizers.

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Area of Science:

  • Dental Materials Science
  • Clinical Dentistry
  • Pain Management

Background:

  • Postoperative sensitivity is sharp pain after dental cementation of indirect restorations.
  • Factors include cement type, acid-etching, tooth preparation, provisional restorations, and patient age.
  • Prevention strategies involve managing mechanoreceptor activity or occluding dentinal tubules.

Purpose of the Study:

  • To critically appraise available clinical data on preventing postoperative sensitivity.
  • To evaluate the efficacy of dentin desensitizers in blocking tubules and reducing sensitivity.
  • To review clinical data involving zinc phosphate, glass ionomer cements (GIC), and self-adhesive resin cements.

Main Methods:

  • Literature review of clinical studies.
  • Analysis of data on factors influencing postoperative sensitivity.
  • Evaluation of dentin desensitizer efficacy in published clinical trials.

Main Results:

  • Dentin desensitizers show potential for blocking tubules and reducing dentin permeability.
  • Specific cement types and preparation methods influence sensitivity occurrence.
  • Clinical data on traditional and self-adhesive cements will be presented.

Conclusions:

  • Occluding dentinal tubules with desensitizers is a viable strategy for managing postoperative sensitivity.
  • Understanding factors contributing to sensitivity is crucial for prevention.
  • Further clinical appraisal of various cements is warranted.