Post-Operative Sensitivity In Posterior Composite Resin Restorations Using Etch And Rinse Versus Self-Etch Adhesive Systems
Abstract
Objective
The objective of this study was to compare the frequency of post-operative sensitivity (POS) using two-step etch and rinse versus one step self-etch adhesives.
Methodology:
This study was carried out in the Operative Dentistry Department, Fatima Memorial Hospital College of Medicine and Dentistry, Lahore and it was completed in 18 months from Feburary 2020 to August 2021 after approval of synopsis.
A total of 60 patients presenting with carious lesions in maxillary and mandibular posterior teeth excluding third molars were part of this study. Patients were divided into two groups of 30 patients each. Restoration of group A was performed using Excite (Ivoclar Vivadent, Schaan, Liechtenstein) in etch and rinse technique and restoration of group B was performed using Xeno III (Dentsply, Ballaigues, Suíça) in self-etch adhesive technique.
Result
The results of this study showed that there is no significant difference in the frequency of POS in etch and rinse vs self-etch adhesive groups based on gender, age groups and educational status.
Conclusion
Composite restoration done using self-etch adhesive has similar results in terms of POS in comparison to restorations done using etch and rinse adhesive.
Keywords:
Resin composite, restoration, dental adhesives, post operative sensitivity
References
Burke FT, Mackenzie L, Sands P, Shortall A CC. Ten
tips for avoiding post-operative sensitivity with posterior
composite restorations. Dental Update. 202;48(10):823-
Burke FJ, Crisp RJ. A practice-based assessment of
patients' knowledge of dental materials. Br Dent J. 2015
Dec 18;219(12):577-82. doi: 10.1038/sj.bdj.2015.956.
Bourguignon D. Mercury: Aligning EU legislation with
Minamata. 2016.
Bhatti UA. The phenomenon of postoperative sensitivity
and composite restorations – a review. J Pak Dent Assoc
;28(1):33-40. DOI: doi.org/10.25301/JPDA.281.33.
Ann Jinnah Sindh Med Uni 2023; 9(2):56-60
Hira Altaf Keen, Saroosh Ehsan, Zehra Abbas, Haris Naeem Qureshi, Muhammad Usman Khattak
Hilton TJ, Jack L, James C F. Broome, Joseì dos, Santos
Jr. Summitt's fundamentals of operative dentistry: a
contemporary approach, Direct Posterior Esthetic
Restorations 2013:551-52.
NX West, A Lussi, J Seong, Hellwigal E. Dentin
hypersensitivity: pain mechanisms and aetiology of
exposed cervical dentin. Clin Oral Investig. 2013:17
Suppl 1:S9-19. doi: 10.1007/s00784-012-0887-x.
Rajnekar R, Mankar N, Nikhade P, Chandak M, Ikhar
A, Burde K. Clinical efficacy of two different
desensitizers in reducing postoperative sensitivity
following composite restorations. Cureus. 2022;14(6):
e25977. doi: 10.7759/cureus.25977.
Sabbagh J, Fahd JC, McConnell RJ. Post-operative
sensitivity and posterior composite resin restorations:a
review. Dental Update. 2018;45(3):207-13.
Reis A, Loguercio AD, Schroeder M, Luque-Martinez
I, Masterson D, Maia 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(9):1052-
doi: 10.1016/j.dental.2015.06.001.
Scotti N, Bergantin E, Giovannini R, Delbosco L,
Breschi L, Migliaretti G, Pasqualini D, Berutti E.
Influence of multi-step etch-and-rinse versus self-etch
adhesive systems on the post-operative sensitivity in
medium-depth carious lesions: An in vivo study. Am J
Dent. 2015;28(4):214-8.
Amin M, Naz F, Sheikh A, Ahmed A. Postoperative
sensitivity in teeth restored with posterior dental
composites using self-etch and total-etch adhesives. J
Pak Dent Assoc. 2015;24(1):22-8.
Muhammad A, Hussain S, Abdullah F, Zaheer JB,
Soomro A, Sheikh A, et.al. A comparison of postoperative sensitivity in composite resin restorations
using total-etch and self-etch adhesive in posterior teeth.
Jof Adv Medicine & Medical Res. 2020;32(23):1-6.
Yousaf A, Aman N, Ahmed M, Shah JA, Dilrasheed.
Postoperative sensitivity of self etch versus total etch
adhesive. J Coll Physicians Surg Pak. 2014 Jun;24(6):
-6.