Effect of different adhesive strategies on the post-operative sensitivity of class I composite restorations

ABSTRACT Objective: To evaluate the post-operative sensitivity of occlusal restorations using different dentin adhesives performed by an undergraduate and a post-doctorate dentist. Materials and Methods: One hundred and eighty-eight molar occlusal restorations were placed in 39 patients (ages betwee...

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Bibliographic Details
Published in:European journal of dentistry 2014-01, Vol.8 (1), p.015-022
Main Authors: Sancakli, Hande Sar, Yildiz, Esra, Bayrak, Isil, Ozel, Sevda
Format: Article
Language:English
Subjects:
Dental adhesives
Dental bonding
Dental glass ionomer cements
Methods
Original
Original Article
Physiological aspects
Teeth
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Summary:ABSTRACT Objective: To evaluate the post-operative sensitivity of occlusal restorations using different dentin adhesives performed by an undergraduate and a post-doctorate dentist. Materials and Methods: One hundred and eighty-eight molar occlusal restorations were placed in 39 patients (ages between 18 and 30) using 3 different kind of adhesive systems; Optibond FL (OBF), Clearfil Protect Bond (CPB), and iBond (IB) by a post-doctorate dentist or a fifth-year dental student according to the manufacturers’ instructions. Post-operative sensitivity to cold and air was evaluated using a Visual Analog Scale (VAS) after 24 hours, 30, 90, and 180 days. Data were analyzed using the Mann-Whitney U and Friedman tests ( P < 0.05). Results: Post-operative sensitivity scores for OBF and CPB were higher for the dental student ( P < 0.05), while IB scores did not differ statistical significantly according to the operator ( P > 0.05). Conclusion: Operator skill and experience appears to play a role in determining the outcome of post-operative sensitivity of multi-step adhesive systems although the post-operative sensitivity was low. It is suggested that the less experienced clinicians (rather than experienced clinicians) should better use the self-etching dentin bonding systems with reduced application steps to minimize the potential risk of post-operative sensitivity of dental adhesives.
ISSN:1305-7456
1305-7464
DOI:10.4103/1305-7456.126234