Abstract
Composite resin restorations are part of everyday clinical practice, delivering aesthetic and long-lasting results, provided there is mastery of the technique and knowledge of dental materials. Among the main failures in composite resin restorations is postoperative sensitivity, which causes discomfort for both the patient and the dentist due to the need to redo the procedure. The aim of this study is to demonstrate, through the literature, the possible origins of postoperative sensitivity and to describe more effective methods to minimize it. A literature review was conducted, with a temporal focus on the last 10 years (2013–2023), where articles published on the topic were searched in the PubMed, Scielo, Google Scholar, Scribd, and Lilacs databases. Postoperative sensitivity occurs due to the movement of existing dentinal fluids in the dentin, caused by inadequate sealing of dentinal tubules. Procedure failure is associated with factors such as restorative technique, adhesive system, monomer conversion rate, and polymerization time, which can lead to postoperative sensitivity. Thus, postoperative sensitivity can be triggered by various factors during the clinical procedure, requiring attention at every stage of the restorative technique by the dentist
References
Bowen, R. L. Dental filling material comprising vinyl silane treated fused silica and a binder consisting of the reaction product of bis phenol and glycidyl acrylate. US 3.066,112, Nov. 27. 1962.
Menezes I, Dias BAS, Vasconcelos MG, Vasconcelos RG. Principais causas de falhas em restaurações de resina composta direta. SALUSVITA. 2020;39(2):493–508.
Velo Mm de Ac, Coelho Lvbf, Basting Rt, Amaral Flb do, França Fmg. Longevity of restorations in direct composite resin: literature review. RGO, Rev Gaúch Odontol [Internet]. 2016Jul;64(RGO, Rev. Gaúch. Odontol., 2016 64(3)):320–6. Available from: https://doi.org/10.1590/1981-8637201600030000123109.
Rombaldo ACCM, Pozzobon L, Mendonça MJ, Camilotti V. Como os fotopolimerizadores podem afetar a microdureza da resina composta?. Rev. Uningá [Internet]. 13º de setembro de 2021 [citado 4º de abril de 2023];58:eUJ3963.Disponível em: https://revista.uninga.br/uninga/article/view/3963
Brännström M. Sensitivity of dentine. Oral Surgery, Oral Medicine, Oral Pathology. 1966 Apr;21(4):517–26.
Zotti F, Falavigna E, Capocasale G, De Santis D, Albanese M. Microleakage of Direct Restorations-Comparisonbetween Bulk-Fill and Traditional Composite Resins:Systematic Review and Meta-Analysis. Eur J Dent. 2021 Oct;15(4):755-767. doi: 10.1055/s-0041- 1724155. Epub 2021 Aug 27. PMID: 34450679; PMCID: PMC8630972
Marmentini M. Sensibilidade pós-operatória em restaurações de resina composta. 2019; Disponível em: https://repositorio.ufsc.br/handle/123456789/197059.
Tardem C, Albuquerque EG, Lopes LS, Marins SS, Calazans FS, Poubel LA, Barcelos R, Barceleiro MO. Clinical time and postoperative sensitivity after use of bulk-fill (syringe and capsule) vs. incremental filling composites: a randomized clinical trial. Braz Oral Res. 2019 Sep 16;33(0):e089. doi: 10.1590/1807-3107bor-2019.vol33.0089. PMID: 31531552..
Sofan E, Sofan A, Palaia G, Tenore G, Romeo U, Migliau G. Classification review of dental adhesive systems: from the IV generation to the universal type. Ann Stomatol (Roma). 2017 Jul 3;8(1):1-17. doi: 10.11138/ads/2017.8.1.001. PMID: 28736601; PMCID: PMC5507161.
Vieira BR, Dantas ELA, Cavalcanti YW, Santiago BM, Sousa FB. Comparison of SelfEtching Adhesives and Etch-and-Rinse Adhesives on the Failure Rate of Posterior Composite Resin Restorations: A Systematic Review and Meta-Analysis. Eur J Dent. 2022 May;16(2):258-265. doi: 10.1055/s-0041-1736332. Epub 2021 Nov 22. PMID: 34808690; PMCID: PMC9339922.
Strini BS, Marques JFL, Pereira R, Sobral-Souza DF, Pecorari VGA, Liporoni PCS, Aguiar FHB. Comparative Evaluation of Bulk-Fill Composite Resins: Knoop Microhardness, Diametral Tensile Strength and Degree of Conversion. Clin Cosmet Investig Dent. 2022 Aug 4;14:225-233. doi: 10.2147/CCIDE.S376195. PMID: 35957701; PMCID: PMC9359371.
Silva TM da, Petrucelli N de F, Mendonça RP de, Silva Júnior JP da, Campos TMB, Gonçalves SE de P. Impact of photoinitiator quality on chemical-mechanical properties of dental adhesives under different light intensities [Internet]. Brazilian Dental Science. 2023 ; 26( ja/mar. 2023):[citado 2023 nov. 22 ] Available from: https://doi.org/10.4322/bds.2023.e3704
Balkaya H, Arslan S, Pala K. A randomized, prospective clinical study evaluating effectiveness of a bulk-fill composite resin, a conventional composite resin and a reinforced glass ionomer in Class II cavities: one-year results. J Appl Oral Sci. 2019 Oct 7;27:e20180678. doi: 10.1590/1678-7757-2018-0678. PMID: 31596369; PMCID: PMC6768121.
El-Damanhoury H, Platt J. Polymerization shrinkage stress kinetics and related properties of bulk-fill resin composites. Oper Dent. 2014 Jul-Aug;39(4):374-82. doi: 10.2341/13-017-L. Epub 2013 Jul 18. PMID: 23865582.
Albino LGB, de Souza GFB, Cenci MS, Lima GS. Substituição Natural de Esmalte e Dentina: Restauração Simplificada de Dentes Posteriores. 2016 Out-nov. Clínica - International Journal of Brazilian Dentistry, Florianópolis, v. 12, n.4, p. 236-241.
Reis A, Dourado Loguercio A, Schroeder M, Luque-Martinez I, Masterson D, Cople Maia L. 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 Sep;31(9):1052-67. doi: 10.1016/j.dental.2015.06.001. Epub 2015 Jun 27. PMID: 26122377.
Costa T, Rezende M, Sakamoto A, Bittencourt B, Dalzochio P, Loguercio AD, Reis A. Influence of Adhesive Type and Placement Technique on Postoperative Sensitivity in Posterior Composite Restorations. Oper Dent. 2017 Mar/Apr;42(2):143-154. doi: 10.2341/16-010-C. Epub 2016 Nov 28. PMID: 27892839.
Hajizadeh H, Ghavamnasiri M, Majidinia S. Randomized clinical evaluation of the effect of chlorhexidine on postoperative sensitivity of posterior composite resin restorations. Quintessence Int. 2013 Nov-Dec;44(10):793-8. doi: 10.3290/j.qi.a30176. PMID: 23878845.
Bin-Shuwaish MS. Effects and Effectiveness of Cavity Disinfectants in Operative Dentistry: A Literature Review. J Contemp Dent Pract. 2016 Oct 1;17(10):867-879. doi: 10.5005/jp-journals-10024-1946. PMID: 27794161.
de Oliveira ILM, Hanzen TA, de Paula AM, Perdigão J, Montes MAJR, Loguercio AD, Monteiro GQM. Postoperative sensitivity in posterior resin composite restorations with prior application of a glutaraldehyde-based desensitizing solution: A randomized clinical trial. J Dent. 2022 Feb;117:103918. doi: 10.1016/j.jdent.2021.103918. Epub 2021 Dec 5. PMID: 34879245.
Hanzen TA, de Paula AM, Grokoski E, de Oliveira ILM, Arana-Gordillo LA, de Melo Monteiro GQ, Perdigão J, Loguercio AD. Glutaraldehyde-based desensitizer does not influence postoperative sensitivity and clinical performance of posterior restorations: A 24-month randomized clinical trial. Dent Mater. 2023 Oct;39(10):946-956. doi: 10.1016/j.dental.2023.08.179. Epub 2023 Aug 29. PMID: 37648563.
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