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Postoperative Sensitivity with Indirect Restorations
Author(s) -
Farias David,
Walter Ricardo,
Swift Edward J.
Publication year - 2014
Publication title -
journal of esthetic and restorative dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.919
H-Index - 60
eISSN - 1708-8240
pISSN - 1496-4155
DOI - 10.1111/jerd.12103
Subject(s) - dentistry , glass ionomer cement , smear layer , cementation (geology) , dentin , dentinal tubule , inlay , medicine , tooth sensitivity , materials science , cement , composite material
Postoperative sensitivity is characterized by short and sharp pain, and often experienced after cementation of indirect restorations. Factors associated with the occurrence of post‐cementation sensitivity include type of cement, removal of smear layer by acid‐etching, aggressive tooth preparation, inadequate provisional restorations, and patient's age. Its prevention is based on either interfering with mechanoreceptor activity or occluding the dentinal tubules. Regarding the latter, application of dentin desensitizers may be effective for blocking the tubules and significantly reducing dentin permeability and consequently postoperative sensitivity. This Critical Appraisal will present available clinical data where traditional materials such as zinc phosphate and glass ionomer cements (GIC) as well as self‐adhesive resin‐based cements were used.