Post-operative sensitivity in glass-ionomer versus adhesive resin-lined posterior composites.
OBJECTIVE
To compare objective and subjective assessments of post-operative sensitivity when class 1 cavities, lined with glass-ionomer or adhesive bonding system, were restored with resin-based composite (RBC).


METHODS
Occlusal cavities on homologous contra-lateral posterior teeth in 44 male patients attending primary health centers in Riyadh, Saudi Arabia were restored with RBC after a cavity lining of either a light cured glass-ionomer cement (Vitrebond) or an adhesive bonding system (One-Step).


RESULTS
Cold response measurements 24 hrs, 7 days and 1 month post-operatively showed that the threshold of pulpal response was significantly lower (P< 0.05) in the restored teeth when the adhesive bonding system served as cavity liner. In addition, based on the patients' subjective assessments, the prevalence of mild or severe post-operative sensitivity was significantly higher (P< 0.05), 24 hrs and 7 days post-operatively, in the teeth with the adhesive bonding system as a cavity liner. After a post-operative period of 1 month, however, there was no significant difference (P> 0.05) between the prevalence of post-operative sensitivity when the restored teeth received a lining of either glass-ionomer or adhesive bonding system.
Akpata
E S
ES
Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia. akpata@ksu.edu.sa
Sadiq
W
W
D000134:Acid Etching, Dental; D000293:Adolescent; D000328:Adult; D016009:Chi-Square Distribution; D003080:Cold Temperature; D003188:Composite Resins / Q000737:chemistry; D003736:Dental Cavity Lining; D003737:Dental Cavity Preparation / Q000009:adverse effects* / Q000145:classification; D003782:Dental Pulp / Q000503:physiopathology; D003793:Dental Restoration, Permanent; D017220:Dentin-Bonding Agents / Q000737:chemistry; D005500:Follow-Up Studies; D005899:Glass Ionomer Cements / Q000737:chemistry; D006801:Humans; D008297:Male; D016555:Matched-Pair Analysis; D008689:Methacrylates / Q000737:chemistry; D008875:Middle Aged; D010147:Pain Measurement; D013223:Statistics as Topic; D018709:Statistics, Nonparametric; D014098:Toothache / Q000209:etiology*
C103506:Bis-GMA, BPDM, HEMA dental-bonding resin; D003188:Composite Resins; D017220:Dentin-Bonding Agents; D005899:Glass Ionomer Cements; D008689:Methacrylates; C067790:Vitrabond