POSTOPERATIVE SENSITIVITY IN POSTERIOR COMPOSITE RESIN RESTORATIONS

Miqueias Santos Bispo, Alana De Castro Mudo, Ricardo Ferreira Pedrosa, Romero Samarcos Mendes Pontanegra
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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
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后复合树脂修复体的术后敏感性
复合树脂修复是日常临床实践的一部分,只要掌握了技术和牙科材料知识,就能获得美观持久的修复效果。复合树脂修复体的主要故障之一是术后敏感,这给患者和牙医都造成了不适,因为需要重新进行修复。本研究的目的是通过文献资料说明术后敏感的可能原因,并介绍将其最小化的更有效方法。我们进行了一次文献综述,时间重点放在过去 10 年(2013-2023 年),在 PubMed、Scielo、Google Scholar、Scribd 和 Lilacs 数据库中搜索了发表的相关文章。术后敏感是由于牙本质中现有的牙本质液移动造成的,其原因是牙本质小管密封不足。手术失败与修复技术、粘接系统、单体转换率和聚合时间等因素有关,这些因素都可能导致术后敏感。因此,术后敏感性可由临床程序中的各种因素引发,需要牙医在修复技术的每个阶段都加以注意
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