Evaluation of postoperative sensitivity in restorations with self-adhesive resin: a randomized split-mouth design controlled study
Evaluation of postoperative sensitivity in restorations with self-adhesive resin: a randomized split-mouth design controlled study
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DOI：
10.1007/s00784-019-03046-0
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发表时间：
2020-05-01
影响因子：
3.4
通讯作者：
de Vasconcelos Carvalho, Marianne
中科院分区：
文献类型：
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作者：
de Oliveira, Natalia Gomes;Lima, Alessandra Souza Leao Costa;de Vasconcelos Carvalho, Marianne
目的评价自粘性树脂复合材料（SAC）（Vertise Flow（VER）/Kerr）与传统自酸蚀树脂复合材料（Filtek Z250（Z250）/3 M ESPE; Clearfil SE Bond（CSEB）/Kuraray）的术后敏感性。材料与方法采用随机、对照、双盲、分口、双臂临床试验。27名第三磨牙拔除的志愿者接受了两次深I类矫正，每种材料一次。术后敏感性在24小时和15或30天后使用视觉模拟量表（VAS）进行测量。当存在时，还收集关于疼痛特征的信息。将数据提交至McNemar检验（α = 0.05）。结果无论时间间隔如何，CSEB和VERT组的术后敏感性分别为52%和48%（p = 1.000）。当分析评价期时，15天评价显示两组中疼痛发生率最高，但强度为轻度。所有敏感性患者均报告疼痛为局部疼痛且持续时间较短。结论自粘性树脂复合材料Vertise Flow和传统树脂复合材料与自酸蚀粘合剂在深I类洞术后敏感性方面促进了相似的反应。当存在术后敏感性时，观察到轻度疼痛，特别是在修复手术15天后，随着时间的推移疼痛减轻。
Objectives To evaluate the postoperative sensitivity of restorations with self-adhesive resin composite (SAC) (Vertise Flow (VER)/Kerr) compared with conventional resin composite with self-etching adhesive (Filtek Z250 (Z250)/3M ESPE; Clearfil SE Bond (CSEB)/Kuraray). Materials and methods A randomized, controlled, double-blind, split-mouth, two-arm clinical trial was conducted. Twenty-seven volunteers with third molars indicated for extraction received two deep class I restorations, one with each material. Postoperative sensitivity was measured at 24 h and 15 or 30 days after the restorative procedures using a visual analog scale (VAS). When present, information on the characteristics of the pain was also collected. The data were submitted to the McNemar test (alpha = 0.05). Results Regardless of the time intervals, the postoperative sensitivity was observed in 52% and 48% of the CSEB and VERT groups, respectively (p = 1.000). When the evaluation periods were analyzed, the 15-day evaluation presented the highest occurrence of pain, but of mild intensity, in both groups. All patients with sensitivity reported that the pain was localized and of short duration. Conclusion Self-adhesive resin composite Vertise Flow and conventional resin composite with a self-etching bonding agent promoted similar response regarding postoperative sensitivity in deep class I cavities. When postoperative sensitivity was present, mild pain was observed, especially after 15 days of the restorative procedure, which decreased over time.