Ten tips for avoiding post-operative sensitivity with posterior composite restorations

Dental Update ◽  
2021 ◽  
Vol 48 (10) ◽  
pp. 823-832
Author(s):  
FJ Trevor Burke ◽  
Louis Mackenzie ◽  
Peter Sands ◽  
Adrian CC Shortall
Keyword(s):  
Clinical Relevance ◽  
Clinical Aspects ◽  
Composite Restorations ◽  
Significant Incidence ◽  
Composite Restoration

Patients increasingly seek tooth-coloured restorations in their posterior dentition, and with the anticipated decline in the use of amalgam as a result of the Minamata Agreement, this will increase. However, the incidence of post-operative sensitivity has been variously assessed as being between 0% and 51%, therefore information on its avoidance is essential. This article reviews the reasons for such sensitivity by examining the potential materials' factors, plus clinical aspects, such as the configuration factor and bonding to tooth substance. CPD/Clinical Relevance: There is a significant incidence of post-operative sensitivity after placement of a posterior composite restoration, so information on how to avoid this may be of value.

scholarly journals Comparison of Proximal Contacts of Class II Resin Composite Restorations In Vitro

2006 ◽  
Vol 31 (6) ◽  
pp. 688-693 ◽  
Author(s):  
B. A. C. Loomans ◽  
N. J. M. Opdam ◽  
F. J. M. Roeters ◽  
E. M. Bronkhorst ◽  
R. C. W. Burgersdijk
Keyword(s):  
Clinical Relevance ◽  
Resin Composite ◽  
Class Ii ◽  
Composite Restorations ◽  
Composite Restoration

Clinical Relevance When placing a Class II resin composite restoration, the use of sectional matrix systems and separation rings to obtain tight proximal contacts is recommended.

Direct Fiber-reinforced Composite Restoration in an Endodontically-treated Molar: A Three-year Case Report

10.2341/07-99 ◽  
2008 ◽  
Vol 33 (2) ◽  
pp. 209-214 ◽  
Author(s):  
S. Deliperi
Keyword(s):  
Case Report ◽  
Clinical Relevance ◽  
Resin Composite ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Restorative Treatment ◽  
Composite Restorations ◽  
Reinforced Composite ◽  
Composite Restoration

Clinical Relevance The proper utilization of fiber-reinforced resin composite restorations in endodontically-treated molars may preclude the use of more extensive restorative treatment, possibly delaying the need for expensive indirect restorations.

Class II Composite Restorations: Importance of Cervical Enamel In Vitro

2011 ◽  
Vol 36 (2) ◽  
pp. 187-195 ◽  
Author(s):  
T Laegreid ◽  
NR Gjerdet ◽  
PV von Steyern ◽  
A-K Johansson
Keyword(s):  
Fracture Strength ◽  
Clinical Relevance ◽  
Class Ii ◽  
Composite Restorations ◽  
Composite Restoration

Clinical Relevance The presence of enamel at the cervical margin of a class II preparation increases the fracture strength of the composite restoration at the marginal ridge, but fractures are more complicated when they occur.

The Effect of Flowable Materials on the Microleakage of Class II Composite Restorations That Extend Apical to the Cemento-enamel Junction

10.2341/08-91 ◽  
2009 ◽  
Vol 34 (3) ◽  
pp. 306-311 ◽  
Author(s):  
M. Sadeghi ◽  
C. D. Lynch
Keyword(s):  
Clinical Relevance ◽  
Resin Composite ◽  
Class Ii ◽  
Composite Restorations ◽  
Composite Restoration

Clinical Relevance The use of a flowable resin composite or compomer may reduce microleakage at the gingival floor of a deep Class II composite restoration that extends apical to the cemento-enamel junction.

scholarly journals Oral Squamous Cell Carcinoma on Gingiva, Edentulous Ridge, and Retromolar Pad: A Case Series

Oral ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 159-167
Author(s):  
Lucio Lo Russo ◽  
Eleonora Lo Muzio ◽  
Giuseppe Colella ◽  
Maria Eleonora Bizzoca ◽  
Vera Panzarella ◽  
...  
Keyword(s):  
Case Series ◽  
Medical Consultation ◽  
Clinical Aspects ◽  
University Hospitals ◽  
Clinical Appearance ◽  
Oral Cancers ◽  
Presenting Symptoms ◽  
Medical Evaluation ◽  
Significant Incidence ◽  
Advanced Stages

(1) Background: Gingival cancer has a significant incidence and is often diagnosed at advanced stages. The aim of this paper is to highlight its clinical aspects on the basis of a case series analysis in order to promote awareness and improve the diagnosis process. (2) Methods: Oral cancers diagnosed and treated at three Italian University Hospitals over ten years were retrospectively investigated. Cancer location on the gingiva, edentulous ridge, and retromolar pad was addressed. Data regarding clinical features, stage at the diagnosis, and time from presenting symptoms to first medical consultation were retrieved. (3) Results: Thirty-three cancers located on the gingiva, edentulous ridge, and retromolar pad were retrieved from 276 total oral cancer cases (11.9%). A median of 50 days (range 2–300) passed for the patient to seek for a medical evaluation. At the time of diagnosis, 63.3% were advanced stage cancers, mainly located at the mandible (91%), especially in the retromolar pad (48.5%) and the edentulous alveolar ridge (24.2%). Lesions were red (45.5%), red and white (45.4%), or white (9.1%), appearing as an ulcer (69.7%), exophytic mass (12.1%) or flat lesion (12.1%). Sixty-six percent of cancers were completely asymptomatic, regardless their clinical appearance. A statistically significant association between the time from the presentation of symptoms to the first medical consultation and the cancers stage was found. (4) Conclusions: The clinical appearance of gingival cancer is very polymorphous; its understanding may be significant to improve patient education and early medical consultation.

Gingival Microleakage of Class II Resin Composite Restorations with Fiber Inserts

10.2341/06-86 ◽  
2007 ◽  
Vol 32 (3) ◽  
pp. 298-305 ◽  
Author(s):  
O. El-Mowafy ◽  
W. El-Badrawy ◽  
A. Eltanty ◽  
K. Abbasi ◽  
N. Habib
Keyword(s):  
Clinical Relevance ◽  
Resin Composite ◽  
Class Ii ◽  
Composite Restorations ◽  
Fiber Inserts

Clinical Relevance Fiber inserts incorporated at the gingival floor of Class II composite restorations resulted in a significant reduction of microleakage scores as compared to restorations made without inserts. This may lead to a reduced incidence of recurrent caries.

Factors Associated with Microleakage in Class II Resin Composite Restorations

10.2341/06-16 ◽  
2007 ◽  
Vol 32 (1) ◽  
pp. 60-66 ◽  
Author(s):  
S. Idriss ◽  
T. Abduljabbar ◽  
C. Habib ◽  
R. Omar
Keyword(s):  
Clinical Outcomes ◽  
Clinical Relevance ◽  
Resin Composite ◽  
Class Ii ◽  
Gap Size ◽  
Marginal Gap ◽  
Factors Associated ◽  
Composite Restorations ◽  
Placement Technique

Clinical Relevance Even though marginal gap size was not shown to be a direct predictor for the extent of microleakage in resin composite restorations, both material and placement technique appear to be important determinants in microleakage and, thus, probably in clinical outcomes.

scholarly journals Marginal Permeability of Self-etch and Total-etch Adhesive Systems

2006 ◽  
Vol 31 (1) ◽  
pp. 60-67 ◽  
Author(s):  
B. M. Owens ◽  
W. W. Johnson ◽  
E. F. Harris
Keyword(s):  
Clinical Relevance ◽  
Resin Composite ◽  
Adhesive Systems ◽  
Class V ◽  
Strict Adherence ◽  
Dentin Surface ◽  
Composite Restorations ◽  
Surface Anatomy ◽  
Self Etch

Clinical Relevance Decreased leakage was associated with Adper Scotchbond Multi-Purpose (total etch) and iBond (self-etch) systems in Class V resin composite restorations. All adhesive systems performed best when bonded to enamel compared to dentin surface anatomy. Clinicians should be aware that strict adherence to manufacturer instructions, when using these materials, is of primary importance.

A Study of Microleakage in Class II Composite Restorations Using Four Different Curing Techniques

10.2341/06-98 ◽  
2007 ◽  
Vol 32 (4) ◽  
pp. 336-340 ◽  
Author(s):  
N. Gharizadeh ◽  
K. Moradi ◽  
M. H. Haghighizadeh
Keyword(s):  
Clinical Relevance ◽  
Class Ii ◽  
Composite Restorations

Clinical Relevance For bonded direct Class II restorations, the use of transparent matrices or metal matrices combined with light conducting instruments, such as light tips, should be favored because marginal leakage is significantly lower when compared to using metal matrices alone.

Two-year Clinical Effectiveness of Adhesives and Retention Form on Resin Composite Restorations of Non-carious Cervical Lesions

2009 ◽  
Vol 34 (5) ◽  
pp. 507-515 ◽  
Author(s):  
S-Y. Kim ◽  
K-W. Lee ◽  
S-R. Seong ◽  
M-A. Lee ◽  
I-B. Lee ◽  
...  
Keyword(s):  
Clinical Relevance ◽  
Retention Rate ◽  
Resin Composite ◽  
Clinical Effectiveness ◽  
Marginal Adaptation ◽  
Cervical Lesions ◽  
Composite Restorations ◽  
Observation Period

Clinical Relevance Over a two–year observation period, ScotchBond Multi-Purpose was found to have significantly superior marginal adaptation compared to Adper Prompt. Restorations using retention forms showed a significantly higher retention rate in an experimental adhesive and significantly less marginal discoloration in all three adhesives.

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