Postoperative tooth sensitivity with a new self-adhesive resin cement-a randomized clinical trial

Markus B. Blatz, Francis K. Mante, Najeed Saleh, Alan M. Atlas, Sahurabh Mannan, Fusun Ozer

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Objectives: This study evaluated and compared sensitivity of teeth after cementation of full-coverage crowns with a new self-adhesive resin cement (SARC). A resin-modified glass ionomer cement (RMGIC) served as control. Materials and methods: Eighty-eight full-coverage crowns were cemented to vital teeth with either the self-adhesive cement iCem (Heraeus Kulzer; n = 44) or the RMGIC GC Fuji PLUS (GC, n = 44). Before preparations, patients were questioned for sensitivity (patient sensitivity, PS). In addition, air was blown for 2 s onto the buccal cementoenamel junction (air sensitivity, AS), and ice spray was applied in the cementoenamel junction area (ice sensitivity, IS). Patient responses were recorded with a visual analog scale. After cementation of the crowns, patients were recalled for follow-up (f/u) visits at 1 day, 1 week, and 3 weeks. PS, AS, and IS were recorded during each visit. Data were analyzed with Mann-Whitney U tests. Results: The two groups revealed comparable sensitivity scores at baseline. SARC showed significantly lower PS sensitivity scores at 1 day (p = 0. 02) and significantly lower AS scores at 1-week follow-up (p = 0. 01). IS generally produced the highest sensitivity scores with SARC revealing significantly lower scores at all follow-up visits. Conclusion: Cementation of crowns with the SARC tested in this study resulted in overall lower postoperative sensitivity than with the RMGIC. Clinical relevance: Among other clinical advantages, some self-adhesive resin cements seem to lower postoperative sensitivity of crowned teeth.

Original languageEnglish (US)
Pages (from-to)793-798
Number of pages6
JournalClinical oral investigations
Volume17
Issue number3
DOIs
StatePublished - Jan 1 2013

Keywords

  • Fixed partial dentures
  • Luting cements
  • Postoperative sensitivity
  • Self-adhesive cements

ASJC Scopus subject areas

  • Dentistry(all)

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