Skip to main content

Advertisement

SpringerLink
Log in

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

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Brannstrom M (1996) Reducing the risk of sensitivity and pulpal complications after the placement of crowns and fixed partial dentures. Quintessence Int 27:673–678

    PubMed  Google Scholar 

  2. Rosentiel SF, Rashid RG (2003) Postcementation hypersensitivity: scientific data versus dentists’ perceptions. J Prosthodont 12:73–81

    Article  Google Scholar 

  3. Hu J, Zhu Q (2010) Effect of immediate dentin sealing on preventive treatment for postcementation hypersensitivity. Int J Prosthodont 23:49–52

    PubMed  Google Scholar 

  4. Yim HN, Rueggeberg FA, Caughman WF, Gardner FM, Pashley DH (2000) Effect of dentin desensitizers and cementing agents on retention of full crowns using standardized crown preparations. J Prosthet Dent 83:459–465

    Article  PubMed  Google Scholar 

  5. Chidchuangchai W, Vongsavan N, Matthews B (2007) Sensory transduction mechanisms responsible for pain caused by stimulation of dentin in man. Arch Oral Biol 52:154–160

    Article  PubMed  Google Scholar 

  6. Hilton T, Hilton D, Randall R, Ferracane JL (2004) A clinical comparison of two cements for levels of post-operative sensitivity in a practice based setting. Oper Dent 29:241–248

    PubMed  Google Scholar 

  7. Saad DE, Atta O, El-Mowafy O (2010) The postoperative sensitivity of fixed partial dentures cemented with self-adhesive resin cements. J Am Dent Assoc 141:1459–1466

    Google Scholar 

  8. Christensen GJ (1994) Why is glass ionomer cement so popular? J Am Dent Assoc 125:1257–1258

    PubMed  Google Scholar 

  9. Yoneda S, Morigami M, Sugizaki J, Yamada T (2005) Short-term clinical evaluation of a resin-modified glass-ionomer cement. Quintessence Int 36:49–53

    PubMed  Google Scholar 

  10. McLean JW, Wilson AD (2004) Glass ionomer cements. Br Dent J 196:514–515

    Article  PubMed  Google Scholar 

  11. Denner N, Heydecke G, Gerds T, Strub JR (2007) Clinical comparison of postoperative sensitivity for an adhesive resin cement containing 4-META and a conventional glass-ionomer cement. J Prosthodont 20:73–78

    Google Scholar 

  12. Johnson GH, Powell LV, Derouen TA (1993) Evaluation and control of post-cementation pulpal sensitivity: zinc phosphate and glass ionomer luting cements. J Am Dent Assoc 124(11):38–46

    PubMed  Google Scholar 

  13. Jonkstad A, Mjor IA (1996) Ten years clinical evaluation of three luting cements. J Dent 24:309–315

    Article  Google Scholar 

  14. Kern M, Kleimeier B, Schaller HG, Strub JR (1996) Clinical comparison of postoperative sensitivity for a glass ionomer and a zinc phosphate luting cement. J Prosthet Dent 75:159–162

    Article  PubMed  Google Scholar 

  15. Smales RJ, Gale MS (2002) Comparison of pulpal sensitivity between a conventional and two resin-modified glass ionomer luting cements. Oper Dent 27:442–446

    PubMed  Google Scholar 

  16. Radovic I, Monticelli F, Goracci C, Vulicevic ZR, Ferrari M (2008) Self-adhesive resin cements: a literature review. J Adhes Dent 10:251–258

    PubMed  Google Scholar 

  17. Sidhu SK (2010) Clinical evaluations of resin-modified glass-ionomer restorations. Dent Mater 26:7–12

    Article  PubMed  Google Scholar 

  18. Hill EE, Lott J (2011) A clinical focused discussion of luting materials. Aust Dent J 56:67–76

    Article  PubMed  Google Scholar 

  19. Monticelli F, Osorio R, Mazzitelli C, Ferrari M, Toledano M (2008) Limited decalcification/diffusion of self-adhesive cements into dentin. J Dent Res 87:974–979

    Article  PubMed  Google Scholar 

  20. De Souzo Costa CA, Hebling J, Randall RC (2006) Human pulp response to resin cements used to bond inlay restorations. Dent Mater 22:954–962

    Article  Google Scholar 

  21. Chen E, Abbott PV (2009) Dental pulp testing: a review. Int J Dent 2009:365785

    PubMed  Google Scholar 

  22. Price DD, McGrath PA, Rafii A, Buckingham B (1983) The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 17:45–56

    Article  PubMed  Google Scholar 

  23. Auschill TM, Koch CA, Wolkewitz M, Hellwig E, Arweiler NB (2009) Occurrence and causing stimuli of postoperative sensitivity in composite resin restorations. Oper Dent 34:3–10

    Article  PubMed  Google Scholar 

  24. El-Din Saad D, Atta O, El-Mowafy O (2010) The postoperative sensitivity of fixed partial dentures cemented with self-adhesive resin cements. J Am Dent Assoc 141:1459–1466

    Google Scholar 

  25. Hassan SH, Azad AA, Niaz O, Amjad M, Akram J, Riaz W (2011) Post cementation sensitivity in vital abutments of metal-ceramic fixed partial dentures. Pak Oral and Dent J 31:210–213

    Google Scholar 

  26. Murray PE, About I, Lumley PJ, Smith G, Franquin JC, Smith AJ (2000) Postoperative pulpal and repair responses. J Am Dent Assoc 131:321–329

    PubMed  Google Scholar 

  27. Pashley DH (1996) Dynamics of the pulpo-dentin complex. Crit Rev Oral Biol Med 7:104–133

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

This study was supported by a research grant from Heraeus Kulzer.

Author information

Authors and Affiliations

  1. Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, 240 S. 40th Street, Evans Building S6, Philadelphia, PA, USA

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

Authors
  1. Markus B. Blatz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Francis K. Mante
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Najeed Saleh
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Alan M. Atlas
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Sahurabh Mannan
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Fusun Ozer
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Fusun Ozer.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Blatz, M.B., Mante, F.K., Saleh, N. et al. Postoperative tooth sensitivity with a new self-adhesive resin cement—a randomized clinical trial. Clin Oral Invest 17, 793–798 (2013). https://doi.org/10.1007/s00784-012-0775-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-012-0775-4

Keywords

Search

Navigation