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Ten tips for avoiding post-operative sensitivity with posterior composite restorations FJ Trevor Burke Louis Mackenzie Peter Sands Adrian CC Shortall Dental Update 2024 48:10, 707-709.
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.
Article
The use of composite as a restorative material for loadbearing situations in posterior teeth has increased in recent years,1 with this potentially being a result of a combination of factors, such as:
It is therefore desirable that resin composite restorations in posterior teeth may be placed successfully, including the ability to form a tight, naturally contoured contact point when interproximal surfaces are involved, this having been described previously.5 However, there appears to be a demonstrable incidence of post-operative sensitivity reported to two of the authors (FJTB and LM) when they conduct postgraduate education courses on placement of resin composite restorations in loadbearing situations in posterior teeth, also known as ‘posterior composites’, this being the term that will be used forthwith in this article. Moreover, Jack Ferracane, in his 2008 Buonocore Memorial Lecture, which reviewed the subject, stated that concerns over the problems associated with polymerization contraction of dental composite restorations made their placement a ‘stressful situation for many practitioners’.6
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