Comparative Evaluation of Postoperative Sensitivity in Bulk Fill Restoratives: A Randomized Controlled Trial

Riddhi Thakarshibhai Hirani, Renu Batra, Sonali Kapoor, Riddhi Thakarshibhai Hirani, Renu Batra, Sonali Kapoor

Abstract

Aim: Comparative evaluation of postoperative sensitivity (POS) among three bulk fill restorative materials (Cention N, Equia Forte, Activa™ Bioactive restorative) in Class I posterior restorations.

Materials and methods: One hundred and forty-four patients having occlusal caries were arbitrarily selected and divided into three groups. Standardized Class I cavity was prepared and restored with Cention N, Equia forte, and Activa™ Bioactive restorative material. POS of restored tooth was assessed with a standardized cold test and air stimulus by air blow from the air syringe. Patient responses were assessed at an interval of 24 h, 1 week, and 1 month using a visual analog scale. Statistical analysis was performed using paired t-test, independent t-test, one-way ANOVA test, and Tukey's post hoc test using SPSS 11.0 program (SPSS Inc., Chicago, IL, USA) for windows.

Results: The statistical analysis showed a significant difference in the clinical evaluation of POS at 24 h interval among three groups (Cention N, Activa™ Bioactive Restorative, Equia forte). However, following 1 week and 1 month, there is no significant difference in Group C (Activa™ Bioactive Restorative).

Conclusion: POS was seen more in Cention N contrast to Equia forte and Activa™ bioactive restorative material.

Keywords: Bulk fill restorative; postoperative sensitivity; visual analog scale.

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Armamentarium for the restorative procedure
Figure 2
Figure 2
(a) Preoperative image-Cention n, (b) postoperative image-Cention n
Figure 3
Figure 3
(a) Preoperative image - Equia forte, (b) postoperative image - Equia forte
Figure 4
Figure 4
(a) Preoperative image - Activa™ bioactive restorative, (b) postoperative image - Activa™ bioactive restorative
Figure 5
Figure 5
Assessment of postoperative sensitivity with cold test
Graph 1
Graph 1
Result showing the percentage of patients with a complaint of postoperative sensitivity

References

    1. Gianordoli-Neto R, Padovani GC, Mondelli J, de Lima Navarro MF, Mendonça JS, Santiago SL, et al. Two-year clinical evaluation of resin composite in posterior teeth: A randomized controlled study. J Conserv Dent. 2016;19:306–10.
    1. Ibarra ET, Lien W, Casey J, Dixon SA, Vandewalle KS. Physical properties of a new sonically placed composite resin restorative material. Gen Dent. 2015;63:51–6.
    1. Dhanapal D, Sureshbabu NM. Comparison of postoperative sensitivity using two flowable composites in noncarious cervical lesions: A randomized controlled blinded trial. J Oper Dent Endod. 2017;2:55–60.
    1. Ayer MK. Postoperative sensitivity after placement of bulk-fill posterior restoration. J Res Med Dent Sci. 2017;5:53–8.
    1. Vaid DS, Shah NC, Bilgi PS. One year comparative clinical evaluation of EQUIA with resin-modified glass ionomer and a Nanohybrid composite in noncarious cervical lesions. J Conserv Dent. 2015;18:449–52.
    1. Samanta S, Das UK, Mitra A. Comparison of microleakage in class V cavity restored with flowable composite resin, glass ionomer cement and centionn. Imp J Interdiscip Res. 2017;3:180–83.
    1. Zmener O, Pameijer CH, Porta RD, Hernandez S, Serrano SA. Marginal Bacterial Leakage in Class I Cavities Filled with a new Resin-Modified Glass Ionomer Restorative Material. 2013
    1. Garcia-Godoy F, Morrow BR, Pameijer CH. Flexural strength and fatigue of new Activa RMGIs. J Dent Res. 2014;93:254.
    1. Slowikowski L, John S, Finkleman M, Perry R, Harsono M, Kugel G. Fluoride ion release and recharge over time in three restoratives. J Dent Res. 2014;93:268.
    1. Alrahlah A. Diametral tensile strength, flexural strength, and surface microhardness of bioactive bulk fill restorative. J Contemp Dent Pract. 2018;19:13–9.
    1. Rusin RP, Fitch JA, Aeschliman DB, Cummings KM. Ion release from a new protective coating. AADR Annual Meeting. 2011
    1. Kersten P, White PJ, Tennant A. Is the pain visual analogue scale linear and responsive to change? An exploration using Rasch analysis. PLoS One. 2014;9:e99485.
    1. Activa™ Bioactive Restorative. The Dental Advisor. 2017. [Last accessed on 2018 Sep 24]. Available from:

Source: PubMed

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