Comparative Evaluation Of Postoperative Sensitivity Using Total-Etch Versus Self-Etch Bonding Techniques In Resin Composite Restorations: A Randomized Clinical Trial

Objective: To assess and compare postoperative sensitivity in resin composite restorations using the self-etch versus total-etch technique. Methods: A randomized clinical trial conducted at the Department of Operative Dentistry &Endodontics, from April 1st, 2022, to September 30th, 2022. Pati...

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Main Authors: Shahid Ahmad Marwat, Hassan Maqbool, Umair ul Haq, Zarnab Rizwan, Khadija Sajid, Shakeel Ur Rehman Khattak
Format: Article
Language:English
Published: Rawalpindi Medical University 2024-12-01
Series:Journal of Rawalpindi Medical College
Online Access:https://www.journalrmc.com/index.php/JRMC/article/view/2537
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author Shahid Ahmad Marwat
Hassan Maqbool
Umair ul Haq
Zarnab Rizwan
Khadija Sajid
Shakeel Ur Rehman Khattak
author_facet Shahid Ahmad Marwat
Hassan Maqbool
Umair ul Haq
Zarnab Rizwan
Khadija Sajid
Shakeel Ur Rehman Khattak
author_sort Shahid Ahmad Marwat
collection DOAJ
description Objective: To assess and compare postoperative sensitivity in resin composite restorations using the self-etch versus total-etch technique. Methods: A randomized clinical trial conducted at the Department of Operative Dentistry &Endodontics, from April 1st, 2022, to September 30th, 2022. Patients were assigned to Group A (total-etch) or Group B (self-etch) based on odd or even outpatient department numbers, determined through randomization. Local anaesthesia was administered, following the placement of a rubber dam, a high-speed handpiece with water coolant and an ISO #15 round diamond bur (Shofu. Inc, Kyoto, Japan) used for cavity preparation. In Group A, 37% phosphoric acid etchant (3M, ESPE) was applied for 30 seconds, followed by rinsing and air-drying (triple syringe). Subsequently, the bonding agent (Scotchbond 3M, ESPE) was applied and cured with light. Group B utilized a self-etch priming adhesive (Adper™ 3M) for 20 seconds, followed by exposing the tooth to light for a 20-second curing process. Results: In Group A, the mean and SDs for post-operative sensitivity were 2.48+1.30 VAS at 24 hours and 2.05+1.30 VAS at 2 weeks. Group B showed reduced values of mean and SDs for postoperative sensitivity at 24 hours 1.73+1.66 VAS and 2 weeks 1.25+1.18. Conclusion: Self-etch bonding demonstrated decreased postoperative sensitivity at 24 hours and 2 weeks, suggesting its effectiveness in reducing sensitivity after resin composite restoration. Keywords: Sensitivity, Visual Analog Scale.
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spelling doaj-art-6e5266c60b5a49da9ff350cb87a8eb252025-02-06T08:34:05ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702024-12-0128410.37939/jrmc.v28i4.2537Comparative Evaluation Of Postoperative Sensitivity Using Total-Etch Versus Self-Etch Bonding Techniques In Resin Composite Restorations: A Randomized Clinical TrialShahid Ahmad Marwat0Hassan Maqbool 1Umair ul Haq2Zarnab Rizwan3Khadija Sajid4Shakeel Ur Rehman Khattak5Health DepartmentFrontier Medical & Dental College, AbbottabadGarhi Tajik, PeshawarIslamic International Dental CollegeIslamic International Dental CollegeSardar Begum Dental College, Gandhara University, Peshawar Objective: To assess and compare postoperative sensitivity in resin composite restorations using the self-etch versus total-etch technique. Methods: A randomized clinical trial conducted at the Department of Operative Dentistry &Endodontics, from April 1st, 2022, to September 30th, 2022. Patients were assigned to Group A (total-etch) or Group B (self-etch) based on odd or even outpatient department numbers, determined through randomization. Local anaesthesia was administered, following the placement of a rubber dam, a high-speed handpiece with water coolant and an ISO #15 round diamond bur (Shofu. Inc, Kyoto, Japan) used for cavity preparation. In Group A, 37% phosphoric acid etchant (3M, ESPE) was applied for 30 seconds, followed by rinsing and air-drying (triple syringe). Subsequently, the bonding agent (Scotchbond 3M, ESPE) was applied and cured with light. Group B utilized a self-etch priming adhesive (Adper™ 3M) for 20 seconds, followed by exposing the tooth to light for a 20-second curing process. Results: In Group A, the mean and SDs for post-operative sensitivity were 2.48+1.30 VAS at 24 hours and 2.05+1.30 VAS at 2 weeks. Group B showed reduced values of mean and SDs for postoperative sensitivity at 24 hours 1.73+1.66 VAS and 2 weeks 1.25+1.18. Conclusion: Self-etch bonding demonstrated decreased postoperative sensitivity at 24 hours and 2 weeks, suggesting its effectiveness in reducing sensitivity after resin composite restoration. Keywords: Sensitivity, Visual Analog Scale. https://www.journalrmc.com/index.php/JRMC/article/view/2537
spellingShingle Shahid Ahmad Marwat
Hassan Maqbool
Umair ul Haq
Zarnab Rizwan
Khadija Sajid
Shakeel Ur Rehman Khattak
Comparative Evaluation Of Postoperative Sensitivity Using Total-Etch Versus Self-Etch Bonding Techniques In Resin Composite Restorations: A Randomized Clinical Trial
Journal of Rawalpindi Medical College
title Comparative Evaluation Of Postoperative Sensitivity Using Total-Etch Versus Self-Etch Bonding Techniques In Resin Composite Restorations: A Randomized Clinical Trial
title_full Comparative Evaluation Of Postoperative Sensitivity Using Total-Etch Versus Self-Etch Bonding Techniques In Resin Composite Restorations: A Randomized Clinical Trial
title_fullStr Comparative Evaluation Of Postoperative Sensitivity Using Total-Etch Versus Self-Etch Bonding Techniques In Resin Composite Restorations: A Randomized Clinical Trial
title_full_unstemmed Comparative Evaluation Of Postoperative Sensitivity Using Total-Etch Versus Self-Etch Bonding Techniques In Resin Composite Restorations: A Randomized Clinical Trial
title_short Comparative Evaluation Of Postoperative Sensitivity Using Total-Etch Versus Self-Etch Bonding Techniques In Resin Composite Restorations: A Randomized Clinical Trial
title_sort comparative evaluation of postoperative sensitivity using total etch versus self etch bonding techniques in resin composite restorations a randomized clinical trial
url https://www.journalrmc.com/index.php/JRMC/article/view/2537
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