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两种不同脱敏剂降低复合树脂修复术后敏感性的临床疗效

Clinical Efficacy of Two Different Desensitizers in Reducing Postoperative Sensitivity Following Composite Restorations.

作者信息

Rajnekar Rutuja, Mankar Nikhil, Nikhade Pradnya, Chandak Manoj, Ikhar Anuja, Burde Karuna

机构信息

Conservative Dentistry and Endodontics, Sharad Pawar Dental College, Datta Meghe Institute of Medical Sciences (DMIMS) Deemed University, Wardha, IND.

Public Health Dentistry, Saraswati Dhanvantari Dental College and Hospital, Parbhani, IND.

出版信息

Cureus. 2022 Jun 15;14(6):e25977. doi: 10.7759/cureus.25977. eCollection 2022 Jun.

Abstract

OBJECTIVE

The objective is to evaluate the efficacy of different desensitizing agents in the reduction of postoperative sensitivity after composite restoration.

MATERIALS AND METHODS

Class I cavities were prepared in 39 patients by the same operator. The patients included in the study were between 20 and 45 years with vital pulp and a remaining dentin thickness of 1mm. Previously restored, nonvital and tooth with periodical changes were excluded. Patients were randomly assigned into three groups of 13 each - Group I (Control); Group II (Gluma desensitizer) and Group III (shield active desensitizer [SAD]). After the surface treatment, the teeth were restored with composite. The patients were assessed for postoperative sensitivity at 24 hours and one week with a visual analog scale (VAS).

STATISTICAL ANALYSIS

Data were analyzed using SPSS v23 software. Data were analyzed using one-way ANOVA and post-hoc Tukey test.

RESULTS

Gluma and SAD on comparison with control group i.e. composite group showed statistical significance difference at day 1 (P-value 0.003), but on comparing the sensitivity after one week, there is no significant difference in sensitivity score between all three groups (P-value 0.073). There was no statistically significant difference between day 1 and one week when comparing Gluma desensitizer and SAD.

CONCLUSION

The application of the desensitizer led to a statistically significant reduction in postoperative sensitivity on day 1 and a clinically significant reduction was observed at one week.

摘要

目的

评估不同脱敏剂在复合树脂修复术后降低牙齿敏感的疗效。

材料与方法

由同一位操作者为39例患者制备I类洞。纳入研究的患者年龄在20至45岁之间,牙髓活力正常,剩余牙本质厚度为1mm。排除既往有修复史、牙髓无活力及有牙周病变的牙齿。患者被随机分为三组,每组13例——第一组(对照组);第二组(Gluma脱敏剂组)和第三组(舒敏之星脱敏剂[SAD]组)。表面处理后,用复合树脂修复牙齿。使用视觉模拟量表(VAS)在术后24小时和1周对患者的牙齿敏感情况进行评估。

统计分析

使用SPSS v23软件进行数据分析。采用单因素方差分析和事后Tukey检验进行数据分析。

结果

与对照组即复合树脂组相比,Gluma和SAD在第1天显示出统计学显著差异(P值为0.003),但在比较1周后的牙齿敏感情况时,三组之间的敏感评分无显著差异(P值为0.073)。比较Gluma脱敏剂和SAD时,第1天和1周之间无统计学显著差异。

结论

脱敏剂的应用在第1天导致术后牙齿敏感有统计学显著降低,且在1周时观察到有临床显著降低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6135/9287591/f5648bbb8735/cureus-0014-00000025977-i01.jpg

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