Influência da Estratégia Adesiva sobre a Sensibilidade Pós-operatória em Pacientes com Restaurações de Resina Composta à Base de Silorano
Palavras-chave:
Restaurações; Resina composta; Sistema adesivo; Sensibilidade pós-operatóriaResumo
Objetivo: este estudo avaliou o desempenho clínico de restaurações de resina composta à base de
silorano, confeccionadas sob diferentes protocolos de adesão, em relação à presença de sensibilidade pósoperatória. Metodologia: ensaio clínico controlado e randomizado, realizado com 26 pacientes recrutados
em uma clínica-escola odontológica. Cada restauração foi confeccionada seguindo um de três protocolos
de adesão: G1 (controle 1) tratamento de superfície com sistema adesivo autocondicionante Adper SE
Plus 3M/ESPE + Filtek P60® 3M/ESPE; G2 (controle 2) tratamento de superfície com sistema adesivo
autocondicionante P90 3M/ESPE + Filtek P90® 3M/ESPE; G3 (teste) tratamento de superfície com ácido
fosfórico a 37% + Sistema adesivo P90 3M /ESPE + Filtek P90® 3M /ESPE; G4 (teste) tratamento de
superfície por jateamento com óxido de alumínio + Sistema adesivo P90 3M /ESPE + Filtek P90® 3M /
ESPE. Após o tratamento (baseline) e em 12 meses, dois examinadores treinados avaliaram as restaurações
utilizando o método da World Dental Federation. A normalidade da distribuição dos dados foi verificada
para cada variável resposta, utilizando o teste de Kolmogorov-Smirnov (p≤0,05). O teste de Kruskal-Wallis
buscou diferenças significativas entre os grupos. Resultados: a amostra resultou em 123 restaurações
confeccionadas e avaliadas em 12 meses, período em que cerca de 98% das restaurações foram classificadas
como “clinicamente muito boas”, não tendo sido encontradas diferenças estatisticamente significativas
quando as diferentes estratégias testadas. Conclusões: o uso adicional de ácido fosfórico ou do jato de
óxido de alumínio em combinação com sistemas adesivos auto-condicionantes não influenciou as taxas de
sensibilidade pós-operatória.
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Referências
1. FRANKENBERGER R. et al. Effect of
preparation mode on class II resin composite
repair. J. O. Rahabil, n. 30, p. 559-564, 2003.
2. PAPACCHINI F. et al. Effect of intermediate
agents and pre-heating of repairing resin on
composite-repair bonds. O. Dent, n. 32, p. 363-371,
2007.
3. SAKU S. et al. Antibacterial activity of
composite resin with glass-ionomer filler particles.
D. Mater J. Mar, v. 29(2), n. 193, p. 8, 2010.
4. ILIE N, Hickel R. Resin composite
restorative materials. A. Dent J, v. 56 (Suppl. 1), p.
59–66, 2011.
5. CZASCH P, Ilie N. In vitro comparison of
mechanical properties and degree of cure of bulk
fill composites. C. O. Investig, n. 17; p. 227–35,
2013.
6. WEINMANN W. et al. Siloranes in dental
composites. Dent Mater, n. 21, p. 68–74, 2005.
7. EICK D.et al. Properties of silorane-based
dental resins and composites containin9g a stressreducing monomer. Dent Mater, v. 23; p. 1011-
1017, 2007.
8. BUONOCORE, M.G. A simple method of
increasing the adhesion of acrylic filling materiais
to enamel surfaces. J Dent Res, v. 34, n. 6, p. 849-
853, Dec. 1955.
9. REIS A. et al. Does the adhesive strategy
influence the post-operative sensitivity in adult
patients with posterior resin composite restorations?
A systematic review and meta-analysis. 0109-
5641/©. Academy of Dental Materials. Published
by Elsevier Ltd. All rights reserved.), p. 1052–1067,
2015.
10. WANG Y, SPENCER P. Effect of acid
etching time and technique on interfacial
characteristics of the adhesive-dentin bond using
differential staining. Eur J Oral Sci, v. 112, n. 293
p. 9, 2004.
11. BRÄNNSTRÖM M, ASTRÖM A.
The hydrodynamics of the dentine; its possible
relationship to dentinal pain. Int Dent J, 22:219–
27, 1972.
12. GORDAN VV, MJÖR IA. Short- and longterm clinical evaluation of post-operative sensitivity
of a new resin-based restorative material and selfetching primer. Oper Dent, v. 27, n. 543, p. 8, 2002.
13. FRANKENBERGER R, KRÄMER N,
PETSCHELT A. Technique sensitivity of dentin
bonding: effect of application mistakes on bond
strength and marginal adaptation. Oper Dent, v.
25, n. 324, p. 30, 2000.
14. Perdigão J, Dutra-Correa M, Anauate-Netto
C, Castilhos N, Carmo AR, Lewgoy HR, Amore R,
Cordeiro HJ. Two-year clinical evaluation of selfetching adhesives in posterior restorations. J Adhes
Dent, v. 11, n. 149, p. 59, 2009.
15. Perry RD. Clinical evaluation of totaletch and self-etch bonding systems for preventing
sensitivity in Class 1 and Class 2 restorations.
Compend Contin Educ Dent, n. 28, p.12–4, 2007.
16. Coli P, Alaeddin S, Wennerberg A &
Karlsson S (1999) In vitro dentin pretreatment:
Surface roughness and adhesive shear bond
strength. European Journal of Oral Science, v.
107(5) p.400- 413.
17. França FMG, Santos AJS, Lovadino JR.
Influence of Air Abrasion and Long-term Storage
on the Bond Strength of Self-etching Adhesives to
Dentin. ©Operative Dentistry, v. 32, n.3, p. 217-
224, 2007.
18. Escosteguy CC. Tópicos Metodológicos
e Estatísticos em Ensaios Clínicos Controlados
Randomizados. Arq Bras Cardiol, n. 72, p.139-143,
1999.
19. Schmidt M, Kirkevang LL, HǿrstedBindslev P, Poulsen S (2011). Marginal adaptation
of a low-shrinkage silorane-based composite:
1-year randomized clinical trial. Clin Oral Invest,
n. 15, p. 291-295, 2001.
20. Gordan VV, Shen C, Riley J, & Mjor IA
(2006) Two-year clinical evaluation of repair versus
replacement of composite restorations. Journal of
Esthetic Dentistry, v.18 (3) p. 144-154, 2006.
21. Moncada G, Martin J, Fernández E,
Hampel MC, Mjör IA, Gordan VV (2009). Sealing,
refurbishment and repair of class I and class II
defective restorations: A three-year clinical trial.
JADA, n. 140, p. 425-432, 2009.
22. Gordan VV, Shen C, Watson RE, Mjor IA
(2005). Four-year clinical evaluation of self-etching
primer and resin-based restorative material. Am J
Dent, n. 18, p. 45-49, 2005.
23. Gordan VV, Mondragon E, Watson RE,
Garvan C, Mjor IA (2007). A clinical evaluation
of a self-etching primer and giomer restorative
material. JADA, n. 138, p. 621-627, 2007.
24. Rathore M, Singh A, Pant VA. The dental
amalgam toxicityfear: a myth or actuality. Toxicol
Int, v. 19, n. 81, p. 8, 2012.
25. Arenholt-Bindslev D. Dental amalgam–
environmentalaspects. Adv Dent Res, v. 6:125, p.
30, 2012.
26. Sancakli, et al.: Clinical experience and
postoperative sensitivity. European Journal of
Dentistry, Vol 8 / Issue 1 / Jan-Mar 2014.
27. Motisuki C, Lima LM, dos Santos-Pinto
L, Guelmann M. Restorative treatment on Class
I and II restorations inprimary molars: a survey
of Brazilian dental schools. J ClinPediatr Dent, v.
30:175, p. 8, 2005.
28. Lynch CD, McConnell RJ, Wilson NH.
Teaching of posteriorcomposite resin restorations
in undergraduate dentalschools in Ireland and the
United Kingdom. Eur J Dent Educ, n. 10, p. 38–43,
2006.
29. Liew Z, Nguyen E, Stella R, Thong I, Yip
N, Zhang F, BurrowMF, Tyas MJ. Survey on the
teaching and use in dentalschools of resin-based
materials for restoring posteriorteeth. Int Dent J, v.
61:12, p. 8, 2011.
30. Briso AL, Mestrener SR, Delício G,
Sundfeld RH, Bedran-Russo AK, de Alexandre
RS, et al. Clinical assessment of postoperative
sensitivity in posterior composite restorations.
Oper Dent, v. 32, n. 421, p. 6, 2004.
31. Hickel R, Roulet JF, Bayne S, Heintze SD,
Mjor IA, Peters M, Rousson V, Randall R, Schmalz
G, Tyas M, Vanherle G. Recommendations for
conducting controlled clinical studies of dental
restorative materials. Clin Oral Investig, n. 11, p,
5-33, 2007.
32. Baratieri LN, Ritter AV. Four-year clinical
evaluation of posterior resin-based composite
restorations placed using the total-etch technique.
J Esthet Restor Dent v. 13, n. 50, p. 7, 2001.
33. Ilie N, & Hickel R (2006) Silorane-based
dental composite: behavior and abilities. Dental
Materials Journal, n. 25(3), p. 445-454, 2006.
34. Auschill TM, Koch CA, Wolkewitz M,
Hellwig E, Arweiler NB. Occurence and causing
stimuli of postoperative sensitivity in composite
restorations. Oper Dent, n. 34, p. 3‑10, 2009.
35. Opdam NJ, Roeters FJ, Feilzer AJ,
Verdonschot EH. Marginal integrity and
postoperative sensitivity in Class 2 resin composite
restorations in vivo. J Dent, v. 26, n. 555, p. 62,
1998.
36. Papacchini F, Magni E, Radovic I, Mazzitelli
C, Monticelli F, Goracci C, Polimeni A, Ferrari M.
Effect of intermediate agents and pre-heating of
repairing resin on composite-repair bonds. Oper
Dent, n. 32, p. 363-371, 2007.
37. Kishikawa R, Koiwa A, Chikawa H, Cho E,
Inai N, Tagami J. Effect of cavity form on adhesion
to cavity floor. Am J Dent, v. 18(6), p. 311-314,
2005.
38. Park J, Chang J, Ferracane J, & Lee IB
(2008) How should composite be layered to reduce
shrinkage stress: incremental or bulk filling? Dental
Materials, n. 24(11) p. 1501-1505, 2008.
preparation mode on class II resin composite
repair. J. O. Rahabil, n. 30, p. 559-564, 2003.
2. PAPACCHINI F. et al. Effect of intermediate
agents and pre-heating of repairing resin on
composite-repair bonds. O. Dent, n. 32, p. 363-371,
2007.
3. SAKU S. et al. Antibacterial activity of
composite resin with glass-ionomer filler particles.
D. Mater J. Mar, v. 29(2), n. 193, p. 8, 2010.
4. ILIE N, Hickel R. Resin composite
restorative materials. A. Dent J, v. 56 (Suppl. 1), p.
59–66, 2011.
5. CZASCH P, Ilie N. In vitro comparison of
mechanical properties and degree of cure of bulk
fill composites. C. O. Investig, n. 17; p. 227–35,
2013.
6. WEINMANN W. et al. Siloranes in dental
composites. Dent Mater, n. 21, p. 68–74, 2005.
7. EICK D.et al. Properties of silorane-based
dental resins and composites containin9g a stressreducing monomer. Dent Mater, v. 23; p. 1011-
1017, 2007.
8. BUONOCORE, M.G. A simple method of
increasing the adhesion of acrylic filling materiais
to enamel surfaces. J Dent Res, v. 34, n. 6, p. 849-
853, Dec. 1955.
9. REIS A. et al. Does the adhesive strategy
influence the post-operative sensitivity in adult
patients with posterior resin composite restorations?
A systematic review and meta-analysis. 0109-
5641/©. Academy of Dental Materials. Published
by Elsevier Ltd. All rights reserved.), p. 1052–1067,
2015.
10. WANG Y, SPENCER P. Effect of acid
etching time and technique on interfacial
characteristics of the adhesive-dentin bond using
differential staining. Eur J Oral Sci, v. 112, n. 293
p. 9, 2004.
11. BRÄNNSTRÖM M, ASTRÖM A.
The hydrodynamics of the dentine; its possible
relationship to dentinal pain. Int Dent J, 22:219–
27, 1972.
12. GORDAN VV, MJÖR IA. Short- and longterm clinical evaluation of post-operative sensitivity
of a new resin-based restorative material and selfetching primer. Oper Dent, v. 27, n. 543, p. 8, 2002.
13. FRANKENBERGER R, KRÄMER N,
PETSCHELT A. Technique sensitivity of dentin
bonding: effect of application mistakes on bond
strength and marginal adaptation. Oper Dent, v.
25, n. 324, p. 30, 2000.
14. Perdigão J, Dutra-Correa M, Anauate-Netto
C, Castilhos N, Carmo AR, Lewgoy HR, Amore R,
Cordeiro HJ. Two-year clinical evaluation of selfetching adhesives in posterior restorations. J Adhes
Dent, v. 11, n. 149, p. 59, 2009.
15. Perry RD. Clinical evaluation of totaletch and self-etch bonding systems for preventing
sensitivity in Class 1 and Class 2 restorations.
Compend Contin Educ Dent, n. 28, p.12–4, 2007.
16. Coli P, Alaeddin S, Wennerberg A &
Karlsson S (1999) In vitro dentin pretreatment:
Surface roughness and adhesive shear bond
strength. European Journal of Oral Science, v.
107(5) p.400- 413.
17. França FMG, Santos AJS, Lovadino JR.
Influence of Air Abrasion and Long-term Storage
on the Bond Strength of Self-etching Adhesives to
Dentin. ©Operative Dentistry, v. 32, n.3, p. 217-
224, 2007.
18. Escosteguy CC. Tópicos Metodológicos
e Estatísticos em Ensaios Clínicos Controlados
Randomizados. Arq Bras Cardiol, n. 72, p.139-143,
1999.
19. Schmidt M, Kirkevang LL, HǿrstedBindslev P, Poulsen S (2011). Marginal adaptation
of a low-shrinkage silorane-based composite:
1-year randomized clinical trial. Clin Oral Invest,
n. 15, p. 291-295, 2001.
20. Gordan VV, Shen C, Riley J, & Mjor IA
(2006) Two-year clinical evaluation of repair versus
replacement of composite restorations. Journal of
Esthetic Dentistry, v.18 (3) p. 144-154, 2006.
21. Moncada G, Martin J, Fernández E,
Hampel MC, Mjör IA, Gordan VV (2009). Sealing,
refurbishment and repair of class I and class II
defective restorations: A three-year clinical trial.
JADA, n. 140, p. 425-432, 2009.
22. Gordan VV, Shen C, Watson RE, Mjor IA
(2005). Four-year clinical evaluation of self-etching
primer and resin-based restorative material. Am J
Dent, n. 18, p. 45-49, 2005.
23. Gordan VV, Mondragon E, Watson RE,
Garvan C, Mjor IA (2007). A clinical evaluation
of a self-etching primer and giomer restorative
material. JADA, n. 138, p. 621-627, 2007.
24. Rathore M, Singh A, Pant VA. The dental
amalgam toxicityfear: a myth or actuality. Toxicol
Int, v. 19, n. 81, p. 8, 2012.
25. Arenholt-Bindslev D. Dental amalgam–
environmentalaspects. Adv Dent Res, v. 6:125, p.
30, 2012.
26. Sancakli, et al.: Clinical experience and
postoperative sensitivity. European Journal of
Dentistry, Vol 8 / Issue 1 / Jan-Mar 2014.
27. Motisuki C, Lima LM, dos Santos-Pinto
L, Guelmann M. Restorative treatment on Class
I and II restorations inprimary molars: a survey
of Brazilian dental schools. J ClinPediatr Dent, v.
30:175, p. 8, 2005.
28. Lynch CD, McConnell RJ, Wilson NH.
Teaching of posteriorcomposite resin restorations
in undergraduate dentalschools in Ireland and the
United Kingdom. Eur J Dent Educ, n. 10, p. 38–43,
2006.
29. Liew Z, Nguyen E, Stella R, Thong I, Yip
N, Zhang F, BurrowMF, Tyas MJ. Survey on the
teaching and use in dentalschools of resin-based
materials for restoring posteriorteeth. Int Dent J, v.
61:12, p. 8, 2011.
30. Briso AL, Mestrener SR, Delício G,
Sundfeld RH, Bedran-Russo AK, de Alexandre
RS, et al. Clinical assessment of postoperative
sensitivity in posterior composite restorations.
Oper Dent, v. 32, n. 421, p. 6, 2004.
31. Hickel R, Roulet JF, Bayne S, Heintze SD,
Mjor IA, Peters M, Rousson V, Randall R, Schmalz
G, Tyas M, Vanherle G. Recommendations for
conducting controlled clinical studies of dental
restorative materials. Clin Oral Investig, n. 11, p,
5-33, 2007.
32. Baratieri LN, Ritter AV. Four-year clinical
evaluation of posterior resin-based composite
restorations placed using the total-etch technique.
J Esthet Restor Dent v. 13, n. 50, p. 7, 2001.
33. Ilie N, & Hickel R (2006) Silorane-based
dental composite: behavior and abilities. Dental
Materials Journal, n. 25(3), p. 445-454, 2006.
34. Auschill TM, Koch CA, Wolkewitz M,
Hellwig E, Arweiler NB. Occurence and causing
stimuli of postoperative sensitivity in composite
restorations. Oper Dent, n. 34, p. 3‑10, 2009.
35. Opdam NJ, Roeters FJ, Feilzer AJ,
Verdonschot EH. Marginal integrity and
postoperative sensitivity in Class 2 resin composite
restorations in vivo. J Dent, v. 26, n. 555, p. 62,
1998.
36. Papacchini F, Magni E, Radovic I, Mazzitelli
C, Monticelli F, Goracci C, Polimeni A, Ferrari M.
Effect of intermediate agents and pre-heating of
repairing resin on composite-repair bonds. Oper
Dent, n. 32, p. 363-371, 2007.
37. Kishikawa R, Koiwa A, Chikawa H, Cho E,
Inai N, Tagami J. Effect of cavity form on adhesion
to cavity floor. Am J Dent, v. 18(6), p. 311-314,
2005.
38. Park J, Chang J, Ferracane J, & Lee IB
(2008) How should composite be layered to reduce
shrinkage stress: incremental or bulk filling? Dental
Materials, n. 24(11) p. 1501-1505, 2008.
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Publicado
2020-12-06
Como Citar
BELKISS SANTOS DE OLIVEIRA, F. .; PEREIRA MARQUES, I.; SILVA SOUZA, J. G. .; SOARES, K. H. .; DE MAGALHÃES, C. S. .; FERREIRA, R. C. .; GOMES FRANÇA, F. M. .; ARAÚJO VELOSO POPOFF, D. . Influência da Estratégia Adesiva sobre a Sensibilidade Pós-operatória em Pacientes com Restaurações de Resina Composta à Base de Silorano. Revista Unimontes Científica, [S. l.], v. 18, n. 2, p. 36–48, 2020. Disponível em: https://www.periodicos.unimontes.br/index.php/unicientifica/article/view/1768. Acesso em: 20 abr. 2024.
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