Effectiveness of Self-etching Adhesive Only Versus in Combination with Gluma Desensitizer for Preventing Post-composite Sensitivity - A Prospective Study
Introduction: An increase in the incidence of postoperative sensitivity following composite restorations has become an everyday clinical problem. The aim of this study was to evaluate and compare the clinical effectiveness of a self-etching adhesive in combination with a dentin desensitizer (Gluma d...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Indian Journal of Dental Research |
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| Online Access: | https://journals.lww.com/10.4103/ijdr.ijdr_586_23 |
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| author | Hemamalini Rath Shilpa Mahapatra Sri Priya Narayanan |
| author_facet | Hemamalini Rath Shilpa Mahapatra Sri Priya Narayanan |
| author_sort | Hemamalini Rath |
| collection | DOAJ |
| description | Introduction:
An increase in the incidence of postoperative sensitivity following composite restorations has become an everyday clinical problem. The aim of this study was to evaluate and compare the clinical effectiveness of a self-etching adhesive in combination with a dentin desensitizer (Gluma desensitizer), to a self-etching adhesive only, in preventing post-composite sensitivity immediately and over 30 days following a single topical application.
Materials and Methods:
This clinical trial included 112 patients (206 teeth), who were randomized to receive self-etching adhesive in combination with Gluma desensitizer or a self-etching adhesive only. The included teeth were tested for tactile, air blast and cold stimuli, following which patients were asked to rate their sensitivity on an 11-point Numeric Rating Scale (NRS). The subjects were then assessed for post-composite sensitivity immediately after, as well as 1 week and 1 month following the treatment. Descriptive statistics were compared using t-test and Chi-square test. Intergroup comparisons of change in NRS scores to various stimuli were compared using the Mann–Whitney U test.
Results:
The baseline comparison of NRS scores to air, water and tactile stimuli did not reveal any statistically significant differences. The change in NRS scores post air blast, 1 week and 1 month, after the treatment for sensitivity, was observed to be significantly higher in the Gluma group compared to self-etching adhesive (P = 0.001).
Conclusion:
Subjects belonging to the Gluma desensitizer group reported a statistically significant reduction in postoperative sensitivity to air blast stimuli, following composite restoration, at both 1 week and 1 month follow-up. |
| format | Article |
| id | doaj-art-e8230919d22b49bd9a6d3ed4ff0e54e3 |
| institution | DOAJ |
| issn | 0970-9290 1998-3603 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Dental Research |
| spelling | doaj-art-e8230919d22b49bd9a6d3ed4ff0e54e32025-08-20T03:19:57ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032025-01-01361323610.4103/ijdr.ijdr_586_23Effectiveness of Self-etching Adhesive Only Versus in Combination with Gluma Desensitizer for Preventing Post-composite Sensitivity - A Prospective StudyHemamalini RathShilpa MahapatraSri Priya NarayananIntroduction: An increase in the incidence of postoperative sensitivity following composite restorations has become an everyday clinical problem. The aim of this study was to evaluate and compare the clinical effectiveness of a self-etching adhesive in combination with a dentin desensitizer (Gluma desensitizer), to a self-etching adhesive only, in preventing post-composite sensitivity immediately and over 30 days following a single topical application. Materials and Methods: This clinical trial included 112 patients (206 teeth), who were randomized to receive self-etching adhesive in combination with Gluma desensitizer or a self-etching adhesive only. The included teeth were tested for tactile, air blast and cold stimuli, following which patients were asked to rate their sensitivity on an 11-point Numeric Rating Scale (NRS). The subjects were then assessed for post-composite sensitivity immediately after, as well as 1 week and 1 month following the treatment. Descriptive statistics were compared using t-test and Chi-square test. Intergroup comparisons of change in NRS scores to various stimuli were compared using the Mann–Whitney U test. Results: The baseline comparison of NRS scores to air, water and tactile stimuli did not reveal any statistically significant differences. The change in NRS scores post air blast, 1 week and 1 month, after the treatment for sensitivity, was observed to be significantly higher in the Gluma group compared to self-etching adhesive (P = 0.001). Conclusion: Subjects belonging to the Gluma desensitizer group reported a statistically significant reduction in postoperative sensitivity to air blast stimuli, following composite restoration, at both 1 week and 1 month follow-up.https://journals.lww.com/10.4103/ijdr.ijdr_586_23composite resinsdentin desensitizing agentsdentin sensitivitypain measurementpostoperative pain |
| spellingShingle | Hemamalini Rath Shilpa Mahapatra Sri Priya Narayanan Effectiveness of Self-etching Adhesive Only Versus in Combination with Gluma Desensitizer for Preventing Post-composite Sensitivity - A Prospective Study Indian Journal of Dental Research composite resins dentin desensitizing agents dentin sensitivity pain measurement postoperative pain |
| title | Effectiveness of Self-etching Adhesive Only Versus in Combination with Gluma Desensitizer for Preventing Post-composite Sensitivity - A Prospective Study |
| title_full | Effectiveness of Self-etching Adhesive Only Versus in Combination with Gluma Desensitizer for Preventing Post-composite Sensitivity - A Prospective Study |
| title_fullStr | Effectiveness of Self-etching Adhesive Only Versus in Combination with Gluma Desensitizer for Preventing Post-composite Sensitivity - A Prospective Study |
| title_full_unstemmed | Effectiveness of Self-etching Adhesive Only Versus in Combination with Gluma Desensitizer for Preventing Post-composite Sensitivity - A Prospective Study |
| title_short | Effectiveness of Self-etching Adhesive Only Versus in Combination with Gluma Desensitizer for Preventing Post-composite Sensitivity - A Prospective Study |
| title_sort | effectiveness of self etching adhesive only versus in combination with gluma desensitizer for preventing post composite sensitivity a prospective study |
| topic | composite resins dentin desensitizing agents dentin sensitivity pain measurement postoperative pain |
| url | https://journals.lww.com/10.4103/ijdr.ijdr_586_23 |
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