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Results for “Dentin Sensitivity”

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At least 577 records · Page 32Linked to original sources

PubMed2006

Clinical performance evaluation of a packable posterior composite in bulk-cured restorations.

BACKGROUND: The authors evaluated the clinical performance of Prodigy Condensable (Kerr, Orange, Calif.) composite placed and cured in increments up to 5 millimeters thick. METHODS: The authors placed 57 Class II restorations in 32 patients in composite increments up to 5 mm thick. Using this technique, they placed the majority of restorations in one increment and then carved the occlusal and proximal anatomy before light curing. The authors evaluated the restorations at three, six, 12, 24 and 36 months. RESULTS: No restorations required replacement; however, 11 developed a defect requiring repair or continued observation. Of these 11, nine restorations developed defects on the margins of the restorations and two developed secondary caries. The Kaplan-Meier estimate of probability that a restoration would develop a defect during 36 months that would require immediate repair was 0.13. Postoperative sensitivity was not significantly different from preoperative sensitivity. CONCLUSIONS: The authors found that no restorations required replacement and no increased postoperative sensitivity occurred. CLINICAL IMPLICATIONS: The authors suggest that this composite material can be placed in a single increment up to 5 mm thick for Class II restorations.

Adult↗

PubMed2001

Reasons for placement and replacement of amalgam restorations in Jordan.

AIMS: To record the reasons for placement and replacement of amalgam restorations in Jordan, to determine the use of amalgam restorations in common cavity types and to collect data on the age of the replaced amalgam restorations. SUBJECTS AND SETTING: Dentists in Jordan (n=241). METHOD: Cross-sectional study using postal survey backed up with personal contact. Data was recorded for all restorations placed or replaced over a period of one month. RESULTS: Information was collected on 3,166 restorations from patients aged 9 to 66 years. Of all restorations, 54.8% were first time placements while 45.2% were replacements of old restorations. The major reason for the first time restorations was primary caries, while that for replacement was secondary caries (28.5%) followed by broken and lost restorations (20.4%), root canal therapy (17%), tooth fracture (12%), pain or sensitivity (8.8%), poor margins (8.5%). CONCLUSIONS: In Jordan, the main reason for first placement of amalgam restoration is primary caries, the main reason for replacement is secondary caries.

Adolescent↗

PubMed1998

Wine tasting and dental erosion. Case report.

A case of widespread dental erosion is reported in an individual who had worked in the wine industry for ten years. This occupation involved daily tasting of at least 20 wines, but often more. The erosion manifested as dental sensitivity with there being cervical erosion, occlusal pitting, and loss of enamel around restorations. The effect of immersing unerupted human teeth in white wine (pH 3.3) was examined with the scanning electron microscope, where marked surface changes had occurred after 24 hours of exposure.

Adult↗

PubMed1995

Direct composite inlays versus conventional composite restorations: three-year clinical results.

A clinical trial of direct composite inlays versus conventionally (incrementally) placed restorations made from the same material was started in January 1989. Restorations were randomly allocated to matched pairs of cavities. This study reports the 3-year performance of 71 of the 100 pairs of restorations placed over a 2-year period and followed-up every 6 months. Clinical assessments were made using USPHS criteria (indirect measurements of occlusal wear were made using Ivoclar standard dies) and annual bite wing radiographs. Direct inlays showed significantly less occlusal wear than conventional restorations, but the difference was small. The clinical performance of both types of restoration was similar and compared favourably with studies of other materials. No secondary decay was diagnosed. The direct inlays, however, took longer to place and did not reduce postoperative sensitivity or failure rate (8% failure of inlays and 4% of conventional composites over 3 years). Contouring of proximal and occlusal aspects was not facilitated with direct inlays but may be easier with indirect inlays on removable dies.

Adult↗

PubMed2000

Clinical evaluation of amalgam bonding in Class I and II restorations.

BACKGROUND: Many dental practitioners are bonding amalgam to tooth structure. Although in vitro studies support this procedure, its efficacy has not been adequately confirmed in the clinical environment. METHODS: The authors placed traditional Class I and Class II bonded and unbonded amalgam restorations in 76 patients. Panavia 21 (J. Morita USA Inc.) was the bonding agent selected, and Aristaloy CR (Englehard Dental) and Tytin (Kerr Corp.) were the amalgam alloys used. Postoperative sensitivity and marginal fracture were evaluated at yearly intervals, for up to three years of clinical service. RESULTS: At the patients' appointment for polishing one to two weeks after restoration placement, and at each yearly recall appointment, the authors found no significant difference in postoperative sensitivity between bonded and unbonded restorations for either amalgam alloy (chi 2 analysis, alpha = .05). In addition, there was no significant difference between bonded and unbonded restorations for either amalgam alloy with respect to marginal fracture (analysis of variance and Tukey's contrasts at alpha = .05). Moreover, no cusp fractures were observed for either bonded or unbonded restorations. CONCLUSIONS: After three years of clinical service, amalgam bonding for traditional Class I and Class II restorations had no effect on postoperative sensitivity or marginal integrity. CLINICAL IMPLICATIONS: The merit of using adhesive bonding agents for traditional Class I and Class II amalgam restorations was not demonstrated in this three-year clinical study.

Adolescent↗

PubMed1997

Two-year clinical evaluation of an amalgam adhesive.

This study compared the clinical effectiveness of an amalgam adhesive as the principal mode of retention for large, complex amalgam restorations with traditional pin-retained amalgams. Restorations were evaluated for retention and reinforcement, postoperative sensitivity, marginal adaptation and recurrent decay. At the end of two years, all restorations were completely retained and rated Alfa for each of the parameters evaluated. An amalgam adhesive proved clinically effective as a suitable alternative to pin retention.

Bicuspid↗

PubMed2026

Influence of Immediate Post-Bleaching Polishing on Enamel Color, Morphology, and Sensitivity: A Randomized Clinical Trial.

OBJECTIVE: This study evaluated the influence of polishing on enamel color change after in-office bleaching treatment on tooth morphology and sensitivity. MATERIALS AND METHODS: A total of 50 volunteers were randomized into two groups (n = 25): in-office bleaching with 35% hydrogen peroxide gel for 45 min without polishing (GSEM) or with polishing (GP). Color analysis was performed four times, at the beginning of the starting line and immediately after the first, second, and third bleaching sessions with a spectrophotometer. A qualitative analysis of enamel morphology was performed under a scanning electron microscope. Tooth sensitivity was assessed daily using the Visual Analog Scale (α = 0.05). RESULTS: There was no statistically significant difference (p > 0.05) in tooth color change when comparing ΔE, ΔE00, and ΔWID between the groups. The enamel surface showed larger areas of irregularities and depressions in the GP group than in the GSEM group. There was no difference in tooth sensitivity (p > 0.05) between the groups. CONCLUSIONS: Polishing after whitening in the office does not change the color and sensitivity of the tooth but promotes greater changes in the morphology of the enamel, such as increased surface roughness. CLINICAL RELEVANCE: Polishing immediately after teeth whitening causes greater changes in enamel surface morphology.

Humans↗

PubMed1997

Contemporary interpretation of probing depth assessments: diagnostic and therapeutic implications. A literature review.

This paper addresses the diagnostic and therapeutic implications of increased probing depths. In general, in untreated and treated patients, when deep and shallow probing depths are compared, the data indicate that deep sites are associated with increased bleeding upon probing, elevated subgingival temperatures, higher levels of pathogens, more probing errors, a greater amount of infiltrated connective tissue, reduced ability to remove subgingival deposits with root planing, and diminished effectiveness of oral hygiene to alter the subgingival microbiota. Clinical trials demonstrate that probing depth is not a good predictor of future disease progression. However, deep sites are at greater risk of disease progression than shallow sites in untreated and treated patients. Furthermore, the deeper the probing depth, the greater the risk of future disease progression. Overall, the preponderance of evidence indicates that it is advantageous, but not always necessary, for patients to have shallow probing depths. With regards to surgical reduction of probing depths beyond that attained with non-surgical therapy, clinicians need to consider the advantages (e.g., ease of maintenance, reduced risk of disease progression) and disadvantages (e.g., root sensitivity, cosmetic defects) of treatment procedures. Since numerous variables require consideration (e.g., response to root planing, goals of therapy, acceptable level of risk for future disease progression), treatment decisions will vary depending on the patient and the desired clinical outcome at specific sites.

Bacteria↗

PubMed2003

Anticaries efficacy of a new dentifrice for hypersensitivity.

PURPOSE: To evaluate the expected anticaries efficacy of a new dentifrice containing stannous fluoride as the anticaries agent and potassium nitrate as the antihypersensitivity agent using a series of laboratory and animal studies. METHODS: Four surrogate studies were performed in this assessment including fluoride uptake in sound enamel, enamel solubility reduction, fluoride bioavailability and animal caries. RESULTS: Each of these studies indicated the new dentifrice for hypersensitivity (Colgate Sensitive Maximum Strength) was effective in inhibiting the caries process. The data demonstrate that this new dentifrice is predicted to be highly effective against caries and equivalent to a positive control dentifrice.

Acid Etching, Dental↗

PubMed2004

Placebo-controlled clinical trial evaluating a 10% hydrogen peroxide whitening strip.

OBJECTIVE: A placebo-controlled clinical trial was conducted to evaluate the effectiveness and safety of a 10% hydrogen peroxide strip-based whitening system in subjects with tooth discoloration and no previous history of tooth whitening. METHODOLOGY: Informed consent was obtained, and 39 healthy adults were randomly assigned to either 10% hydrogen peroxide whitening strips (Crest Whitestrips Premium) or placebo strips with no peroxide. Strips were used unsupervised twice daily for 30 minutes over a seven-day period. At day four and day eight, tooth color (L*a*b*) was measured on the maxillary anterior teeth from standard digital images, and safety was assessed from examinations and subject reports. RESULTS: After three treatment days, the 10% hydrogen peroxide strip group had significant (p < 0.0001) color improvement from baseline, with means (SD) for deltab* and deltaL* of -1.57 (0.472) and 1.72 (0.619), respectively. Continued strip use from day four to day eight resulted in significant (p < 0.002) incremental improvement in both yellowness and lightness. By the end of treatment (day eight), the adjusted mean (SE) color change between groups was -2.20 (0.275) for deltab* and 2.24 (0.254) for deltaL*, a highly significant (p < 0.0001) color improvement for the 10% hydrogen peroxide group relative to placebo, of similar absolute magnitude for deltab* and deltaL*. Treatment with the 10% hydrogen peroxide strips was well-tolerated, with tooth sensitivity and oral irritation representing the most common findings. CONCLUSION: In this double-blind, placebo-controlled clinical trial, statistically significant tooth whitening was evident after three days' treatment with 10% hydrogen peroxide whitening strips, and color improved with continued usage over seven days.

Adult↗

PubMed1977

Calcium hydroxide and potassium nitrate as desensitizing agents for hypersensitive root surfaces.

The purpose of this investigation was to evaluate calcium hydroxide and potassium nitrate individually as densensitizing agents for hypersensitive root surfaces. The apparatus used in the experiment to measure hypersensitivity was (a) a thermo-electric stimulating device to measure hot and cold stimulation quantitatively and (b) a mechanical stimulating device to measure scratch stimulation quantitatively. The conclusions drawn from the study were: 1. Calcium hydroxide was more consistently effective in decreasing sensitivity then was potassium nitrate or the control. 2. Calcium hydroxide as compared to the control was statistically (99% level of significance) more effective in reducing sensitivity to mechanical, hot and cold stimulation immediately and at the conclusion of the experiment (3 months). 3. It appears that calcium hydroxide could be used as a desensitizing agent initially following periodontal surgery to reduce pain from hypersensitive roots in order that proper oral hygiene could be reestablished.

Adult↗

PubMed2001

Comparative efficacy and tolerability of two direct-to-consumer tooth whitening systems.

PURPOSE: To compare the clinical response of two self-directed vital bleaching systems under market use conditions. MATERIALS AND METHODS: A randomized, parallel-group clinical trial was conducted. A total of 20 healthy adults were randomized to either a 6.0% hydrogen peroxide strip-based bleaching system or a combination system involving a 10% carbamide peroxide gel in a stock tray along with an anticavity whitening dentifrice and after-bleaching whitening mouthrinse. Only the maxillary arch was bleached over a 14-day period. Subjects were evaluated at 3, 8 and 15 days. Efficacy was measured objectively using digital image analysis to derive individual color parameters (L*a*b*) and overall color change (deltaE*). RESULTS: After 14 days, the adjusted mean reduction in yellow (Ab*) was -2.23 +/- 0.157 for the whitening strips compared to -0.97 +/- 0.188 for the combination system. This represented a highly statistically significant (P< 0.0001), two-fold superior reduction in yellowness for the whitening strip group compared to the marketed control. Similar results were seen for other color parameters, with the whitening strip group exhibiting two-fold color improvement relative to the tray/dentifrice/rinse combination. With respect to tolerability, tooth sensitivity and oral irritation were the most common findings. Considering event duration and severity, median bleaching tolerability severity-days scores were 0.07 and 0.58 for the strip and combination systems respectively, with these treatments differing statistically (P= 0.04 1) favoring the whitening strips.

Adult↗

PubMedDate not supplied

Clinical trial evaluating two peroxide whitening strips used by teenagers.

Double-blind clinical research was conducted to compare the clinical response of a thin, concentrated peroxide whitening strip (relative to a marketed control) among a teenage population with preceding safety and efficacy data. Informed consent and child assent was obtained from 48 teens, 13-17 years of age. After baseline measurements were taken, subjects were divded randomly into two groups, one using a thin 10% hydrogen peroxide whitening strip, the other using a 6.5% hydrogen peroxide strip with a thicker gel layer. Strip use was 30 minutes twice per day for 22 days on the maxillary arch, followed by 22 days on the mandibular arch. Efficacy was measured objectively based on L*a*b* color change from digital images taken every 11 days, where L* indicates lightness and b* indicates blue-to-yellow shade. The mean age was 15.1 (+/-1.5) years. Relative to baseline, both strip groups experienced significant (p < 0.0001) color improvement for yellowness (deltab*) and lightness/brightness (deltaL*) beginning at the first visit (Day 11). Continued use resulted in significant color improvement through Day 22. Groups did not differ significantly (p > 0.33) with respect to combined deltab* or deltaL* at end-of-treatment. Tooth sensitivity and oral irritation represented the most common adverse events. No subject discontinued early due to a treatment-related adverse event. Teenagers who used either 10% hydrogen peroxide gel or 6.5% hydrogen peroxide gel whitening strips twice a day for 44 days saw significant tooth whitening without serious adverse events.

Adolescent↗

PubMed1994

Design and statistical aspects of the management of clinical trials to assess antihypersensitivity product efficacy.

This paper discusses the design of clinical trials for testing the efficacy of therapeutic products for hypersensitive teeth with emphasis on statistical considerations. The preparation of a proper protocol is essential to the successful outcome of any clinical study. Key considerations in this regard are the criteria for patient selection, the size of the sample, the method of stratification of subjects into various test and control groups, the methods to be used for assessing sensitivity, and the statistical treatment of the data generated. The importance of other factors such as the requirement for a quiet, relaxed atmosphere and allowing adequate time for the examiner to establish a rapport with the subject, and the need to comply with institutional review board regulations, are stressed.

Analysis of Variance↗

PubMed1994

Sensitivity answers sought in amalgam alloy microleakage study.

Sensitivity often occurs shortly after an amalgam restoration is placed. This phenomenon has been related in part to microleakage at the amalgam/tooth interface. When microleakage characteristics of a large number of commercially available dental amalgams were examined, results showed wide variation in the amount of microleakage.

Analysis of Variance↗

PubMed1978

[Placement of the sensitivity tester in "Probaset" and "Probamat D"].

For ergonomical reasons the authors suggest, if a Probamat D unit and a fixed turbine are used, to place the turbine handpiece on the mount destined for the sensibility tester and to manufacture a new holder for the latter. The Probaset unit provides no place for the sensibility tester. Therefore, it is recommended to fit the bracket table with a suitable mount.

Dental Equipment↗

PubMed2002

Extended at-home bleaching of tetracycline-stained teeth with different concentrations of carbamide peroxide.

OBJECTIVE: The degree of color change and the dental sensitivity associated with the use of different concentrations (10%, 15%, and 20%) of carbamide peroxide every night for 6 months was evaluated in tetracycline-stained teeth. METHOD AND MATERIALS: Fifty-nine subjects were shown how to place two different concentrations of carbamide peroxide in the custom trays with reservoirs. For a period of 6 months, the patients were to insert the tray every evening before retiring. Patients returned in 1 and 2 weeks and at 1, 2, 3, 4, 5, 6, 7, 8, and 9 months for evaluation of the degree of color change by subjective shade matching and by photographic means. Sensitivity of hard or soft tissues was self-reported. RESULTS: Fifty-two subjects attended more than 90% of the recalls. A colorimeter was used to convert shade guide tabs to Commission Internationale de l'Eclairage color spaces (CIELAB). The most rapid whitening occurred in the first month. At 3 and 9 months, 91% and 85% of the subjects, respectively, were at least "a little pleased" with the results of the bleaching. In the professional evaluation, 90% of the teeth were deemed to have an excellent or satisfactory esthetic result. The higher the concentration of carbamide peroxide, the more rapidly the lightness value and color difference changed. There was no difference among the three concentrations in resulting gingival sensitivity. Patients experienced less tooth sensitivity with 10% gel than they did with 15% and 20% gels. CONCLUSION: Bleaching with 10%, 15%, and 20% carbamide peroxide is effective for removing tooth staining caused by tetracycline. The 10% concentration has the most advantages and the fewest disadvantages.

Adult↗

PubMed1996

One-year clinical evaluation of bonded amalgam restorations.

Using one selected amalgam bonding agent, the authors evaluated bonded and unbonded restorations in clinical service. Based on postoperative sensitivity one to two weeks after placement and marginal fracture at one year, no difference was found between the bonded and unbonded restorations. Furthermore, some technical difficulties were experienced with use of the bonding agent.

Adhesives↗