PRELIMINARY CLINICAL-STATISTICAL STUDY REGARDING POSTOPERATIVE SENSITIVITY IN THE TREATMENT OF SIMPLE CARIES
Abstract:
After the usual treatment of simple caries, an unpleasant complication occurs quite often, namely postoperative hypersensitivity. The aim of the paper is to draw attention to this complication that is rather frequent yet little known by the dental practitioner. There are a lot of clinical manifestations of this disorder that has different etiological factors and production mechanisms. The method consists of the examination of 104 patients of both sexes in the 23-40 age bracket, who came to “Carol Davila” University of Medicine and Pharmacy in Bucharest to have their simple caries treated, and who were monitored for a period of 3 months after the treatment. We studied only the occlusal carious lesions in the molars that were restored using composite materials. The examination of patients was performed using a questionnaire that included a clinical examination, the patient’s subjective account regarding the presence of postoperative pain, the depth and extent of the preparation, the restoration status, the sensitivity to cold stimulus and the tactile one, assessed by the examiner, the duration and intensity of pain, all scored on a scale from 0 to 3. The results of the study are systematised and the discussions on the results consider the data from the literature. The conclusions highlight the variety of postoperative pain clinical manifestations, as well as the pain dependence on a number of individual factors, as well as on the cavity depth and the observance of proper preparation and restoration techniques
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