ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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| Title |
Adhesive Resin Cements are More Effective Than Glass Ionomer Cements at Lessening Post-Operative Sensitivity After the Placement of a Full Coverage Crown |
| Clinical Question |
In patients receiving a full coverage crown, does glass ionomer cement cause less post-operative sensitivity than adhesive resin cement? |
| Clinical Bottom Line |
Adhesive resin cements may cause less post-cementation sensitivity than glass ionomer cements when used for crown and bridges. |
| Best Evidence |
(you may view more info by clicking on the PubMed ID link) |
| PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
| #1) 22918005 | Shetty/2012 | 50 patients receiving full coverage restorations on vital abutment teeth. | Randomized Controlled Trial | | Key results | In the study using 50 patients each receiving a full coverage crown all patients were available for the 7 day follow-up. Hypersensitivity was checked using a visual analog scale ranking 0-10, 10 being the worst and 0 being painless. There was no statistical evidence of hypersensitivity immediately or 24 hours after cementation. However, there was a statistically significant difference between the cements at 7 days post-cementation with a significance of 0.05. There was a higher sensitivity rating for glass ionomer cement compared to the adhesive resin cement. | |
| Evidence Search |
post-operative hypersensitivity AND glass ionomer cement AND adhesive resin cement |
Comments on
The Evidence |
This randomized controlled trial was done with 50 patients, all of whom needed a full coverage crown. There was a 100% completion and follow-up rate. The patients were split into 2 groups of 25 each, one receiving glass ionomer cement and the other receiving adhesive resin cement. It was a single blind test with full compliance and no competing interests involved. |
| Applicability |
This is applicable to any patient receiving a full coverage crown. The dentist should consider post-cementation hypersensitivity in addition to retention, when choosing a luting agent for crown and bridge procedures. |
| Specialty/Discipline |
(General Dentistry) (Pediatric Dentistry) (Prosthodontics) |
| Keywords |
Post-operative hypersensitivity, glass ionomer cement, adhesive resin cement
|
| ID# |
2686 |
| Date of submission: |
03/27/2014 |
| E-mail |
covalt@livemail.uthscsa.edu |
| Author |
John Luke Covalt |
| Co-author(s) |
|
| Co-author(s) e-mail |
|
| Faculty mentor/Co-author |
Mark Littlestar, DDS |
| Faculty mentor/Co-author e-mail |
littlestarm@uthscsa.edu |
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
| None available | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
| None available | |
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