Análisis sistemático de sensibilidad postoperatoria en tratamientos restauradores directos.

Abstract

Introduction: Postoperative sensitivity shows up in a well-treated tooth with direct restorative which remains a primary concern and a challenge to dentist, because this treatment can initiate or improve the development of this. Objectives: Analyze the most relevant information on postoperative sensitivity and factors that can cause it after performing a direct restorative treatment and indicate the clinical protocol to lower incidences on this problem. Materials and methods: The analysis was carried out with a sample of 43 studies, the evaluated data include prevalence of postoperative sensitivity, stimulus that trigger it and time frame until the sensitivity, age and gender of the patient, depth of profundity and clinical protocols used. Results: Prevalence of immediate postoperative sensitivity ranges from 0.96% to 77%, and the main causative factors was marginal microfiltration. Regarding to adhesion protocols, in the analyzed information, it is showed that the least postoperative sensitivity problems with 2.06% was related to self-etching protocol containing nanobioglass. Conclusions: there are several factors that can influence the development of postoperative sensitivity after direct restorative treatments among them are protocols and techniques used during restoration, properties and characteristics of materials, but it has also been proved that clinical management of the medical operator plays an extremely important role.