Efectos del Sellado Dentinario Inmediato sobre la hipersensibilidad dentaria en pacientes de prótesis fija de la clínica UCSG, semestre A 2022.

Abstract

Introduction: Immediate dentin sealing (IDS) is a dentin protection method that is applied after making preparations for indirect restorations. It consists of the use of a polymerized adhesive agent forming a hybrid layer that seals the recently cut dentinal tubules to avoid hypersensitivity problems. Objective: To analyze the importance of SDI in reducing the prevalence of dentin hypersensitivity in patients at UCSG. Materials and methods: Clinical, prospective, correlational research study, 75 patients were selected with a total sample of 113 vital teeth, which were divided into 2 groups: group 1 made up of 42 patients with 63 teeth to which IDS was applied and group 2 made up of 33 patients and 50 teeth to which IDS was not applied. Follow-up was carried out during the preparation, provisionalization and cementation process. Results: Group 1 (with IDS) of 63 carved and prepared teeth, 36 teeth (57.14%) did not present sensitivity or pain, while 27 teeth (42.86%) did present pain on a different scale: 7 teeth (11.11%) pain mild, 18 teeth (28.57%) moderate pain and only 2 teeth (3.17%) high or intense pain. In group 2 (without IDS) of 50 ground and prepared teeth, 16 teeth (32%) did not show sensitivity or pain, while 34 teeth (68%) did show sensitivity: 5 teeth (10%) mild pain, 28 teeth (56%) moderate pain and 1 tooth (2%) severe or high pain. Conclusion: There is less probability that a tooth presents sensitivity if it is treated with IDS after grinding, since there is a considerable increase in mild to moderate pain in teeth that have not been treated with IDS.