Risk factors associated with tooth sensitivity in fixed dental prosthesis treatment:: a literature review
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Risk factors associated with tooth sensitivity in fixed dental prosthesis treatment:: a literature review. (2019). Odontoestomatología, 21(33). https://odon.edu.uy/ojs/index.php/ode/article/view/269

Abstract

The vital teeth that receive treatment based on fixed dental prosthesis (PDF) undergo a pulpal inflammatory process during its preparation, this inflammatory response can be transient or perpetuate itself and become a pulpal damage. As a result, post-operative sensitivity may be present in some patients during treatment and this could be related to certain risk factors. The objective of the present work is to describe the risk factors related to postoperative thermal, chemical or mechanical sensitivity in the treatment by fixed dental prosthesis.

Method: Different databases were used to search for studies that included the following keywords: dental sensitivity, dental hypersensitivity, pulp response, crown, fixed prosthesis, postoperative, post cementing, tooth preparation. All the studies found were analyzed according to the level of evidence, the quality of the report and the ethical implications.

Results: A total of 43 articles were selected. Of these, 14 corresponded to clinical studies, 7 reviews and 26 to in vitro studies. The level of evidence, the quality of the report and the ethical considerations were rated as regular.

Conclusions: The existing evidence describes some risk factors related to the postoperative sensitivity in three stages of the process of making a fixed dental prosthesis, but nevertheless it is not conclusive regarding its mechanism of origin or prevention reason why it is suggested to perform clinical studies randomized.

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