{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:22:00Z","timestamp":1790396520474,"version":"4.1.0"},"reference-count":36,"publisher":"Operative Dentistry","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,1]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n        <jats:p>Despite improvements in composite treatments over the past decade, postoperative sensitivity still remains a problem. Therefore, this clinical study evaluated the appearance of postoperative sensitivity after composite treatments and the stimuli that may have caused it. A total of 600 teeth in 231 patients was included in this study. All treatments were performed by dental students working under close supervision following standard procedures and using the bonding system Optibond FL and the nanofilled composite Ceram X. At baseline (visit 1), the restorations were grouped according to the following criteria: use of anesthesia, use of a rubber dam, indication for the restoration treatment, cavity class and clinical dimension of the cavity. After approximately two weeks (at visit 2), all the restorations were assessed and failure was defined if one of the following criteria occurred: a negative reaction to the vitality test, postoperative pain from masticatory forces or reported postoperative sensitivity by the patient. The reported postoperative sensitivity was specified with a visual analogue scale into hot\/cold-sensitivity, sweet\/sour-sensitivity, sharp\/dull-sensitivity, spontaneous sensitivity and blistering\/stinging-sensitivity. Failure was observed in 6% of the restorations. The statistical analysis showed that the clinical cavity depth turned out to be the only factor to have a significant influence on the appearance of postoperative sensitivity: caries profunda showed a four times higher risk of failure, while cavities with pulp exposure had a 14 times higher failure risk compared to restorations that were localized in the dentin. With regard to the type of sensitivity, no patients reported sensitivity to sweet\/sour; most of them described their sensitivity as sharp\/dull.<\/jats:p>","DOI":"10.2341\/08-7","type":"journal-article","created":{"date-parts":[[2009,1,6]],"date-time":"2009-01-06T13:46:23Z","timestamp":1231249583000},"page":"3-10","source":"Crossref","is-referenced-by-count":41,"title":["Occurrence and Causing Stimuli of Postoperative Sensitivity in Composite Restorations"],"prefix":"10.2341","volume":"34","author":[{"given":"T. M.","family":"Auschill","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. A.","family":"Koch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Wolkewitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Hellwig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. B.","family":"Arweiler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1188","reference":[{"issue":"1","key":"i1559-2863-34-1-3-b1","series-title":"Journal of Esthetic and Restorative Dentistry","first-page":"50","article-title":"Four-year clinical evaluation of posterior resin-based composite restorations placed using the total-etch technique.","volume":"13","year":"2001","unstructured":"Baratieri, L. N. and A. V.Ritter. 2001. Four-year clinical evaluation of posterior resin-based composite restorations placed using the total-etch technique.Journal of Esthetic and Restorative Dentistry131:50\u201357."},{"issue":"3","key":"i1559-2863-34-1-3-b2","series-title":"Clinical Oral Investigations","first-page":"197","article-title":"Clinical evaluation of two packable posterior composites: 2-year follow-up.","volume":"10","year":"2006","unstructured":"Fagundes, T. C., T. J.Barata, E.Bresciani, D. F.Cefaly, M. F.Jorge, and M. F.Navarro. 2006. Clinical evaluation of two packable posterior composites: 2-year follow-up.Clinical Oral Investigations103:197\u2013203."},{"issue":"6","key":"i1559-2863-34-1-3-b3","series-title":"Journal of Dentistry","first-page":"459","article-title":"Benefits and disadvantages of tooth-coloured alternatives to amalgam.","volume":"25","year":"1997","unstructured":"Roulet, J. F.\n          \n          1997. Benefits and disadvantages of tooth-coloured alternatives to amalgam.Journal of Dentistry256:459\u2013473."},{"issue":"10","key":"i1559-2863-34-1-3-b4","series-title":"Quintessence International","first-page":"659","article-title":"Recent trends in esthetic restorations for posterior teeth.","volume":"25","year":"1994","unstructured":"Dietschi, D., P.Magne, and J.Holz. 1994. Recent trends in esthetic restorations for posterior teeth.Quintessence International2510:659\u2013677."},{"issue":"6","key":"i1559-2863-34-1-3-b5","series-title":"Operative Dentistry","first-page":"681","article-title":"Failure risk of posterior composites with post-operative sensitivity.","volume":"28","year":"2003","unstructured":"Hayashi, M. and N. H.Wilson. 2003. 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Effect of bonding systems on post-operative sensitivity from posterior composites.American Journal of Dentistry193:151\u2013154."},{"issue":"2","key":"i1559-2863-34-1-3-b24","series-title":"The Journal of Adhesive Dentistry","first-page":"83","article-title":"An ultrastructural study of the influence of acidity of self-etching primers and smear layer thickness on bonding to intact dentin.","volume":"2","year":"2000","unstructured":"Tay, F. R., H.Sano, R.Carvalho, E. L.Pashley, and D. H.Pashley. 2000. An ultrastructural study of the influence of acidity of self-etching primers and smear layer thickness on bonding to intact dentin.The Journal of Adhesive Dentistry22:83\u201398."},{"issue":"3","key":"i1559-2863-34-1-3-b25","series-title":"The Journal of Adhesive Dentistry","first-page":"233","article-title":"Adhesive systems: Effect on bond strength of incorrect use.","volume":"4","year":"2002","unstructured":"Peutzfeldt, A. and E.Asmussen. 2002. Adhesive systems: Effect on bond strength of incorrect use.The Journal of Adhesive Dentistry43:233\u2013242."},{"issue":"3","key":"i1559-2863-34-1-3-b26","series-title":"The Journal of Prosthetic Dentistry","first-page":"166","article-title":"Immediate dentin sealing supports delayed restoration placement.","volume":"98","year":"2007","unstructured":"Magne, P., W. S.So, and D.Cascione. 2007. Immediate dentin sealing supports delayed restoration placement.The Journal of Prosthetic Dentistry983:166\u2013174."},{"issue":"6","key":"i1559-2863-34-1-3-b27","series-title":"Operative Dentistry","first-page":"377","article-title":"Amalgam restorations: Postoperative sensitivity as a function of liner treatment and cavity depth.","volume":"24","year":"1999","unstructured":"Gordan, V. V., I. A.Mj\u00f6r, and J. E.Moorhead. 1999. Amalgam restorations: Postoperative sensitivity as a function of liner treatment and cavity depth.Operative Dentistry246:377\u2013383."},{"issue":"4","key":"i1559-2863-34-1-3-b28","series-title":"The International Journal of Prosthodontics","first-page":"349","article-title":"A randomized clinical trial of cusp-replacing resin composite restorations: Efficiency and short-term effectiveness.","volume":"19","year":"2006","unstructured":"Kuijs, R. H., W. M.Fennis, C. M.Kreulen, F. J.Roeters, N. H.Creugers, and R. C.Burgersdijk. 2006. A randomized clinical trial of cusp-replacing resin composite restorations: Efficiency and short-term effectiveness.The International Journal of Prosthodontics194:349\u2013354."},{"issue":"2","key":"i1559-2863-34-1-3-b29","series-title":"The Journal of Adhesive Dentistry","first-page":"119","article-title":"Two-year clinical evaluation of ormocer and nanofill composite with and without a flowable liner.","volume":"8","year":"2006","unstructured":"Efes, B. G., C.Dorter, Y.Gomec, and F.Koray. 2006. Two-year clinical evaluation of ormocer and nanofill composite with and without a flowable liner.The Journal of Adhesive Dentistry82:119\u2013126."},{"issue":"1","key":"i1559-2863-34-1-3-b30","series-title":"Quintessence International","first-page":"41","article-title":"A clinical evaluation of packable and microhybrid resin composite restorations: One-year report.","volume":"36","year":"2005","unstructured":"De Souza, F. B., R. P.Guimaraes, and C. H.Silva. 2005. A clinical evaluation of packable and microhybrid resin composite restorations: One-year report.Quintessence International361:41\u201348."},{"issue":"1","key":"i1559-2863-34-1-3-b31","series-title":"Clinical Oral Investigations","first-page":"20","article-title":"One-year evaluation of an Ormocer restorative\u2014a multipractice clinical trial.","volume":"7","year":"2003","unstructured":"Rosin, M., H.Steffen, C.Konschake, U.Greese, D.Teichmann, A.Hartmann, and G.Meyer. 2003. 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The effect of adhesive and flowable composite on postoperative sensitivity: 2-week results.Quintessence International3510:777\u2013784."},{"issue":"11","key":"i1559-2863-34-1-3-b34","series-title":"Journal of Dental Research","first-page":"1636","article-title":"Setting stress in composite resin in relation to configuration of the restoration.","volume":"66","year":"1987","unstructured":"Feilzer, A. J., A. J.de Gee, and C. L.Davidson. 1987. Setting stress in composite resin in relation to configuration of the restoration.Journal of Dental Research6611:1636\u20131639."},{"issue":"2","key":"i1559-2863-34-1-3-b35","series-title":"Journal of Oral Rehabilitation","first-page":"101","article-title":"The sealing of the tooth\/amalgam interface by corrosion products.","volume":"22","year":"1995","unstructured":"Ben-Amar, A., H. S.Cardash, and H.Judes. 1995. The sealing of the tooth\/amalgam interface by corrosion products.Journal of Oral Rehabilitation222:101\u2013104."},{"issue":"2","key":"i1559-2863-34-1-3-b36","series-title":"Operative Dentistry","first-page":"165","article-title":"Effect of cavity disinfection on postoperative sensitivity associated with amalgam restorations.","volume":"31","year":"2006","unstructured":"Al-Omari, W. M., Q. D.Al-Omari, and R.Omar. 2006. Effect of cavity disinfection on postoperative sensitivity associated with amalgam restorations.Operative Dentistry312:165\u2013170."}],"container-title":["Operative Dentistry"],"original-title":[],"link":[{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/view\/journals\/odnt\/34\/1\/article-p3.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/operative-dentistry\/article-pdf\/34\/1\/3\/1822112\/08-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/downloadpdf\/journals\/odnt\/34\/1\/article-p3.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/downloadpdf\/journals\/odnt\/34\/1\/article-p3.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T00:39:55Z","timestamp":1758933595000},"score":1,"resource":{"primary":{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/view\/journals\/odnt\/34\/1\/article-p3.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,1]]},"references-count":36,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.2341\/08-7","relation":{},"ISSN":["1559-2863","0361-7734"],"issn-type":[{"value":"1559-2863","type":"electronic"},{"value":"0361-7734","type":"print"}],"subject":[],"published":{"date-parts":[[2009,1]]}}}