Postoperative Sensitivity Associated with Low Shrinkage versus Conventional Composites

Vladimir Ivanovic*, Tatjana Savic-Stankovic, Branislav Karadzic, Jugoslav Ilic, Ario Santini, Katarina Beljic-Ivanovic

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Introduction Postoperative sensitivity in restorative dentistry can be related to preparation trauma, dentin adhesives' ability to seal open dentinal tubules, deformation of restorations under occlusal stresses and microleakage.

Objective The study assessed possible reduction in postoperative sensitivity with low shrinkage compared to conventional composites using different bonding agents and the influence of the operator skill on the incidence of postoperative sensitivity.

Methods Nine hundred and sixty permanent premolars and molars with primary carious lesions from patients 21 to 40 years old were used. Cavities 2 to 3 mm deep and with margins in enamel were prepared by four operators. Two operators had five years (A and B) and two had over 20 years (C and D) of clinical experience. Teeth were divided into eight groups each contained 120 restorations: (1) Els (R)+James-2 (original formula), (2) Els (R)+James-2 (new formula), (3) Els (R)+Excite, (4) InTenSe (R)+James-2 (original formula), (5) InTenSe (R)+James-2 (new formula), (6) InTenSe (R)+Excite, (7) Tetric Ceram (R)+Excite, and (8) Point 4 (R)+OptiBond Solo Plus. At 14 days postoperatively, two independent operators, who did not take part in the clinical procedure, assessed postoperative teeth sensitivity using special questionnaires. Data were analyzed using non-parametric chi-square, Mann-Whitney and ANOVA tests.

Results Group 8 showed significantly higher score than the other groups. Less postoperative sensitivity was reported with two low-shrinkage composites (groups 2, 3, and 5) but with no significant difference. There was no statistical difference between groups 1, 2, 3, 4, 5, 6 and 7. Operator A had the highest postoperative sensitivity score compared to the other three.

Conclusion Conventional composite material Point 4 (R) with its bonding agent caused significantly more postoperative sensitivity than low shrinkage composites combined with different adhesives. Operator skill influenced the incidence of postoperative sensitivity.

Original languageEnglish
Pages (from-to)447-453
Number of pages7
JournalSrpski arhiv za celokupno lekarstvo
Issue number7-8
Publication statusPublished - 2013


  • dental materials
  • sensitivity
  • composite resin
  • shrinkage
  • adhesion
  • operator skill


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