Adhesivos autograbantes para la disminución de la sensibilidad postoperatoria.

Abstract

Adhesive dentistry has developed rapidly and represents a significant advance for restorative dentistry. However, postoperative sensitivity after a resin composite restoration remains a challenge for practitioners. Self-etching adhesive systems are singled out as possibly reducing postoperative sensitivity. The objective was to determine the effectiveness of self-etching adhesives for reducing postoperative sensitivity. The research had a documentary design and was carried out under the principles of exploratory systematic reviews. Fourteen articles published between 2010 and 2022, three randomized clinical trials, three comparative studies and one systematic review with meta-analysis were included. Some studies affirm the superiority in effectiveness of self-etching adhesives compared to etch and rinse adhesives for the reduction of postoperative sensitivity, others affirm that there are no differences or that there is only greater efficacy in immediate postoperative sensitivity (day 1) and on day 15. The use of self-etching systems is recommended by undergraduate students and recently graduated dentists to reduce the risk of errors and postoperative sensitivity. When nanoglasses are added to these adhesives, it is effective in reducing this sensitivity.