Analysis of the causes of postfilling pain in the treatment of uncomplicated caries

Abstract

Aim. To analyze the incidence of postfilling pain in the treatment of uncomplicated caries with filling materials approved by the program of compulsory medical insurance (CMI).

Methods. Retrospective analysis of medical records of patients of dental clinic of Far Eastern state medical university «Uni-Stom» treated for uncomplicated caries according to the program of compulsory medical insurance.

Results. In patients’ group 1 where cementation was performed with zinc-phosphate cement, the average duration of postfilling pain was statistically calculated to be 13 days (M±0.8). In group 2 of patients seeking dental care who had permanent filling performed with composite material without cementation, significant decrease (t=9.4; p <0.001) of time course of postfilling pain relief to 4 days (M±0.6) was revealed. In group 3 compomer material was used as cement, postfilling pain relief occurred significantly earlier (t=11.6; p <0.001) by 2.5 days (M±0.4). The best measures were observed in the group where chemically cured glass ionomer cement was used as cement; postfilling pain was controlled in 1.5 day (M±1.2), being statistically significant (t=8.3; p <0.001). The dependence of postfilling pain on the selected filling material is observed after the treatment of uncomplicated caries; when using zinc-phosphate cement «Uniphase», a complete postfilling pain relief occurs on average on day 14, when using a light-curing composite «Charisma» - on day 4, «Isolain» - on days 2-3 and «Tsemion» - on day 1-2.

Conclusion. Given the clinical results, positive qualities and low cost of glass-ionomer cement «Tsemion», its use is recommended for the treatment of uncomplicated caries in public dental practice.

Keywords

uncomplicated caries / postfilling pain / filling materials

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RIGHTS & PERMISSIONS

Yurkevich A.V., Suvyrina M.B., Chaban A.V., Kruglov T.E.