Vitrebond Plus: Reduce Post-Op Sensitivity to Zero?

8 Responses to “Vitrebond Plus: Reduce Post-Op Sensitivity to Zero?”

1. hjdmd on March 31st, 2008 7:33 pm

   This such an interesting question….
   What is the cause of bonding sensitivity? Biting, temperature hot or cold?
   So if you seal the tubules with a bonding agent…….Using SE BOND or DC BOND
   When you use a glass ionomer…..if the seal is not great or your get compression of the layer…pain anyway. There is also a thing called C factors that can cause problems. Lots to think about.
   But, Vitrebond is easy to use.

2. GT on April 3rd, 2008 7:17 pm

   Applying a layer of glass ionomer to the pulpal floor is supposed to prevent or reduce post-op sensitivity — according to some leaders in the field. I would do anything to eliminate post-op sensitivity. I hate it when patients return and are angry because ‘their fillings hurt”. All I want to know is if it works.

3. Kunwar Vir, DMD on April 3rd, 2008 7:45 pm

   I use vitrebond under most composite and amalgam restorations with great
   success and reduced post op sensitivity. My personal dentist, Dr. Sajid Jivraj,
   has done a few large posterior composites on me with no liner and with no
   post op sensitivity and he says his secret is using etch, optibond FL system, and
   many many many many layers of composite per restoration with nooooooo
   flowable composite at all…in other words the several layers of composite make
   it a more denser restoration, and therefore I would assume less polymerization
   shrinkage, etc. and so on…so I started doing the same on my patients, i.e., several several layers of composite with vitrebond and they seem to be happy.

4. li on April 3rd, 2008 8:42 pm

   Sounds good. We need a clinical study to back-up all the case-based and/or tooth based opinions. In the clinical reality, each case is differenet. No pain or reduced pain, where is your base-line?

5. tom on April 11th, 2008 5:55 pm

   How thick a layer of Vitrebond Plus do you apply to the pulpal floor? Is the thickness of this layer important?

6. John Rodriquez DDS on April 14th, 2008 1:02 am

   Flowables, GI must be light cured. Thus their shrinkage would be towards the light source, invariably upwards away from the pulpal floor. Self curing resins though more time consuming provide excellant protection with shrinkage TOWARDS the pulpal floor. I’ve had excellent success with this technique.

7. Riad Mahmud on April 21st, 2008 12:00 pm

   post op pain is too common to a dentist using composite restorations.It depends on many facture as described by “hjdmd” including allergic to bonding or composite.But it is clear when i use flowable Ca(OH)2 [light cure] as a subbase it reduces post op sensitivity of composite by nutralizing the ph, Some-times any GI can be used as a base over the Ca(OH)2 layer to increase the strength as my openion.

8. dr p. on May 6th, 2008 9:59 am

   i have had one or two sensitivity patients during my three years of practice and i use only composites , no amalgam in all cases and they have been more than a few. i use vitrebond as a liner but in some cases, generally i use no liner. there was a n article in quintessence last year and i think it covered pretty much sensitivity. a major factor is the adhesive , the golden standard is total etch and three steps. one bottle adhesives copletelly disappear with function . no flowables also because they tend to get lifted away from the surface when the first layer of composite is cured, they are pulled up due to the shrinkage of the composite ( i also am postgraduate of materials science and these are not just personal oppinion )

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