EFFECTIVENESS OF DENTIN ADHESIVE AND COPAL VARNISH IN PREVENTING POST-ORTHODONTIC DENTAL HYPERSENSITIVITY
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Keywords
Copal Varnish, Dentin Adhesive, Efficacy, Orthodontic Sensitivity, Post-Orthodontic Discomfort.
Abstract
Background: Post-orthodontic dental hypersensitivity is a common issue that patients often experience following orthodontic treatment. This discomfort is typically transient but can significantly impact patient satisfaction. Several materials, including dentin adhesives and copal varnish, have been proposed to mitigate this sensitivity, though their comparative efficacy remains uncertain.
Objective: To compare the effectiveness of dentin adhesive and copal varnish in reducing post-orthodontic sensitivity.
Study Design and Setting: A prospective, randomized controlled trial conducted at Operative Dentistry Department, Sharif Medical & Dental College, Lahore.
Methodology: A total of 130 patients were randomly assigned to two groups: Group A (dentin adhesive) and Group B (copal varnish), with 65 participants in each group. Sensitivity scores were recorded using a Visual Analog Scale (VAS) at baseline, one week, and one month post-treatment. Sensitivity reduction was evaluated at both time points, and efficacy was determined by the percentage of patients experiencing a reduction in sensitivity.
Results: Baseline sensitivity scores were comparable between both groups. After 1 week, 90.8% of Group A and 78.5% of Group B showed sensitivity reduction. After 1 month, 95.4% of Group A and 85.4% of Group B exhibited reduced sensitivity. Overall, 93.3% of Group A and 80.0% of Group B reported efficacy in reducing sensitivity. The differences between the two groups were statistically significant (p < 0.05).
Conclusion: Dentin adhesive was more effective than copal varnish in reducing post-orthodontic sensitivity, demonstrating higher efficacy and faster results.
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Sarah Shami
BDS,FCPS(Operative Dentistry and Endodontics), Assistant Professor Operative Dentistry Department, HBS Medical and Dental College, Islamabad
Mahvish Wahad Khan
BDS, FCPS, Assistant Professor Department of Prosthodontics Avicenna Medical & Dental College Phase IX, DHA, Bedian Road,
Muhammad Moazzam
Associate Professor, Operative Dentistry Department, Sharif Medical & Dental College, Lahore
Dilawar Sultan
BDS, FCPS, Assistant Professor Operative Dentistry Akhtar Saeed Medical & Dental College, AMDC, Lahore
Sana Akram
Assistant Professor, Department of Operative Dentistry, Faryal Dental College, Sheikhupura,
Usman Yousaf
BDS, FCPS (Orthodontics) Assistant Professor Department of Orthodontics, University College of Medicine and Dentistry, The University of Lahore, Lahore.