Effect of a modified restorative adhesive protocol on postoperative cold sensitivity after direct pulp capping: a prospective randomized clinical trial
Abstract
Aims: This prospective randomized clinical trial aimed to evaluate the effect of a modified cervical surface-treatment protocol to the buccal cervical surface on postoperative cold sensitivity following direct pulp capping.
Methods: Sixty patients indicated for direct pulp capping were included and allocated to two groups: control and adhesive. All procedures were performed under rubber dam isolation using an operating microscope by a single experienced operator. After pulp exposure and hemostasis, Endocem MTA was applied, followed by resin-modified glass ionomer cement, and the restorations were completed with composite resin. In the adhesive group, after restoration, the buccal cervical surface was cleaned with airflow, etched, treated with a universal adhesive, and polymerized. Cold sensitivity was assessed baseline, at day 1, week 1, and month 1 using an air-blast test. Patient-reported sensitivity was recorded using the Numerical Rating Scale (NRS), and clinical response was recorded using the Schiff score.
Results: No significant differences were found between the groups in baseline NRS or Schiff scores. Both groups showed a significant reduction over time. NRS scores were significantly lower in the adhesive group from day 1 onward, while Schiff scores were significantly lower at 1 week and 1 month. At 1 month, both median scores decreased to 0 in the adhesive group.
Conclusion: The modified cervical surface-treatment protocol to the buccal cervical surface may be an effective and clinically feasible approach for reducing postoperative cold sensitivity following direct pulp capping.
Keywords
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Ethical Statement
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Thanks
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References
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Details
Primary Language
English
Subjects
Restorative Dentistry
Journal Section
Research Article
Authors
Publication Date
October 25, 2026
Submission Date
July 2, 2026
Acceptance Date
August 30, 2026
Published in Issue
Year 2026 Volume: 8 Number: 6
APA
Yalçın, A., & Tellioğlu Avcı, G. R. (2026). Effect of a modified restorative adhesive protocol on postoperative cold sensitivity after direct pulp capping: a prospective randomized clinical trial. Anatolian Current Medical Journal, 8(6), 1216-1223. https://izlik.org/JA83RK23DF
AMA
1.Yalçın A, Tellioğlu Avcı GR. Effect of a modified restorative adhesive protocol on postoperative cold sensitivity after direct pulp capping: a prospective randomized clinical trial. Anatolian Curr Med J / ACMJ / acmj. 2026;8(6):1216-1223. https://izlik.org/JA83RK23DF
Chicago
Yalçın, Abdurrahman, and Güliz Rana Tellioğlu Avcı. 2026. “Effect of a Modified Restorative Adhesive Protocol on Postoperative Cold Sensitivity After Direct Pulp Capping: A Prospective Randomized Clinical Trial”. Anatolian Current Medical Journal 8 (6): 1216-23. https://izlik.org/JA83RK23DF.
EndNote
Yalçın A, Tellioğlu Avcı GR (October 1, 2026) Effect of a modified restorative adhesive protocol on postoperative cold sensitivity after direct pulp capping: a prospective randomized clinical trial. Anatolian Current Medical Journal 8 6 1216–1223.
IEEE
[1]A. Yalçın and G. R. Tellioğlu Avcı, “Effect of a modified restorative adhesive protocol on postoperative cold sensitivity after direct pulp capping: a prospective randomized clinical trial”, Anatolian Curr Med J / ACMJ / acmj, vol. 8, no. 6, pp. 1216–1223, Oct. 2026, [Online]. Available: https://izlik.org/JA83RK23DF
ISNAD
Yalçın, Abdurrahman - Tellioğlu Avcı, Güliz Rana. “Effect of a Modified Restorative Adhesive Protocol on Postoperative Cold Sensitivity After Direct Pulp Capping: A Prospective Randomized Clinical Trial”. Anatolian Current Medical Journal 8/6 (October 1, 2026): 1216-1223. https://izlik.org/JA83RK23DF.
JAMA
1.Yalçın A, Tellioğlu Avcı GR. Effect of a modified restorative adhesive protocol on postoperative cold sensitivity after direct pulp capping: a prospective randomized clinical trial. Anatolian Curr Med J / ACMJ / acmj. 2026;8:1216–1223.
MLA
Yalçın, Abdurrahman, and Güliz Rana Tellioğlu Avcı. “Effect of a Modified Restorative Adhesive Protocol on Postoperative Cold Sensitivity After Direct Pulp Capping: A Prospective Randomized Clinical Trial”. Anatolian Current Medical Journal, vol. 8, no. 6, Oct. 2026, pp. 1216-23, https://izlik.org/JA83RK23DF.
Vancouver
1.Abdurrahman Yalçın, Güliz Rana Tellioğlu Avcı. Effect of a modified restorative adhesive protocol on postoperative cold sensitivity after direct pulp capping: a prospective randomized clinical trial. Anatolian Curr Med J / ACMJ / acmj [Internet]. 2026 Oct. 1;8(6):1216-23. Available from: https://izlik.org/JA83RK23DF
