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versión impresa ISSN 0797-0374versión On-line ISSN 1688-9339


ATRIA, Pablo et al. Risk factors associated with tooth sensitivity in fixed dental prosthesis treatment: a literature review. Odontoestomatología [online]. 2019, vol.21, n.33, pp.62-69.  Epub 01-Jun-2019. ISSN 0797-0374.

Vital teeth treated with fixed dental prosthesis undergo a pulpal inflammatory process during their preparation. This inflammatory response can be transient or perpetuate itself and become pulpal damage. As a result, postoperative sensitivity may appear in some patients during treatment and this could be related to certain risk factors. The objective of this work is to describe the risk factors related to postoperative thermal, chemical or mechanical sensitivity in treatments with fixed dental prosthesis.


Different databases were used to search for studies that included the following keywords: dental sensitivity, dental hypersensitivity, pulp response, crown, fixed prosthesis, postoperative, postcementation, tooth preparation. All the studies found were analyzed according to the level of evidence, the quality of the report and the ethical implications.


A total of 43 articles were selected. There were 10 clinical studies, 7 literature reviews and 26 in vitro studies. The level of evidence, the quality of the report and the ethical considerations were rated as acceptable.


The existing evidence describes some risk factors related to the postoperative sensitivity in three stages of the process of making a fixed dental prosthesis. However, it is not conclusive regarding its mechanism of origin or prevention, which is why we suggest conducting further randomized clinical studies.

Palabras clave : dental sensitivity; dental hypersensitivity; pulp response; crown; fixed prosthesis; postoperative; post cementation; tooth prepartion.

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