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Versatility: Composite fillings can be used to repair chipped, broken or worn teeth [18] which would not be repairable using amalgam fillings. Repairability: In many cases of minor damage to a composite filling, the damage can be easily repaired by adding additional composite. An amalgam filling might require complete replacement.
Amalgam is a metallic filling material composed from a mixture of mercury (from 43% to 54%) and a powdered alloy made mostly of silver, tin, zinc and copper, commonly called the amalgam alloy. [16] Amalgam does not adhere to tooth structure without the aid of cements or use of techniques which lock in the filling, using the same principles as a ...
Composites and amalgam are used mainly for direct restoration. Composites can be made of color matching the tooth, and the surface can be polished after the filling procedure has been completed. Amalgam fillings expand with age, possibly cracking the tooth and requiring repair and filling replacement, but chance of leakage of filling is less.
In 2009, the FDA issued a final rule which classified dental amalgam as a "Class II" (moderate risk) device, placing it in the same category as composite resins and gold fillings. [14] In a press release announcing the reclassification, the agency again stated, "the levels [of mercury] released by dental amalgam fillings are not high enough to ...
At the time when the patient is dismissed from the surgery, typically some 15–20 minutes after placing the filling, the amalgam is relatively weak. [11] Therefore, dentists need to instruct patients not to apply undue stress to their freshly placed amalgam fillings. In addition, amalgam restorations are brittle and susceptible to corrosion. [11]
Compomers are resin-based materials like dental composites, and the components are largely the same.. The setting reaction is similarly a polymerisation process of resin monomers (e.g. urethane dimethacrylate) which have been modified by polyacid groups, and is induced by free radicals released from a photoinitiator such as camphorquinone.
Opposed to this, direct composite filling pastes shrink a few percent in volume during hardening. This can lead to shrinkage stress and rarely to marginal gaps and failure. Although improvements of the composite resins could be achieved in the last years, solid inlays do exclude this problem. [3]
An amalgam dental filling. Dentistry has used alloys of mercury with metals such as silver, copper, indium, tin and zinc. Amalgam is an "excellent and versatile restorative material" [9] and is used in dentistry because it is inexpensive and relatively easy to use and manipulate during placement. It remains soft for a short time so it can be ...