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Dentists who advocate removal of amalgam fillings often recommend wearing breathing apparatus, using high-volume aspiration, and performing the procedure as quickly as possible. Sources of mercury from the diet, and the potential harm of the composite resins to replace the purportedly harmful amalgam fillings, may also need to be considered. [76]
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.
Amalgam filling on first molar. In dentistry, amalgam is an alloy of mercury used to fill teeth cavities. [1] It is made by mixing a combination of liquid mercury and particles of solid metals such as silver, copper or tin. The amalgam is mixed by the dentist just before use.
Composite resin fillings (also called white fillings) are a mixture of nanoparticles [19] [20] [21] or powdered glass and plastic resin, and can be made to resemble the appearance of the natural tooth. Although cosmetically superior to amalgam fillings, composite resin fillings are usually more expensive.
When amalgam fillings are drilled for height adjustment, repair or replacement, some mercury-containing amalgam is inevitably washed down drains. (See Dental amalgam controversy - Environmental impact) When amalgam fillings are prepared by dentists, improperly disposed excess material may enter landfills or be incinerated. Cremation of bodies ...
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.
Ceramic inlays have better physical properties than traditional resin composite fillings for posterior teeth [8] Inlays may allow the dentist to achieve better contours, contact points, and occlusion than direct fillings because they are custom-made for the patient in a laboratory [ 9 ]
Crown used as part of implant restoration. Crowns are indicated to: [2] [3] [4] Replace existing crowns which have failed. Restore the form, function and appearance of badly broken down, worn or fractured teeth, where other simpler forms of restorations are unsuitable or have been found to fail clinically.