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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.
Resin composites will adhere to the tooth and to undamaged prior composite material. In contrast, amalgam fillings are held in place by the shape of the void being filled rather than by adhesion. This means that it is often necessary to drill out and replace an entire amalgam restoration rather than add to the remaining amalgam.
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.
Amalgam possesses greater longevity when compared to other direct restorative materials, such as composite. However, this difference has decreased with continual development of composite resins. Amalgam is typically compared to resin-based composites because many applications are similar and many physical properties and costs are comparable.
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.
Ceramic inlays can also be cured with chemically cured resin composite or dual cured resin composite. According to a 10-year evaluation of ceramic inlays cemented with both chemically cured resin composite and dual cured resin composite; the inlays cemented with chemically cured survived longer after cementation. [43]
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