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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.
Indirect dental composites can be used for: Filling cavities in teeth, as fillings, inlays and/or onlays; Filling gaps (diastemas) between teeth using a shell-like veneer or; Reshaping of teeth; Full or partial crowns on single teeth; Bridges spanning 2-3 teeth; A stronger, tougher and more durable product is expected in principle.
Polishing of an amalgam filling; The pressure from high speed turbine dental drills can be enough to force amalgam particles into soft tissue, [1] as may occur when an old amalgam filling is being removed; When a tooth with an amalgam filling is extracted, [5]: 183 e.g. broken bits of amalgam filling falling into an extraction socket unnoticed [1]
A systematic review concluded that for decayed baby (primary) teeth, putting an off‐the‐shelf metal crown over the tooth (Hall technique) or only partially removing decay (also referred to as "selective removal" [5]) before placing a filling may be better than the conventional treatment of removing all decay before filling. [6]
Inlays can give the restored tooth a natural, aesthetic appearance: ceramic inlays allow an excellent shade match that makes the restoration almost indistinguishable from the surrounding natural tooth [8] Ceramic inlays have better physical properties than traditional resin composite fillings for posterior teeth [8]
This discussion of the dental amalgam controversy outlines the debate over whether dental amalgam (the mercury alloy in dental fillings) should be used. Supporters claim that it is safe, effective and long-lasting, while critics argue that amalgam is unsafe because it may cause mercury poisoning and other toxicity. [1] [2] [3]
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