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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]
A 2003 study showed that fillings have a finite lifespan: an average of 12.8 years for amalgam and 7.8 years for composite resins. [20] Fillings fail because of changes in the filling, tooth or the bond between them. Secondary cavity formation can also affect the structural integrity the original filling.
The same year, the use of dental amalgam was declared to be malpractice by the American Society of Dental Surgeons (ASDS), the only US dental association at the time, who forced all of its members to sign a pledge to abstain from using the mercury fillings. [7] This was the beginning of what is known as the first dental amalgam war. [8]
Sensitivity and specificity values alone may be highly misleading. The 'worst-case' sensitivity or specificity must be calculated in order to avoid reliance on experiments with few results. For example, a particular test may easily show 100% sensitivity if tested against the gold standard four times, but a single additional test against the ...
In addition, the clinician must be careful to adjust the bite of the composite filling, which can be tricky to do. If the filling is too high, even by a subtle amount, that could lead to chewing sensitivity on the tooth. A properly placed composite is comfortable, of good appearance, strong and durable, and could last 10 years or more. [8]
A glass ionomer cement (GIC) is a dental restorative material used in dentistry as a filling material and luting cement, [1] including for orthodontic bracket attachment. [2] Glass-ionomer cements are based on the reaction of silicate glass-powder (calciumaluminofluorosilicate glass [3]) and polyacrylic acid, an ionomer.
In dentistry, the configuration factor (or c-factor) refers to the number of bonded surfaces in an adhesive dental restoration.Because adhesive dental restorative material will adhere to the walls of a cavity preparation made available to it during polymerization, competing forces can arise during restoration of the tooth that can have both short and long term effects that correlate to the ...
This condition usually leads to severe chronic tooth sensitivity or actual toothache and can then only be treated with the removal of the nerve (pulp) called root canal therapy. For persons with a dry socket as a complication of tooth extraction, packing the dry socket with a eugenol-zinc oxide paste on iodoform gauze is effective for reducing ...
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