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This incentivised fillings and extractions, but not preventative work. In 1990 a new contract introduced capitation payments for treating children up to the age of 16 and registration for adult patients. In 1991-92 the dental budget was overspent by £190 million and the amount paid for each item of treatment was reduced by 7%.
Dental fillings are often used to fill cavities or holes after root canal treatment. [6] They can also be used to restore worn teeth or fill gaps between teeth. [7] Fillings can be made of amalgam (a metal alloy) or materials such as composite resin and glass ionomer. [8] [9]
Dental restorative materials are used to replace tooth structure loss, usually due to dental caries (cavities), but also tooth wear and dental trauma. On other occasions, such materials may be used for cosmetic purposes to alter the appearance of an individual's teeth.
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.
A dental CAD/CAM machine costs roughly $100,000, with continued purchase of ceramic ingots and milling burs. Because of high costs, the usual and customary fee for making a CAD/CAM crown in the dentist's office is often slightly higher than having the same crown made in a dental laboratory.
Longer time in the dental chair may test the patience of children, making the procedure more difficult for the dentist. Due to the longer time involved, the fee charged by a dentist for a composite restoration may be higher than for an amalgam restoration. [18] Costs: Composite restoration cases generally have limited insurance coverage.
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