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Glass ionomer cements act as sealants when pits and fissures in the tooth occur and release fluoride to prevent further enamel demineralisation and promote remineralisation. Fluoride can also hinder bacterial growth, by inhibiting their metabolism of ingested sugars in the diet. It does this by inhibiting various metabolic enzymes within the ...
It does not possess anticariogenic effects, is not adherent to tooth structure, and acquires a moderate degree of intraoral solubility. However, zinc phosphate cement can irritate nerve pulp; hence, pulp protection is required but the use of polycarboxylate cement (zinc polycarboxylate or glass ionomer) is highly recommended since it is a more ...
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]
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.
It does not resorb, and is biocompatible, forming a seal against the tooth material that minimizes leakage. [1] Originally, MTA was dark gray in color, but white versions have been on the market since 2002. Bismuth oxide, which was added as a radioopacifier (to make the filling stand out on X-rays), [citation needed] can discolour the teeth. [3]
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]
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The aim of tooth preparation is to preserve more tooth tissue compared to a crown preparation, while giving an adequate amount of protection to the tooth. The preparation of opposing cavity walls should be cut in a way to avoid undercuts in order to gain optimum retention from the cavity shape for the indirect restoration. [ 20 ]
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