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[New direct restorative materials].

R Hickel, W Dasch, R Janda

    Nederlands Tijdschrift Voor Tandheelkunde
    |April 5, 2002
    PubMed
    Summary
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    Concerns about amalgam

    Area of Science:

    • Dental Materials Science
    • Environmental Health
    • Toxicology

    Background:

    • Growing global awareness of environmental pollution and toxic effects of materials.
    • Ongoing media controversy surrounding the unproven toxic side effects of dental amalgam.
    • Increasing demand for "amalgam substitutes" or "amalgam alternatives" by patients and dental professionals.

    Purpose of the Study:

    • To critically evaluate new direct restorative materials as potential amalgam alternatives.
    • To assess the suitability of novel materials considering various performance characteristics.

    Main Methods:

    • Critical review of existing literature on direct restorative materials.
    • Analysis of material properties including aesthetics, mechanical strength, and biological effects.

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  • Consideration of long-term clinical performance data.

    • Main Results:

    • Some new direct restorative materials demonstrate promising aesthetic qualities.
    • A comprehensive evaluation requires consideration of mechanical properties, biological impacts, and clinical longevity.
    • No single material currently offers a universally superior alternative to amalgam across all parameters.

    Conclusions:

    • New direct restorative materials show potential as amalgam alternatives.
    • A holistic assessment encompassing aesthetics, mechanics, biocompatibility, and clinical behavior is crucial.
    • Further research and long-term clinical studies are needed to fully establish the efficacy and safety of these alternatives.