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Bonded amalgam restorations: current research and clinical procedure
1Department of Preventive and Restorative Dental Sciences, UCSF School of Dentistry, San Francisco, CA 94143-0758, USA.
This review explores amalgam bonding history and clinical evidence. Amalgam bonding offers benefits like reduced microleakage and secondary caries, with guidelines for conservative preparation.
Area of Science:
- Dental Materials Science
- Restorative Dentistry
Background:
- Amalgam bonding has evolved significantly over time.
- Understanding its historical development is crucial for current applications.
Purpose of the Study:
- To review the history of amalgam bonding.
- To compare clinical and laboratory findings on amalgam bonding efficacy.
- To provide guidelines for conservative preparation and clinical procedures.
Main Methods:
- Literature review of historical developments in amalgam bonding.
- Comparative analysis of recent clinical studies and laboratory results.
- Synthesis of conservative preparation guidelines.
- Description of a step-by-step clinical procedure for amalgam bonding.
Main Results:
- Clinical studies corroborate laboratory findings, showing reduced microleakage with amalgam bonding.
- Amalgam bonding demonstrates increased material retention and inhibition of secondary caries.
- Evidence suggests reinforcement of tooth structure and reduced cuspal deflection when using amalgam bonding techniques.
Conclusions:
- Amalgam bonding is a viable technique with documented clinical benefits.
- Conservative preparation guidelines enhance the effectiveness of amalgam bonding.
- The reviewed procedures offer a practical approach for clinicians implementing amalgam bonding.
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