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Related Experiment Videos

The amalgam-free dental school.

F J M Roeters1, N J M Opdam, B A C Loomans

  • 1Department of Cariology and Endodontology, College of Dental Sciences, University Medical Centre Nijmegen, P O Box 9101, 6500 HB Nijmegen, The Netherlands. f.roeters@dent.umcn.nl

Journal of Dentistry
|June 15, 2004
PubMed
Summary

Nijmegen dental school transitioned from teaching amalgam restorations to resin composite restorations, emphasizing minimal preparation and tooth preservation. This shift reflects evolving restorative dentistry practices and materials science.

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Area of Science:

  • Restorative Dentistry
  • Dental Materials Science
  • Dental Education

Background:

  • The teaching of restorative dentistry at Nijmegen dental school has evolved significantly since 1986.
  • Historically, pre-clinical training began with amalgam restorations for Class I and II cavities.

Purpose of the Study:

  • To review the changes in teaching restorative dentistry at Nijmegen dental school from 1986 to the present.
  • To document the transition from amalgam to resin composite materials in dental education.

Main Methods:

  • Review of curriculum changes in restorative dentistry teaching.
  • Analysis of the timeline for introducing and prioritizing resin composite restorations over amalgam.

Main Results:

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  • Resin composite restorations were introduced in the pre-clinical program in 1986.
  • By 1994, pre-clinical training started with resin composites, emphasizing minimal preparation.
  • Dental amalgam teaching ceased in 2001 after a gradual substitution by resin composites.
  • Student placement of amalgam restorations dropped to 2.5 per graduate by 2001.

    • Conclusions:

    • The shift to resin composites represented a change in materials, techniques, and treatment philosophy.
    • Reduced preparation needs and enhanced tooth strengthening were key drivers for adopting adhesive dentistry with resin composites.
    • This transition facilitated staff acceptance of composite resin as a viable alternative to amalgam for posterior restorations.