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Related Experiment Videos

Are there acceptable alternatives to amalgam?

J Rodway Mackert1, Michael J Wahl

  • 1Section of Dental Materials, School of Dentistry, Medical College of Georgia, Augusta 30912, USA.

Journal of the California Dental Association
|October 8, 2004
PubMed
Summary

Dental amalgam alternatives like resin composites, glass ionomers, ceramics, and gold alloys are increasingly used. This review examines their longevity and biocompatibility compared to traditional amalgam restorations.

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Area of Science:

  • Dental Materials Science
  • Restorative Dentistry
  • Biocompatibility Studies

Background:

  • Dental amalgam has been a primary choice for posterior tooth restorations for over a century.
  • Recent advancements in restorative materials and bonding systems have driven a shift away from amalgam.
  • Concerns regarding amalgam's esthetics and biocompatibility have spurred the development and use of alternatives.

Purpose of the Study:

  • To review recent scientific literature on the longevity of alternative restorative materials.
  • To evaluate the biocompatibility of materials used as alternatives to dental amalgam.
  • To provide an evidence-based comparison of modern restorative options.

Main Methods:

  • Literature search of recent studies on dental restorative materials.

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  • Analysis of data on the clinical performance and survival rates of alternatives.
  • Review of research investigating the biocompatibility of various restorative materials.

    • Main Results:

    • Resin composite materials have gained popularity due to improved esthetics and bonding.
    • Glass ionomer cements, ceramic inlays/onlays, and gold alloys are viable alternatives with varying properties.
    • Emerging data suggests comparable or improved longevity and biocompatibility for certain alternatives.

    Conclusions:

    • The dental field is moving towards alternative restorative materials for posterior teeth.
    • Longevity and biocompatibility are key factors in selecting materials over traditional amalgam.
    • Further research continues to refine and validate these alternative restorative solutions.