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[Filling revision--possibilities and execution].

Magdalena Foitzik1, Thomas Attin

  • 1Abteilung Zahnerhaltung, Präventive Zahnheilkunde und Parodontologie, Zentrum Zahn-, Mund- und Kieferheilkunde, Georg-August-Universität, Göttingen. Magdalena.Foitzik@med.uni-goettingen.de

Schweizer Monatsschrift Fur Zahnmedizin = Revue Mensuelle Suisse D'Odonto-Stomatologie = Rivista Mensile Svizzera Di Odontologia E Stomatologia
|November 24, 2004
PubMed
Summary

New dental repair techniques enable durable bonding between various restorative materials. Composite resins, combined with silica coating and silane application, offer a universal solution for filling revisions, ensuring long-term success.

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Area of Science:

  • Dental Materials Science
  • Restorative Dentistry

Context:

  • Advancements in dental materials and techniques facilitate the repair of existing restorations, including metallic and ceramic prosthetics.
  • Achieving a strong and durable bond between diverse dental surfaces presents a significant clinical challenge.

Purpose:

  • To evaluate the efficacy of new techniques and materials for repairing and revising dental restorations.
  • To assess the potential of composite materials as a universal repair solution.

Summary:

  • Intraoral sandblasting with aluminum oxide powder is necessary for composite and amalgam fillings.
  • Conventional methods like total etch technique are insufficient for creating microretentive surfaces on metallic and ceramic restorations.
  • Silica coating via intraoral sandblasting, followed by silane application, establishes a stable and durable bond, with enamel and dentin requiring additional conditioning.

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Impact:

  • Durable repair success is achievable irrespective of using the original filling material.
  • Customized adhesive and composite selection is crucial for optimal outcomes.
  • Adherence to sandblasting hygiene and mandatory preventive measures are essential for safe and effective procedures.