Two-year clinical evaluation of an amalgam adhesive

This study compared the clinical effectiveness of an amalgam adhesive as the principal mode of retention for large, complex amalgam restorations with traditional pin-retained amalgams. Restorations were evaluated for retention and reinforcement, postoperative sensitivity, marginal adaptation and recurrent decay. At the end of two years, all restorations were completely retained and rated Alfa for each of the parameters evaluated. An amalgam adhesive proved clinically effective as a suitable alternative to pin retention.