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Dental
Fillings
Amalgam:
| Made
of : |
Mercury
mixed with silver, tin, zinc and copper. Mercury is
nearly 50 percent of the mixture. |
| Types
: |
Traditional
(non-bonded), bonded |
| Use
for : |
Fillings
in teeth |
Advantages
:
| 1. |
Amalgam
fillings are strong and can withstand the forces of
chewing. |
| 2. |
They
are inexpensive and convenient. |
| 3. |
The
filling can be completed during one dental visit.
|
|
 |
Disadvantages
:
| 1. |
Amalgam doesn't match the color of your teeth.
|
| 2. |
Healthy parts of your tooth must often be
removed to make a space large enough to hold an amalgam
filling. |
| 3. |
Amalgam fillings can corrode over time, causing
discoloration where the filling meets the tooth. |
| 4. |
A traditional (non-bonded) amalgam filling
does not bond to the tooth. It just sits in a pocket created
by your dentist. |
| 5. |
Some people may be allergic to mercury or
be concerned about its effects, although research shows
the amount of mercury exposure from fillings is comparable
to what people get from other sources in the environment. |
Composite
Resin:
| Made
of : |
A mixture of plastic and fine glass particles.
|
| Types
: |
Direct or indirect |
| Use
for : |
Small and large fillings, especially in
front teeth or the visible parts of teeth; inlays |
|
 |
Advantages
:
| 1. |
Your fillings or inlay will be invisible.
Your dentist chooses a resin that matches the color of your
teeth. |
| 2. |
A filling can be completed during one dental
visit. An inlay may require two visits. |
| 3. |
Composite fillings can bond directly to
the tooth, making the tooth stronger than it would be with
an amalgam filling. |
| 4. |
Less drilling is involved than with amalgam
fillings because your dentist does not have to shape the
space as much to hold the filling securely. The bonding
process holds the composite resin in the tooth. |
| 5. |
Indirect composite fillings and inlays
are heat-cured, increasing their strength. |
| 6. |
Composite resin can be combined with glass
ionomer to provide the benefits of both materials. |
Disadvantages
:
| 1. |
Although
composite resins have become stronger and more resistant
to wear, it's not clear whether they are strong enough to
last as long as amalgam fillings under the pressure of chewing.
|
| 2. |
These
fillings take 10 to 20 minutes longer, or sometimes more,
to place than amalgam fillings because each thin layer of
the filling must be cured, or hardened, using a visible
blue light. |
| 3. |
Indirect
fillings and inlays take at least two visits to complete.
Your dentist takes impressions at the first visit and places
the filling or inlay at the second visit. |
| 4. |
In
large cavities, composites may not last as long as amalgam
fillings. |
Glass
Ionomer
| Made
of : |
Acrylic and a component of glass called
fluoroaluminosilicate |
| Types
: |
Traditional, resin-modified or hybrid composite,
metal-reinforced |
| Use
for : |
Most commonly used as cementation for gold
inlays, but is also used for fillings in front teeth. As
filling material, glass ionomer is typically used in people
with a lot of decay in the part of the tooth that extends
below the gum (root caries). It is also used for filling
baby teeth and as a liner for other types of fillings. |
Advantages
:
| 1. |
Glass
ionomer matches the color of the teeth, although it does
not always match as precisely as composite resin. Resin-modified
glass ionomer is usually a better match than traditional
glass ionomer. |
| 2. |
In
some cases, no drilling is required to place a glass ionomer
filling. This makes this type of filling useful for small
children. |
| 3. |
Glass
ionomers release fluoride, which can help protect the tooth
from further decay. |
| 4. |
Glass
ionomer restorations bond to the tooth, helping prevent
leakage around the filling and further decay. |
Disadvantages
:
| 1. |
Traditional
glass ionomer is significantly weaker than composite resin.
It is much more susceptible to wear and prone to fracture.
|
| 2. |
Traditional
glass ionomer does not match your tooth color as precisely
as composite resin. |
| 3. |
If
you are receiving a resin-modified glass ionomer filling,
each thin layer needs to be cured, or hardened, with an
ultraviolet light before the next layer can be added. This
makes the tooth stronger, but can lengthen the time of the
dental appointment. |
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