TAILIEUCHUNG - Ebook Sturdevant’s Art and science of operative dentistry: Part 2

Part 2 book “Sturdevant’s Art and science of operative dentistry” has contents: Clinical technique for amalgam restorations, digital dentistry in operative dentistry, dental biomaterials, resin-bonded splints and bridges, direct gold restorations, class II cast-metal restorations, and other contents. | 306 C HA P T E R 1 0 Clinical Technique for Amalgam Re toration 10 Clinical Technique for Amalgam Restorations LEE W. BOUSHELL, ALDRIDGE D. WILDER, JR., SUMITHA N. AHMED D ental amalgam (silver amalgam or simply amalgam) is a metallic, polycrystalline restorative material originally composed of a mixture of silver–tin alloy and mercury. Current alloys that are amalgamated with mercury are silver–tin– copper. he unset silver-colored mixture is pressed (condensed) into a tooth defect (cavitation) that has been speciically prepared to retain the amalgam. he material is then contoured to restore the tooth’s form so that, when the material hardens, the tooth is returned to normal function (Fig. ). Amalgam has been the primary direct restorative material in the United States for more than 150 years. It has been the subject of intense research and has been found to be safe and beneicial as a direct restorative material (see Chapter 13).1-3 he cost-efective nature of amalgam restorations has beneited many people. According to the . Public Health Service, “hundreds of millions of teeth have been retained that otherwise would have been sacriiced because restorative alternatives would have been too expensive for many people.”4 In addition to being cost efective, amalgam has the unique property of being “self-sealing.” Self-sealing occurs when percolation of oral luids (., microleakage) between the amalgam restoration and the prepared cavity walls results in corrosion of the amalgam and a subsequent accumulation of corrosion products in the microscopic space. Microleakage between the restoration and the adjacent tooth structure is reduced as corrosion products ill the space. he self-sealing process is self-limiting and requires several months. Amalgam is the only restorative material with an interfacial seal that improves over Amalgam was introduced to the United States in the 1830s. Initially, amalgam restorations were made by dentists iling .

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