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Review ArticleInternational Journal of Community Medicine and Public Health

Publication:
An overview of composite versus amalgam for dental restorations

Int J Community Med Public Health. 2021;8(2):959-968.DOI10.18203/2394-6040.ijcmph20210081

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Abstract

When any loss of the tooth structure happens, it’s restoration using different filling materials is essential to compensate for the defective parts. Among the most commonly used dental restorative materials, dental amalgam & composite resins prevail. We have searched the relevant studies that compared composite resins and amalgam restorations to review them in different aspects including the clinical, economic, biocompatibility and patients’ perspectives. Regarding the clinical perspective, most of the reviewed investigations showed that composite resin restorations were associated with higher failure rates and developed dental caries more than restorations made by the amalgam alloys. There were no significant differences noticed between the two materials regarding the side effects as both caused nearly similar neurological and renal affection. Based on the findings from previous studies, we could only notice that some studies reported that microalbuminuria may be associated with composite resins. We have also found that patients’ satisfaction with the amalgam restorations was low due to the potential development of some side effects that were attributable to lead intoxication. In conclusion, we recommend that further investigations should be conducted.

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Affiliations

  1. Department of Prosthodontics, GNP Hospital, Jeddah, Saudi Arabia
  2. Department of Prosthetic Dentistry, GNP Hospital, Jeddah, Saudi Arabia
  3. College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
  4. General Dentist, Ministry of Health, Skaka, Saudi Arabia
  5. Ibn Sina National College, Jeddah, Saudi Arabia
  6. Asia Polyclinic, Mecca, Saudi Arabia
  7. Department of Advanced General Dentistry, Ministry of National Guards Health Affiar, Riyadh, Saudi Arabia
  8. Ministry of Health, Eastern Province, Saudi Arabia
  9. Ministry of Health, Hafr Al-Batin, Saudi Arabia
  10. College of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
  11. College of Dentistry, Umm Al-Qura University, Mecca, Saudi Arabia
  12. Royal Jordanian Military Hospital, Amman, Jordan

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