Amalgam In The Dental Industry

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Introduction
With time, comes change, so when a paradigm shift in the dental field presents itself with possible claims of overall systemic danger, this is a topic worth review. Regardless of the overall acceptance of the product by the American Dental Association (ADA), the dental restorative material, amalgam, has become increasingly controversial over the last 30 years. Amalgam is said to cause mercury micro leakage, leading to a myriad of systemic health effects (Kross, 2013). With this stamp of approval by the ADA, it seems as if it would be hard to decline support of this restorative material. According to Kross (2013), “Amalgam has been used as a safe, and effective, biocompatible restorative material for 150 years” (p. 1); so why is it possible that something that has brought us so far in the field of dental restorative health could cause such disagreement and debate of support and continuation? Research has shown that the only time amalgam restorations affect the body is when it is applied or removed from the tooth to prevent leakage or any other restorative defects, while epidemiological and clinical evidence has continuously failed attempting to construct widespread chronic mercury toxicity in connection with amalgam in a heavily amalgam restored population (Kross, 2013).
Amalgam has been used in dentistry for this lengthy period due to its low cost, durability, strength, and bacteriostatic effect (Rathore, Singh, & Pant, 2012). The debate whether amalgam fillings lead to certain diseases such as Alzheimer’s, multiple sclerosis, and cancer never ceases to die down. According to the ADA, silver dental fillings have a small amount of inorganic mercury which is not easily absorbed by the body. Amalgam is an alloy ...

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... fill in posterior and other cariogenic lesions, despite how “dated” they might be. Although many patients are currently concerned about their esthetic appeal, based on media attention and access to more research now in a technological age, another concern patients are discovering is whether or not this metal alloy will affect their systemic health, especially in children. “Reasons for its continued success as a restorative material include: relatively low cost, ease of manipulation, and relatively low sensitivity to technique variables” (Kross, 2013, p.11). Of course, as modern dentistry continues to advance and older techniques are looked at in a “pre-historic” manner, people are finding that the potential health risks of having amalgam restorations, plus the look of them appearing outdated, outweigh the sturdiness and trusting reputation that they once had.

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