Restorative Dentistry

Adhesive Dentistry

"Adhesive Dentistry" is a relatively new term and refers to the ability of certain materials to change the surfaces of the teeth, allowing other materials to adhere or stick to that surface without compromising a lot of tooth structure. When plastics (composites) were first introduced, there was only one shade. They had to be locked in with undercuts, and eventually turned more yellow.

Today we have solutions and techniques that alter not only tooth structure but also other surfaces, allowing the bonding of composites, porcelain, or metals to one another. Multiple shades are available, and these materials do not change color.

Amalgam Controversy
Recently, there has been much hoopla made about the efficacy of amalgam fillings. Specifically, does the mercury cause health problems in patients?

First, one must understand that an "amalgam" is an alloy or combination of mercury with other metals, forming a new composition with completely different properties from the original metals,

Second, the health hazard really involves the dentist and assistants who handle the mercury. By the time the amalgam is placed in the mouth, there is very little risk to the patient. However, some patients may exhibit an allergy to the amalgam, but this is very rare.

Advantages of the new plastic (composite) fillings include removal of less tooth structure, aesthetics, prevention of tooth fracture and, in many cases, no anesthetic (shots). Unfortunately, many dental insurance policies still consider posterior composite fillings as only aesthetic, and thus pay very little toward their cost. What a tragedy that we have to entrust the quality of care to these companies.

As a filling for the posterior (rear) teeth, amalgam was the only choice for many years. Major advancements in both the composition and application of plastic materials have revolutionized dentistry, making amalgam obsolete.