Disadvantages of dental fillings :
Both silver amalgram and composite tooth-colored fillings are associated with
the following risks and side effects:
*Sensitivity: Some patients experience sensitivity to hot and cold in the weeks
following the procedure.
*Pain: Some patients experience pain when biting down or applying pressure to
the teeth in the days following the procedure.
*Re-treatment: The dentist will permanently remove damaged areas of your
natural teeth and fill it in with a synthetic material.
Eventually, the composite bonding material or silver amalgram that is used to fill in this space will wear down and need to be replaced.
Dentists expect composite fillings to last five to seven years and silver amalgram fillings to last about 12 years.
*Silver amalgram fillings : are associated with additional risks. Over time, silver amalgram fillings can expand and contract due to changes in the temperature.
This can eventually damage and weaken the surrounding tooth structure. Silver
amalgram fillings contain mercury, which can be toxic.
However, several studies have been conducted to determine if silver amalgram
fillings cause any health risks, and no conclusive evidence has been found. [19]
6-Conclusion :
Treating carious an non carious lesions is not a simple procedure, and
modifications may have to be employed depending on the specific situation. The
right choice of the restorative material depends on esthetic demands and on the
maintenance of polished surfaces. The selection of the restorative material
depends on the type of the lesions, need of cavity preparation, and technique.
Factors that can potentially influence the outcome of the restoration include the
presence of sclerotic dentin, occlusal contacts, erosive diet, parafunctional
habits, bruxism, and existing restorations on the affected teeth. Until recently,
GIC-based materials were considered the treatment of choice in most of the
dental lesions.
Modern composite restorations have great esthetic appeal, but both
conventional GICs and RMGICs have been considerably improved with regard
to translucency and color. [20]
7-References :
1. Bartlett DW, Shah P. A critical review of non-carious cervical (wear) lesions and the role of abfraction, erosion, and abrasion. J Dent Res 2006;85:306-12.
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2. Chan DC, Browning WD, Pohjola R, Hackman S, Myers ML. Predictors of non-carious loss of cervical tooth tissues. Oper Dent 2006;31:84-8.
3. Levitch LC, Bader JD, Shugars DA, Heymann HO. Non-carious cervical lesions. J Dent 1994;22:195-207.
4. Estafan A, Bartlett D, Goldstein G. A survey of management strategies for noncarious cervical lesions. Int J Prosthodont 2014;27:87-90.
5. Walter C, Kress E, Götz H, Taylor K, Willershausen I, Zampelis A, et al. The anatomy of non-carious cervical lesions. Clin Oral Investig 2014;18:139-46.
6. Kim HJ, Kim SJ, Choi J, Lee JY. Effects of noncarious cervical lesions and class V restorations on periodontal conditions. J Korean Acad Periodontol 2009;39:17-26.
7. Wood I, Jawad Z, Paisley C, Brunton P. Non-carious cervical tooth surface loss: A literature review. J Dent 2008;36:759-66.
8. Perez Cdos R, Gonzalez MR, Prado NA, de Miranda MS, Macêdo Mde A, Fernandes BM, et al. Restoration of noncarious cervical lesions: When, why, and how. Int J Dent 2012;2012:687058.
9. Senna P, Del Bel CA, Rosing C. Non-carious cervical lesions and occlusion: A systematic review of clinical studies. J Oral Rehabil 2012;39:450-62.
10. Hanaoka K, Nagao D, Mitusi K, Mitsuhashi A, Sugizaki S, Teranaka T. A biomechanical approach to the etiology and treatment of noncarious dental cervical lesions. Bull Kanagawa Dent Coll 2009;26:103-11.
11. Pollington S, van Noort R. A clinical evaluation of a resin composite and a compomer in non-carious class V lesions. A 3-year follow-up. Am J Dent 2008;21:49-52.
12. Rees JS. A review of the biomechanics of abfraction. Eur J Prosthodont Restor Dent 2000;8:139-44.
13. Kandiah T, Johnson J, Fayle SA. British Society of Paediatric Dentistry: a policy document on management of caries in the primary dentition. Int J Paediatr Dent. 2010;
14. Ricketts D, Lamont T, Innes NP, Kidd E, Clarkson JE. Operative caries management in adults and children. Cochrane Database Syst Rev. 2013;
15. Bjørndal L, Reit C, Bruun G, Markvart M, Kjaeldgaard M, Näsman P, et al. Treatment of deep caries lesions in adults: randomized clinical trials comparing stepwise vs. direct complete excavation and direct pulp capping vs. partial pulpotomy. Eur J Oral Sci. 2010;
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16. Juric H. Current possibilities in occlusal caries management. Acta Med Acad. 2013;
17. Hernández M, Marshall TA. Reduced odds of pulpal exposure when using incomplete caries removal in the treatment of dentinal cavitated lesions. J Am Dent Assoc. 2014;
18. Kabaktchieva R, Gateva N, Nikolova K. Success rate of one session and two session techniques for treatment of asymptomatic pulpitis of primary teeth with indirect pulp capping. J of IMAB. 2013;
19. Splieth CH, Ekstrand KR, Alkilzy M, Clarkson J, Meyer-Lueckel H, Martignon S, et al. Sealants in dentistry: outcomes of the ORCA Saturday afternoon symposium. Caries Res. 2010;
20. Hesse D, Bonifácio CC, Mendes FM, Braga MM, Imparato JC, Raggio DP. Sealing versus partial caries removal in primary molars: a randomized clinical trial. BMC Oral Health. 2014;
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