Clinical Alternatives to Amalgam and Composite in Compromised Patients

The quest to find an alternative to amalgam for long term successful posterior restorations has been challenging for the dental profession.   However, comparative studies have demonstrated that amalgam routinely outperforms adhesively placed composite restorations in longevity.  Yet, notwithstanding those clinical trial results, composite remains a highly sought-after material by patients due to esthetic demands and environmental and health concerns over mercury in amalgam materials.  This evidenced based presentation will review treatment planning risk factors for placing adhesively composites and explore self-adhesive options available to the clinicians when compromised clinical situations exist. 

Learning Objectives:

• Understand risk factors for placement of adhesive based composite resin restorations
• Understand what the scientific evidence reveals in terms of efficacy of "Bio-Active" restorative materials as high strength self-adhesive dual-cured restorative dental material for load-bearing permanent restorations.
• Understand clinical protocols to optimize restorative procedures in compromised patients.

Original Release Date: 2.1.2018 Re-release Date: 2.1.2021 Review Date: 2.1.2024

AGD PACE Subject Code: 250 - Operative (restorative) Dentistry