COMPOSITE

COMPOSITE VS
VS
AMALGAM:
AMALGAM: LONGEVITY
LONGEVITY
Erin Whitney, Candace Volpe,
Emily Hartin

PICO
PICO

In adults requiring restorations for

cavities, do amalgam restorations last
longer than composite resin?

Video

https://www.youtube.com/watch?
v=8aXQP18bJRM

Which
Which Restoration
Restoration Lasts
Lasts
Longer?
Longer?

Amalgam
Both materials have their
advantages and draw backs,
however in terms of how long the
restorations last, amalgam appears
to be the superior material

Strength
Strength
3 Topics that were covered:
Fracture resistance with bonding
Fracture resistance on root canal tooth
Fracture resistance with larger
restorations

Study: Comparison of fracture resistance of

endodontically treated teeth using different coronal
restorative materials: An in vitro study

Study: A 3-year randomized clinical trial evaluating two

different bonded posterior restorations: Amalgam versus
resin composite. European Journal of Dentistry, 10(1), 1622.

Microleakage
Microleakage

Study: Effect of different gingival margin restorations

of class II cavities on microleakage: an in-vitro study

Study: The comparative evaluation of fracture

resistance and microleakage in bonded amalgam,
amalgam, and composite resins in primary molars

Study: An in vitro Evaluation of Micro-leakage of

Posterior Teeth Restored with Amalgam, Composite
and Zirconomer A Stereomicroscopic Study

Adhesion
Adhesion to
to various
various tooth
tooth
surfaces
surfaces

Composite requires bonding agent

whereas amalgam does not (Mahrous,
Eltiti, Ahmed, & Alagha, 2015)
Composite resin is very technique
sensitive (Vanishree, Shanthala, Bobby,
2015).
Lack of adhesion can also lead to (more)
microleakage (Mahrous, Eltiti, Ahmed, &
Alagha, 2015)

Study: Effect of different gingival margin restorations

of class II cavities on microleakage: an in-vitro study

3 groups of 27 teeth were restored with

composite resin at different locations of
the tooth
27-Enamel
27- CEJ
27- Dentin
Results showed that microleakage was
greatest in the dentin, as this is where
the bonding agent is least effective.

Counter
Counter Claims
Claims

Composite is more visually appealing

Composite resin more flexible and can
therefore flex with the tooth (Geracci,
Ferrari, 2011)

Conclusion
Conclusion

Based on the articles we found on

microleakage, strength, and placement,
amalgam is the longer lasting restoration
material

References
References

Antony, K., Genser, D., Hiebinger, C., & Windisch, F. (2008, November 13). Longevity of dental amalgam in comparison to
composite materials. Retrieved July 16, 2016, from http://europepmc.org/articles/PMC3011298
Dental Caries (Tooth Decay) in Adults (Age 20 to 64). (2014,September 05). RetrievedJuly 07,
2016,http://www.nidcr.nih.gov/DataStatistics/FindDataByTopic/DentalCaries/DentalCariesAdults20to64.htm
Goracci, C., & Ferrari, M. (2011, June). Current perspectives on post systems: A literature
review. Australian Dental Journal,56, 77-83. doi:10.1111/j.1834-7819.2010.01298
Hygiene related diseases: Caries. (2014, December 16). Retrieved July 27, 2016, from
http://www.cdc.gov/healthywater/hygiene/disease/dental_caries.html
Kemaloglu, H., Pamir, T., & Tezel, H. (2016). A 3-year randomized clinical trial evaluating two different bonded posterior
restorations: Amalgam versus resin composite. European Journal of Dentistry, 10(1), 1622. http://doi.org/10.4103/13057456.175692
Mahrous, A. I., Eltiti, H. A., Ahmed, I. M., & Alagha, E. I. (2015). Effect of different gingival margin restorations of class II
cavities on microleakage: an in-vitro study. Electronic Physician, 7(7), 14351440. http://doi.org.dproxy.library.dcuoit.ca/10.19082/1435
Monga P, Sharma V, Kumar S. Comparison of fracture resistance of endodontically treated teeth using different coronal
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http://www.jcd.org.in/text.asp?2009/12/4/154/58338
Patel, M. U., Punia, S., Bhat, S., Singh, G., Bhargava, R., Goyle, P.Raiyani, C. M. (2015,
July). An in vitro Evaluation of Microleakage of Posterior Teeth Restored with
Amalgam, Composite and Zirconomer A Stereomicroscopic Study. Journal of Clinical
Diagnostic Research. doi:10.7860/JCDR/2015/13024.6225

Rasines Alcaraz MG, Veitz-Keenan A, Sahrmann P, Schmidlin PR, Davis D, Iheozor-Ejiofor Z. Direct composite resin fillings
versus amalgam fillings for permanent or adult posterior teeth. Cochrane Database of Systematic Reviews 2014, Issue 3. Art.
No.: CD005620. DOI: 10.1002/14651858.CD005620.pub2.
Vanishree H S, Shanthala B M, Bobby W. The comparative evaluation of fracture resistance and microleakage in bonded
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