Alkasites, a New Alternative to Amalgam. Report of a Clinical Case

Abstract

Background: A new bioactive alternative to amalgam and bulk fill composites has been introduced. The authors present the description, benefits, advantages and a case report of an Alkasite bioactive restorative material. Case Description: The authors present clinical illustrations of the step by step application, from the removal of decay to the final polishing of the Alkasite material on a posterior tooth. The final predictable outcome can justify the use of this bioactive bulk fill material due to its demineralization and remineralization properties, esthetics and excellent handling demonstrating that this is a viable alternative to an amalgam even a composite certain cases. Practical Implications: The clinicians will restore successfully a cavity with a cost effective, bioactive, bulk material and fast application with a satisfactory esthetic and functional result. Summary: Ivoclar Vivadent has launched a new restorative material that belongs to the group of Alkasites materials. The alkaline filler that is contained in its inorganic part, increases the release of hydroxide ions to regulate the pH value during the attacks with acid. As a result, the demineralization can be prevented. In addition, the release of large amounts of fluoride ions and calcium forms a solid basis for the remineralization of tooth enamel. The initiator system allows for a good chemical self cure. This article will examine the clinical characteristics, features, benefits, composition, clinical applications and present a clinical case explaining the technique step by step.