Economic Impact of Regulating the Use of Amalgam Restorations

Beazoglou, Tryfon; Eklund, Stephen A.; Heffley, Dennis; Meiers, Jonathan C.; Brown, L. Jackson; Bailit, Howard L.

doi:10.1177/003335490712200513

Cited by 128 publications

(95 citation statements)

References 11 publications

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“…23 In this context the concern is this could result in serious implications for health care systems worldwide. 23 The potential health care cost implications for a reduction in availability of dental amalgam are discussed in detail by Beazoglou et al, 24 and described as having 'substantial short and long-term impact' on dental care expenditure. The Norwegian experience has been reviewed and the implications for patient and practice described.…”

Section: Effect Of a Phase-downmentioning

confidence: 99%

Dentists' restorative decision-making and implications for an ‘amalgamless’ profession. Part 1: a review

et al. 2014

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The Minamata Convention has agreed to a worldwide reduction and ultimate elimination in the production and use of mercury containing products. This will have implications for the practice of dentistry. Australian organizations' pronouncements on the issue are limited and research examining the Australian context dated. The restoration of teeth with direct materials has changed significantly since the 1980s. Up to this time amalgam was the material of choice for direct posterior restorations. Its properties and guidelines for placement were, and remain, well established. Resin composite has replaced amalgam as the material of choice in many clinical situations. Despite inherent clinical disadvantages compared to amalgam, there continues to be a shift toward greater use of resin composite. There is consensus worldwide that the restoration of posterior teeth using resin composite now exceeds that of amalgam. The reasons for this are reviewed in this article along with current evidence and commentary relating to direct restorative and evidence-based decision-making, minimally invasive approaches, and approaches to education. The implications for these in an 'amalgamless' profession are identified.

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Section: Effect Of a Phase-downmentioning

confidence: 99%

Dentists' restorative decision-making and implications for an ‘amalgamless’ profession. Part 1: a review

et al. 2014

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“…Even so, the cost would be colossal, one estimate putting this in US terms as an average increase of $52 per restoration from $278 to $330, and total expenditure for restorations increasing from $46.2 billion to an estimated $49.7 billion over time. 4 So, effectively, a reprieve. One may ask what all the fuss is about, especially as the UN has not as yet put a timescale on the phase down.…”

Section: Amalgam Substitutesmentioning

confidence: 99%

A sense of place

Hancocks

2013

Br Dent J

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“…In 2005, 166 million dental restorations were placed in the United States [1] and clinical studies suggest that more than half were replacements for failed restorations. [2] Replacement of failed restorations accounts for nearly 70% of all restorative dentistry [2] and the emphasis on replacement therapy is expected to increase as concern about mercury release from dental amalgam forces dentists to select alternative materials.…”

Section: Clinical Performance: Composite Versus Dental Amalgam Resmentioning

confidence: 99%

Durable bonds at the adhesive/dentin interface:an impossible mission or simply a moving target?

Spencer¹,

Ye²,

Park³

et al. 2012

BDS

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Composite restorations have higher failure rates, more recurrent caries and increased frequency of replacement as compared composite undermines the restoration and leads to recurrent decay and failure. The gingival margin of composite restora tions is particularly vulnerable to decay and at this margin, the adhesive and its seal to dentin provides the primary barrier between the prepared tooth and the environment. The intent of this article is to examine physico-chemical factors that affect the integrity and durability of the adhesive/dentin interfacial bond; and to explore how these factors act synergistically with mechanical forces to undermine the composite restoration. The article will examine the various avenues that have been pursued to address these problems and it will explore how alterations in material chemistry could address the detrimental impact of physico-chemical stresses on the bond formed at the adhesive/dentin interface.

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Economic Impact of Regulating the Use of Amalgam Restorations

Cited by 128 publications

References 11 publications

Dentists' restorative decision-making and implications for an ‘amalgamless’ profession. Part 1: a review

Dentists' restorative decision-making and implications for an ‘amalgamless’ profession. Part 1: a review

A sense of place

Durable bonds at the adhesive/dentin interface:an impossible mission or simply a moving target?

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