Complex Amalgams-- An inevitable process?

[tanwe461]

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Hi all! Just wondering what do you guys think about this issue....
I am not sure whether they use the terminology 'Complex Amalgams' in US.. it's just a standard amalgam filling where when the previous restoration has secondary caries...hence have to reduce the cups to fully restore the functional anatomy of the tooth....
For example a 46 had a large MOD on it..but due to the secondary caries around it...or probably due to cusp fracture...you have to take out the filling..reduce some cusps...place some pins in it..and fully restore the filling.
Do you guys think that this restoration is an inevitable process? Or do you think that it's just an alternative?
Thanks heaps

 

[cusp of carabelli]

Hi all! Just wondering what do you guys think about this issue....
I am not sure whether they use the terminology 'Complex Amalgams' in US.. it's just a standard amalgam filling where when the previous restoration has secondary caries...hence have to reduce the cups to fully restore the functional anatomy of the tooth....
For example a 46 had a large MOD on it..but due to the secondary caries around it...or probably due to cusp fracture...you have to take out the filling..reduce some cusps...place some pins in it..and fully restore the filling.
Do you guys think that this restoration is an inevitable process? Or do you think that it's just an alternative?
Thanks heaps

an even better solution than an crown would be an onlay. you don't take off as much tooth structure and gold is a very biocompatible material.

 

[drPheta]

Cost to the patient. But, yes. It will be inevitable for you to replace a big restoration because of recurrent caries. Whatever procedure you choose to do will be based on your values are as a dentist prescribing a treatment in your patients' best oral health interests.

Try the Pin Amalgam? Do and Onlay/Inlay? Full crown? There's alternatives for everything until the tooth dies and has no supporting hard tissue. That's when you bust out the elevators and forceps.

 

[ItsGavinC]

Cost to the patient. But, yes. It will be inevitable for you to replace a big restoration because of recurrent caries. Whatever procedure you choose to do will be based on your values are as a dentist prescribing a treatment in your patients' best oral health interests.

Good call. An excellent treatment option for some patients may only be a mediocre treatment plan for others, depending on financial situation, oral health habits, environmental influences, supporting structures, etc.