Tooth damage from removing overhanging amalgam

Tooth damage from removing overhanging amalgam

ASSIF AND 3. 4. 5. 6. Dewhirst, R. B., Fisher, D.W., and Shillingburg, H. T.: Dowel core fabrication. J South Calif State Dent Assoc 37:444, 1969. ...

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ASSIF AND

3.

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IADR PROSTHODONTIC

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Re,tmt requeststo: DR. DAVID ASSIF

TEL AVIV UNIVERSITY SACKLERSCHOLLOF MEDICINE SCHWL OF DENTAL MEDICINE TEL AVIV ISRAEL

ABSTRACT

Tooth damage from removing overhanging amalgam E. G. Givens, A. J. Gwinnett,

and L. J. Boucher

Oral Roberts University, School of Dentistry, Tulsa, Okla., and School of Dental Medicine,

The problem of restorations with overhanging amalgam is remedied by replacing the restoration or eliminating the overhang with mechanical operative procedures. The purpose of this study was to compare the effects on the tooth surface of three commonly used power-driven instruments. Comparisons were made of the effects of each method of instrumentation on the enamel, cementum, and amalgam. Forty extracted human premolar teeth were prepared to receive amalgam restorations. Half of each preparation was confined

Reprinted from the Journal of Dental Research [61 (Special Issue), 1982 (Abst No. 234)] with permission of the author and the editor.

296

Stony Brook, N.Y.

to enamel and half to cementurn. For control purposes half of each restoration was carved flush to the cavosurface occlusogingivally with a hand instrument, leaving the overhang on the other half of the tooth to be removed mechanically. Cavitron, Roto-Pro, and EVA System instruments were used. The samples were critically point dried for examination in the scanning electron microscope. Observations were recorded on Polaroid film. Findings showed significantly more abrasion on all surfaces in EVA groups compared to other groups. All surfaces in Roto groups appeared to be smoother than in other groups. There appeared to be little difference between treated surfaces and control surfaces in the Cavitron group. Clinical significance to be determined by future studies.

SEPTEMBER

1982

VOLUME

48

NUMBER

3