Once again, I welcomed Dr. Paul Belzycki, dental surgeon from Toronto, to continue our series of clinical mentorship presentations. Dr. Belzycki presents a few interesting cases to show why he likes to use amalgam and why you should too. His premise follows research findings on the biochemical stability and durability of dental resin composites and is based on a clinical career that spans over close to four decades.
We hope that you enjoy the presentation and benefit from the clinical tips that he shares with you. Please share your thoughts, questions, and suggestions with us at email@example.com
Until next time!
CDA Oasis Manager
Dr. Belzycki’s Notes
All studies show that composite resin fillings last about half as long as amalgam restorations. My personal observations over a long career lead me to claim that this conclusion is false: composite resin fillings last much less than that. The statement could have been true “Back in the Day” that resin fillings may have lasted half as long. But only because we were not using them in clinical situations where we knew they would fail rapidly. This typically happens in molar teeth where a significant amount of tooth structure is needed to be restored or where a deep proximal box extends past the CEJ and the cavity preparation is no longer circumscribed by enamel.
Every current textbook on dental materials and restorative dentistry claims composite resin is to be avoided where moisture control is problematic or where bruxism is an issue. So, why dear colleagues have many dentists, old and young, opted to “toss out” their amalgamators? In my opinion, there are three focal reasons. One is succumbing to market pressures. Two is not fully understanding or appreciating the difference between the various restorative materials we might use. And, sadly and unethically three, not having the patient’s best interest at heart.
I hope you enjoy the presentation.
Full Presentation (43.23″)