{"id":363,"date":"2014-08-08T03:04:15","date_gmt":"2014-08-08T03:04:15","guid":{"rendered":"http:\/\/caugheydds.com\/newsite\/?p=363"},"modified":"2024-06-29T13:23:39","modified_gmt":"2024-06-29T13:23:39","slug":"decay-under-amalgam-filling-is-typical","status":"publish","type":"post","link":"https:\/\/caugheydds.com\/2014\/08\/08\/decay-under-amalgam-filling-is-typical\/","title":{"rendered":"Decay under amalgam filling is typical"},"content":{"rendered":"<p>General dentistry in the United States has been trending toward the discontinued use of silver-mercury alloy fillings, aka, amalgams. My own preference for tooth-colored resins is for several reasons, the most obvious being that as an aesthetic dentist, I like teeth to look like teeth.\u00a0 Additionally, resin is not affected by temperature the way metallic fillings are &#8211; the thermal cycling of hot and cold foods causes an expansion and contraction that ultimately causes the filling to lose its seal.\u00a0 Adding to that likelihood of eventual leaking, the problem of seeing bacteria\/early decay growing around the edge of a filling is difficult to appreciate in the early stage of filling breakdown \u2013 both clinically and on X-ray.<\/p>\n<p>The strongest reason I am opposed to amalgam fillings is that there are far more teeth that fracture around amalgam fillings than resin ones.\u00a0 The design of the cavity&#8217;s shape automatically builds weakness into the tooth; whereas the chemical bonding properties of resin fillings slightly stiffens a tooth. The decay seen in this tooth is typical of what we restorative dentists find under an old silver filling. Using a rubber dam is an excellent way of reducing likelihood that bacteria will get in under the new resin filling. \u00a0The new filling gives the patient a pleasing appearance, as well as confidence that any marginal leakage would be detected very early, before decay could recur.<\/p>\n<figure id=\"attachment_362\" aria-describedby=\"caption-attachment-362\" style=\"width: 208px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-362 size-medium\" src=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_1-346x500.jpg\" alt=\"Initial amalgam removal, having stopped at the point deepest within the tooth.\" width=\"208\" height=\"300\" srcset=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_1-346x500.jpg 346w, https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_1-208x300.jpg 208w, https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_1-52x75.jpg 52w, https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_1-480x694.jpg 480w, https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_1.jpg 692w\" sizes=\"(max-width: 208px) 100vw, 208px\" \/><\/a><figcaption id=\"caption-attachment-362\" class=\"wp-caption-text\">Initial amalgam removal, having stopped at the point deepest within the tooth.<\/figcaption><\/figure>\n<figure id=\"attachment_360\" aria-describedby=\"caption-attachment-360\" style=\"width: 192px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-360 size-medium\" src=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_-2-320x500.jpg\" alt=\"Removal of deepest amalgam shows black-brown decay close to the pulp (nerve chamber) of the tooth.\" width=\"192\" height=\"300\" srcset=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_-2-320x500.jpg 320w, https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_-2-192x300.jpg 192w, https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_-2-48x75.jpg 48w, https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_-2-480x751.jpg 480w, https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_-2.jpg 639w\" sizes=\"(max-width: 192px) 100vw, 192px\" \/><\/a><figcaption id=\"caption-attachment-360\" class=\"wp-caption-text\">Removal of deepest amalgam shows black-brown decay close to the pulp (nerve chamber) of the tooth.<\/figcaption><\/figure>\n<figure id=\"attachment_370\" aria-describedby=\"caption-attachment-370\" style=\"width: 178px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-370 size-medium\" src=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_3-296x500.jpg\" alt=\"Final decay removal after using decay-detecting dye and micro air-abrasion.\" width=\"178\" height=\"300\" srcset=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_3-296x500.jpg 296w, https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_3-178x300.jpg 178w, https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_3-44x75.jpg 44w, https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_3-480x811.jpg 480w, https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_3.jpg 592w\" sizes=\"(max-width: 178px) 100vw, 178px\" \/><\/a><figcaption id=\"caption-attachment-370\" class=\"wp-caption-text\">Final decay removal after using decay-detecting dye and micro air-abrasion.<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>General dentistry in the United States has been trending toward the discontinued use of silver-mercury alloy fillings, aka, amalgams. My own preference for tooth-colored resins is for several reasons, the most obvious being that as an aesthetic dentist, I like teeth to look like teeth.\u00a0 Additionally, resin is not affected by temperature the way metallic&hellip;<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[12],"tags":[35,37,50,51,52,53,54,55,57,59,84,91,103,116,119,123,124,135,147,172,220,223,228,288],"class_list":["post-363","post","type-post","status-publish","format-standard","hentry","category-general-and-preventive-dentistry","tag-aesthetic-cosmetic-dentistry","tag-aesthetic-harmony","tag-atlanta-aesthetic-dentist","tag-atlanta-buckhead-dentist","tag-atlanta-comprehensive-dentist","tag-atlanta-dentist","tag-atlanta-esthetic-dentist","tag-atlanta-general-dentist","tag-atlanta-pankey-dentist","tag-atlanta-tmj-dentist","tag-ceramist","tag-conservative-dentistry","tag-dds","tag-direct-resin-restorations","tag-dr-caughey","tag-elizabeth-d-caughey","tag-enamel","tag-general-dentistry","tag-ideal-match","tag-marginal-leakage","tag-resin-bonding","tag-restorative-dentistry","tag-rubber-dam","tag-white-fillings"],"gutentor_comment":0,"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Decay under amalgam filling is typical - www.caugheydds.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/caugheydds.com\/2014\/08\/08\/decay-under-amalgam-filling-is-typical\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Decay under amalgam filling is typical - www.caugheydds.com\" \/>\n<meta property=\"og:description\" content=\"General dentistry in the United States has been trending toward the discontinued use of silver-mercury alloy fillings, aka, amalgams. My own preference for tooth-colored resins is for several reasons, the most obvious being that as an aesthetic dentist, I like teeth to look like teeth.\u00a0 Additionally, resin is not affected by temperature the way metallic&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/caugheydds.com\/2014\/08\/08\/decay-under-amalgam-filling-is-typical\/\" \/>\n<meta property=\"og:site_name\" content=\"www.caugheydds.com\" \/>\n<meta property=\"article:published_time\" content=\"2014-08-08T03:04:15+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-06-29T13:23:39+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_1-346x500.jpg\" \/>\n<meta name=\"author\" content=\"Elizabeth Caughey, DDS\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Elizabeth Caughey, DDS\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/caugheydds.com\/2014\/08\/08\/decay-under-amalgam-filling-is-typical\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/caugheydds.com\/2014\/08\/08\/decay-under-amalgam-filling-is-typical\/\"},\"author\":{\"name\":\"Elizabeth Caughey, DDS\",\"@id\":\"https:\/\/caugheydds.com\/#\/schema\/person\/e615225fae8540ed1eb28cc76ca0f602\"},\"headline\":\"Decay under amalgam filling is typical\",\"datePublished\":\"2014-08-08T03:04:15+00:00\",\"dateModified\":\"2024-06-29T13:23:39+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/caugheydds.com\/2014\/08\/08\/decay-under-amalgam-filling-is-typical\/\"},\"wordCount\":296,\"publisher\":{\"@id\":\"https:\/\/caugheydds.com\/#organization\"},\"image\":{\"@id\":\"https:\/\/caugheydds.com\/2014\/08\/08\/decay-under-amalgam-filling-is-typical\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/caugheydds.com\/wp-content\/uploads\/2014\/08\/Typical-findings-during-amalgam-removal_1-346x500.jpg\",\"keywords\":[\"Aesthetic and Cosmetic Dentistry\",\"Aesthetic Harmony\",\"Atlanta Aesthetic Dentist\",\"Atlanta Buckhead Dentist\",\"Atlanta Comprehensive Dentist\",\"Atlanta Dentist\",\"Atlanta Esthetic Dentist\",\"Atlanta General Dentist\",\"Atlanta Pankey Dentist\",\"Atlanta TMJ Dentist\",\"Ceramist\",\"Conservative dentistry\",\"DDS\",\"Direct Resin Restorations\",\"Dr. Caughey\",\"Elizabeth D. 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