Clinical evaluation of four dental amalgams over a two year period. 1992

W J van der Merwe
Faculty of Dentistry, Medical University of Southern Africa, Medunsa.

The aim of this study was to determine the clinical durability of two locally manufactured amalgams. In each of eighty-two patients one class II cavity was restored with Dispersalloy (Johnson and Johnson) which served as the control and all the other class II cavities were randomly restored with one of the following amalgams: Amalgaphase, Amalga 43 (Amalgam Alloys-South Africa) or Permite C (Southern Dental Industries). Matrix bands were placed. Kalzinol bases and Polyvar varnish were applied in all cavities. All amalgams were mixed according to the manufacturers' instructions. The cavities were overpacked with amalgam, and the amalgam condensed by hand, carved and then burnished with a ball burnisher. Twenty-four hours later all restorations were polished with a Shofu polishing system and colour photographs were taken. The restorations were evaluated using the Ryge and Snyder (1973) evaluation system, as well as comparison of the colour photos. The Fisher's Exact Test was used for the statistical analysis. During the second year there were no significant (p < 0.05) differences between the four brands of amalgam restorations except as regards the gloss category. The two South African manufactured amalgams compared well with the two imported amalgams. During the second year the marginal integrity and surface texture of Amalgaphase compared well with that of Permite C. Dispersalloy and Permite C showed more deterioration in anatomic form than the two South African amalgams. Amalgaphase was the only amalgam to show no bulk fracture within a period of two years. Amalgaphase performed better in the gloss category than the other three amalgams during the second year evaluation. According to the weighted product calculation Amalgaphase was the best amalgam followed by Dispersalloy, Amalga 43 and Permite C.

UI MeSH Term Description Entries
D003722 Dental Alloys A mixture of metallic elements or compounds with other metallic or metalloid elements in varying proportions for use in restorative or prosthetic dentistry. Alloy, Dental,Alloys, Dental,Dental Alloy
D003723 Dental Amalgam An alloy used in restorative dentistry that contains mercury, silver, tin, copper, and possibly zinc. Amalgam, Dental,Amalgams, Dental,Dental Amalgams
D003731 Dental Caries Localized destruction of the tooth surface initiated by decalcification of the enamel followed by enzymatic lysis of organic structures and leading to cavity formation. If left unchecked, the cavity may penetrate the enamel and dentin and reach the pulp. Caries, Dental,Carious Lesions,Dental Cavities,Dental Cavity,Dental Decay,Dental White Spots,Carious Dentin,Decay, Dental,Dental White Spot,White Spot, Dental,White Spots, Dental,Carious Dentins,Carious Lesion,Cavities, Dental,Cavity, Dental,Dentin, Carious,Dentins, Carious,Lesion, Carious,Lesions, Carious,Spot, Dental White,Spots, Dental White
D003775 Dental Polishing Creation of a smooth and glossy surface finish on a denture or amalgam. Dental Burnishing,Dental Finishing,Burnishing, Dental,Finishing, Dental,Polishing, Dental
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013019 South Africa A republic in southern Africa, the southernmost part of Africa. It has three capitals: Pretoria (administrative), Cape Town (legislative), and Bloemfontein (judicial). Officially the Republic of South Africa since 1960, it was called the Union of South Africa 1910-1960. Republic of South Africa,Union of South Africa
D013499 Surface Properties Characteristics or attributes of the outer boundaries of objects, including molecules. Properties, Surface,Property, Surface,Surface Property
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D015588 Observer Variation The failure by the observer to measure or identify a phenomenon accurately, which results in an error. Sources for this may be due to the observer's missing an abnormality, or to faulty technique resulting in incorrect test measurement, or to misinterpretation of the data. Two varieties are inter-observer variation (the amount observers vary from one another when reporting on the same material) and intra-observer variation (the amount one observer varies between observations when reporting more than once on the same material). Bias, Observer,Interobserver Variation,Intraobserver Variation,Observer Bias,Inter-Observer Variability,Inter-Observer Variation,Interobserver Variability,Intra-Observer Variability,Intra-Observer Variation,Intraobserver Variability,Inter Observer Variability,Inter Observer Variation,Inter-Observer Variabilities,Inter-Observer Variations,Interobserver Variabilities,Interobserver Variations,Intra Observer Variability,Intra Observer Variation,Intra-Observer Variabilities,Intra-Observer Variations,Intraobserver Variabilities,Intraobserver Variations,Observer Variations,Variabilities, Inter-Observer,Variabilities, Interobserver,Variabilities, Intra-Observer,Variabilities, Intraobserver,Variability, Inter-Observer,Variability, Interobserver,Variability, Intra-Observer,Variability, Intraobserver,Variation, Inter-Observer,Variation, Interobserver,Variation, Intra-Observer,Variation, Intraobserver,Variation, Observer,Variations, Inter-Observer,Variations, Interobserver,Variations, Intra-Observer,Variations, Intraobserver,Variations, Observer
D017797 Prosthesis Coloring Coloring, shading, or tinting of prosthetic components, devices, and materials. Dental Prosthesis Coloring,Coloring, Dental Prosthesis,Prosthesis Coloring, Dental,Coloring, Prosthesis

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