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Medical Forum / General / Dentistry / June 2005

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White Composite Fillings

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lynrennick2000@aol.com - 11 Jun 2005 20:50 GMT
Hi,

This is one for all the dentists on here (Joel?)

I'm trying to find out about white composite fillings. Someone has
written to me asking me about different types of white fillings and
whether some are better than others. Can anyone help out here please?

Thanks.

Lyn
George Chatzipetros - 12 Jun 2005 01:35 GMT
There are different kinds of composites and different ways to classify
composites, but none are "better" than the others per se. It really
depends on which job you want to do with them. Thus, you've got
composites with great colour stability and excellent polishability for
use on anterior teeth for a very good aesthetic result. On the other
hand, when you take the posterior teeth, you want a durable composite
with high compressive strength and wear resistance.
Unfortunately, there is still no composite that will meet all these
requirements, so you have to balance all these factors and make a
choice based on what you consider important for the task at hand.
If your friend just said "white fillings" instead of "white composite
fillings" let's not forget a whole class of underrated (IMHO)
restorative materials: glass ionomer and its derivatives. The original
self-etching, self-bonding, slightly moisture-resistant dental
restorative. Great for deciduous teeth and quick patches, but virtually
unused for "serious" restorative work by most dentists I know
(including myself; I've only done one MO filling using GIC on an upper
first molar - still there after 2 years).

George
Steven Fawks - 13 Jun 2005 15:13 GMT
I think there are several 'universal' composites available today.
Even Heliomolar isn't bad for most anterior applications as well
as posterior usage.

Currently I've been using Tetric Evoceram for posterior and anterior
restorations.  Simile is another good choice.  Good shades, good
strength, and good polishability.

I'm not a big GI fan.  I use it in a few cases, but SE Bond and
composite seem to be better in my hands.

JME,
Fawks

> There are different kinds of composites and different ways to classify
> composites, but none are "better" than the others per se. It really
[quoted text clipped - 16 lines]
>
> George
W_B - 13 Jun 2005 17:16 GMT
>There are different kinds of composites and different ways to classify
>composites, but none are "better" than the others per se. It really
[quoted text clipped - 16 lines]
>
>George

Fuji 9 works great in many situations.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
George Chatzipetros - 13 Jun 2005 17:20 GMT
> Fuji 9 works great in many situations.

Yes, GI is the ultimate material for herodontics. I am becoming a great
fan of Amalgomer, which is supposed to be the strongest GI in the
world; don't know if it has crossed the pond to you guys.

George
W_B - 13 Jun 2005 21:08 GMT
>> Fuji 9 works great in many situations.
>
[quoted text clipped - 3 lines]
>
>George

Like Fuji II Miracle Mix ?

Still Fugi 9 is stronger.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
George Chatzipetros - 14 Jun 2005 07:44 GMT
They say it is the first GI that passes the ISO physical tests for both
GIs and amalgam. They have one for anterior teeth and a
ceramic-reinforced one for posterior teeth.

George
W_B - 14 Jun 2005 16:05 GMT
>They say it is the first GI that passes the ISO physical tests for both
>GIs and amalgam. They have one for anterior teeth and a
>ceramic-reinforced one for posterior teeth.
>
>George

Interesting.

What is the name ?
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
George Chatzipetros - 14 Jun 2005 17:52 GMT
Amalgomer

George
W_B - 14 Jun 2005 20:01 GMT
>Amalgomer
>
>George

Who makes it ?
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
George Chatzipetros - 15 Jun 2005 18:54 GMT
Advanced healthcare, it's a small british company, so I think the
product is still limited in the UK or Europe at best. They have a site
I think.

George
Happy Oyster - 14 Jun 2005 20:38 GMT
>Amalgomer

Sounds like a new character in "The Simpsons".

Regards,

Aribert Deckers
Signature

             Was jeder Kinderarzt ins Wartezimmer hängen sollte:

                  http://www.ariplex.com/ama/ama_im10.htm

jwn dds - 13 Jun 2005 18:47 GMT
There are different types and dentists have their favorites.  I'll list s
few and tell you which I use.  In general terms the composites are composed
of BisGMA resin and pre-cured composite particles.

Macro-fill = larger particles, less shrinkage on light-cure, used for
posteriors where extra wear may occur, "stronger", less polishable.
Micro-fill = small particles, more shrinkage on light-cure, used for
anteriors where esthetics are important, more polishable.
Hybrids = "mixture" of the macro and mico-fill, medium shrinkage on
light-cure, used on posteriors and anteriors, average polishability.
Nano-hybrids = "marbles in a glass".  Particles are spherical rather than
chunks, medium shrinkage, used on posteriors and anteriors, better
polishability than conventional hybribs.
Flowable = makeup of resin:particles allows for flowability of material,
highly polishable, will wear faster than other composites.

Glass-ionomers (GIC) = fluoride release, "wetable" supposedly.

I use Nano-hybrid composite (Grandio by Voco) and Flowable composite at my
office.  I sometimes use GIC (Dyract) for certain root caries.

> Hi,
>
[quoted text clipped - 7 lines]
>
> Lyn
 
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