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Medical Forum / General / Dentistry / May 2008

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Silver vs. Amalgam fillings

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Robert - 02 May 2008 20:01 GMT
Are Silver fillings the same as Amalgam fillings?  If not, what is the
difference?
Newbie@bix.nex - 02 May 2008 21:12 GMT
>Are Silver fillings the same as Amalgam fillings?  If not, what is the
>difference?

Try 'amalgam' @ dict.org

You will find this:

4 definitions found for amalgam

From The Collaborative International Dictionary of English v.0.48 :

 amalgam \a*mal"gam\ ([.a]*m[a^]l"gam), n. [F. amalgame, prob.
    fr. L. malagma, Gr. ma`lagma, emollient, plaster, poultice,
    fr. mala`ssein to make soft, fr. malako`s soft.]
    1. An alloy of mercury with another metal or metals; as, an
       amalgam of tin, bismuth, etc.
       [1913 Webster]
 
    Note: Medalists apply the term to soft alloys generally.
          [1913 Webster]
 
    2. A mixture or compound of different things.
       [1913 Webster]
 
    3. (Min.) A native compound of mercury and silver.
       [1913 Webster]

From The Collaborative International Dictionary of English v.0.48 :

 amalgam \a*mal"gam\, v. t. & i. [Cf. F. amalgamer]
    To amalgamate. --Boyle. --B. Jonson.
    [1913 Webster]

From WordNet (r) 2.0 :

 amalgam
      n 1: an alloy of mercury with another metal (usually silver)
used
           by dentists to fill cavities in teeth; except for iron
           and platinum all metals dissolve in mercury and chemists
           refer to the resulting mercury mixtures as amalgams
           [syn: dental amalgam]
      2: a combination or blend of diverse things; "his theory is an
         amalgam of earlier ideas"

From Moby Thesaurus II by Grady Ward, 1.0 :

 22 Moby Thesaurus words for "amalgam":
    admixture, alloy, alloyage, amalgamation, blend, combination,
    combo, commixture, composite, composition, compound, concoction,
    confection, ensemble, fusion, immixture, interfusion,
intermixture,
    magma, mix, mixture, paste

Now do your own research, biatch...
Robert - 02 May 2008 23:56 GMT
> On Fri, 2 May 2008 15:01:34 -0400, "Robert"
> Now do your own research, biatch...

Now, can someone serious please answer the question? If a dentist says he
uses Silver fillings, what does that mean?  Is that the standard filling we
all grew up with?
Newbie@bix.nex - 03 May 2008 01:14 GMT
>> On Fri, 2 May 2008 15:01:34 -0400, "Robert"
>> Now do your own research, biatch...
>
>Now, can someone serious please answer the question? If a dentist says he
>uses Silver fillings, what does that mean?  Is that the standard filling we
>all grew up with?

"silver filling" was just a way to communicate to a patient
in terms that were commonly used at the time.
Yes, it was the standard of care even when I was in DS,
as is the true of most of the SMD Docs.

If you read the definitions posted earlier, or looked up
'dental amalgam' you would know that Ag composed
~40+ % of the alloy, IIRC. Hence, Ag "fillings".
Hg was about 48% max, IIRC.
There were a variety of other metals in the various alloy
compositions. There were and still are many different formulations.

Most of us now use composite for small restorations (fillings)
usually three surfaces, maybe four.

After that, Amatus does machine milled bonded porcelain.
He's a maverick <hurray !> am going to let him experiment
on me very soon.

Many of us still use porcelain to metal, and there is a huge variety
of lab fabricated all ceramic restorations.
Robert - 03 May 2008 01:27 GMT
> On Fri, 2 May 2008 18:56:16 -0400, "Robert"
> "silver filling" was just a way to communicate to a patient
[quoted text clipped - 18 lines]
> Many of us still use porcelain to metal, and there is a huge variety
> of lab fabricated all ceramic restorations.

My new dentist wants to put a silver filling in #5 because of a huge resin
filling he had to take out due to decay underneath. (Currently IRM in there)
Will silver fare any better than resin for a large filling?  Curiously, he
was suggesting a crown but then said he will try another filling first. I
think he is worried that I am worried about the price. But I just want to do
what is best for the tooth.

What are my other options. He is not a "cosmetic dentist".
Newbie@bix.nex - 03 May 2008 02:10 GMT
>> On Fri, 2 May 2008 18:56:16 -0400, "Robert"
>> "silver filling" was just a way to communicate to a patient
[quoted text clipped - 27 lines]
>
>What are my other options. He is not a "cosmetic dentist".

There is no recognized specialty called "cosmetic dentist".
It's a marketing term. IMO all dentistry should be 'cosmetic'.
Function, however is more important in some cases.
Still functional appliances can be made 'cosmetically'.

"Cover Girl" anyone ?

#5 is just behind the right cuspid (#6).
If a large amalgam is place <silver filling> this tooth
will look very grey <dark>.

Is this the same dentist who placed the original composite
<resin> restoration in this tooth ?
Leakage causes recurrent decay.

Without seeing a radiograph or a picture it is impossible for
me to advise you accurately.
It is good that you "want to do what is best for the tooth"...

If you can post a radiograph and/or picture the rest of the
regs are sure to jump in.
Robert - 03 May 2008 02:32 GMT
> On Fri, 2 May 2008 20:27:29 -0400, "Robert"

> #5 is just behind the right cuspid (#6).
> If a large amalgam is place <silver filling> this tooth
> will look very grey <dark>.

Sorry I wasn't clear. It was a resin filling. Wondering whether it should be
replaced with amalgam.

> Is this the same dentist who placed the original composite
> <resin> restoration in this tooth ?
> Leakage causes recurrent decay.

Should this happen after just nine months?

> Without seeing a radiograph or a picture it is impossible for
> me to advise you accurately.
> It is good that you "want to do what is best for the tooth"...
>
> If you can post a radiograph and/or picture the rest of the
> regs are sure to jump in.

I'll see if I can. Thanks.
Newbie@bix.nex - 03 May 2008 02:52 GMT
>> On Fri, 2 May 2008 20:27:29 -0400, "Robert"
>
[quoted text clipped - 4 lines]
>Sorry I wasn't clear. It was a resin filling. Wondering whether it should be
>replaced with amalgam.

Missed a letter "d"
If a large amalgam is place "d"

>> Is this the same dentist who placed the original composite
>> <resin> restoration in this tooth ?
>> Leakage causes recurrent decay.
>
>Should this happen after just nine months?

You didn't answer if this particular restoration was placed by the
dentist recommending replacement with amalgam.
The answer to your question is :  It "Depends" and I ain't
talkin' 'bout adult diapers here.  <hehe>

>> Without seeing a radiograph or a picture it is impossible for
>> me to advise you accurately.
[quoted text clipped - 4 lines]
>
>I'll see if I can. Thanks.

You can use one of the many picture sites.
Many here don't get attachments.

Welcomed.
Robert - 03 May 2008 03:08 GMT
> On Fri, 2 May 2008 21:32:38 -0400, "Robert"
>>> Is this the same dentist who placed the original composite
>>> <resin> restoration in this tooth ?
>>> Leakage causes recurrent decay.

Ah, I see. You mean, is the dentist who detected the decay the same one who
placed the composite filling?  No.  The factory dentist put in the composite
about nine months ago (replacing an old silver filling).

I was astounded when the new dentist told me that, but he showed it to me
with the mirror, after cleaning out the composite as best he could.  (I
would probably stay with this new dentist but he is moving away soon.)
Newbie@bix.nex - 03 May 2008 03:25 GMT
>> On Fri, 2 May 2008 21:32:38 -0400, "Robert"
>>>> Is this the same dentist who placed the original composite
[quoted text clipped - 8 lines]
>with the mirror, after cleaning out the composite as best he could.  (I
>would probably stay with this new dentist but he is moving away soon.)

Thanks for clearing that up.

Amatus and me use an intraoral camera system that projects a 2.5X
image of your tooth on a 20" monitor. No mirrors.

Don't know if the other regs have this as I haven't been in
their offices in person. Bet they do. $100 Bucks ?

How far is the 'new guy' moving away ?
Amatus Cremona - 03 May 2008 16:07 GMT
I am thinking of changing my screen name to Oliver Wendal Douglas,   What do
you think?

AC

>>> On Fri, 2 May 2008 21:32:38 -0400, "Robert"
>>>>> Is this the same dentist who placed the original composite
[quoted text clipped - 20 lines]
>
> How far is the 'new guy' moving away ?
Newbie@bix.nex - 03 May 2008 17:35 GMT
>I am thinking of changing my screen name to Oliver Wendal Douglas,   What do
>you think?
>
>AC

Spelling Suggestion: Oliver Wendall Douglas

You will need a tractor.
Recommend a Kubota.
Amatus Cremona - 04 May 2008 19:55 GMT
Mrs. A. drove up to check out the local area for the first time Thursday.  I
was expecting Lisa Douglas, but not so far.

Signature

/

Amatus

/

>
>>I am thinking of changing my screen name to Oliver Wendal Douglas,   What
[quoted text clipped - 7 lines]
> You will need a tractor.
> Recommend a Kubota.
Dartos - 06 May 2008 18:09 GMT
I've got a 1951 John Deere Model B (2 cylinders for you city boys).

AC only needs a Kubota if he is actually going to do any real farming.

The B will mow pasture and looks real pretty.

;-)
D

>>I am thinking of changing my screen name to Oliver Wendal Douglas,   What do
>>you think?
[quoted text clipped - 5 lines]
> You will need a tractor.
> Recommend a Kubota.
Amatus Cremona - 06 May 2008 18:55 GMT
The only thing I plan to drag behind me is a "sea anchor" if I get caught
out in a storm on Lake Huron.

Signature

/

Amatus

/

>
> I've got a 1951 John Deere Model B (2 cylinders for you city boys).
[quoted text clipped - 13 lines]
>> Spelling Suggestion: Oliver Wendall Douglas You will need a tractor.
>> Recommend a Kubota.
Newbie@bix.nex - 11 May 2008 00:08 GMT
My '48 8 - N ate a steering gear.

Wife said get a new one, there was no argument.

>I've got a 1951 John Deere Model B (2 cylinders for you city boys).
>
[quoted text clipped - 14 lines]
>> You will need a tractor.
>> Recommend a Kubota.
Steven Fawks - 11 May 2008 17:16 GMT
8N's are still quite popular.  My son-in-law has two and
my brother has a 9N.  One of my s-i-l's also ate a steering
gear.  I don't know if he had one made or found a used one
somewhere.

I know when I had to have the hydraulic pump reworked on my
661, I had to have the part made.  That added a lot to the
job.

What size Kubota did you get?

Steve

> My '48 8 - N ate a steering gear.
>
> Wife said get a new one, there was no argument.
C only needs a Kubota if he is actually going to do any real farming.

>>The B will mow pasture and looks real pretty.
>>
>>;-)
>>D

>>>You will need a tractor.
>>>Recommend a Kubota.
Newbie@bix.nex - 11 May 2008 20:44 GMT
>8N's are still quite popular.  My son-in-law has two and
>my brother has a 9N.  One of my s-i-l's also ate a steering
>gear.  I don't know if he had one made or found a used one
>somewhere.

Think we could get the part, but at the time it didn't seem reasonable
to have the work done due to labor cost.
I don't have time nor a place to do it myself.

May now get it fixed for a trim mower or some other small job.

>I know when I had to have the hydraulic pump reworked on my
>661, I had to have the part made.  That added a lot to the
>job.
>
>What size Kubota did you get?

L3400  diesel w/ FEL
should be more tractor than I ever need.

>Steve
>
[quoted text clipped - 10 lines]
>>>>You will need a tractor.
>>>>Recommend a Kubota.

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