Usage, Regulation,and Longevity
Richard J. Mitchell, PhD
,Toru Okabe, PhD
Division of Restorative Dentistry, Department of Oral Health Practice,College of Dentistry, University of Kentucky, D641 Medical Center,800 Rose Street, Lexington, KY 40536-0297, USA
Department of Biomaterials Science, Baylor College of Dentistry, The Texas A&M University System Health Science Center, 3302 Gaston Avenue, Dallas, TX 75246-2098, USA
This article is a review of the literature on posterior amalgam restorationspublished during the period between 1996 and 2006. During this period, re-search interest on amalgam signiﬁcantly declined. A Medline search of arti-cles with ‘‘amalgam’’ in the title, ‘‘dental’’ anywhere, and the subject‘‘dentistry’’ yielded 1054 citations (1.4% of all dental citations) between1986 and 1995 but only 553 citations (0.81% of all dental citations) between1996 and 2005. During the latter period, there were only two comprehensivereviews of the literature on dental amalgam, and both appeared early in theperiod[1,2]. Several articles referred to amalgam in the context of reviewingthe advantages and disadvantages of alternative restorative materials, how-ever[3–7].Because there have been many recent reviews of amalgam biocompatibil-ity[8–19]and the eﬀects amalgam waste on the environment[20–22], this
article focuses solely on amalgam restorations. Similarly, because recent re-views have focused on dental amalgam in primary teeth[23,24], the focus of this article is on amalgam in permanent teeth. Because of space limitations,an update on the metallurgical, physical, and mechanical properties of den-tal amalgam must await another venue.
The authors thank the National Institute of Dental Research of the US NationalInstitutes of Health for more than two decades of support for the authors’ research and thatof other investigators who have greatly expanded our knowledge of this key dental material.* Corresponding author.
firstname.lastname@example.org(R.J. Mitchell).0011-8532/07/$ - see front matter
2007 Elsevier Inc. All rights reserved.doi:10.1016/j.cden.2007.04.004
Dent Clin N Am 51 (2007) 573–589