Scribd Logo
Upload

Welcome to Scribd!

  • 367 views

    2-Failure of Amalgam Restoration

    Uploaded by

    Haidy Mahmoud El-Sanosy
    The document discusses reasons for failure of amalgam and cast restorations. Common causes of amalgam restoration failure include marginal degradation, isthmus fracture, recurrent caries, tooth fracture, and discoloration. Marginal degradation can result from depletion of support, insufficient bulk/thickness, or voids. Isthmus fracture is caused by incorrect resistance/retention, excessive forces, or structural discontinuities. Recurrent caries and tooth fracture occur due to lack of support and reinforcement. Cast restorations may fail due to recurrent caries from poor fit or cementation, under extension of cavities, or plaque stagnation. Dislodgment can result from caries, poor cementation, or excessive torque.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    2-Failure of Amalgam Restoration

    Uploaded by

    Haidy Mahmoud El-Sanosy
    367 views17 pages
    The document discusses reasons for failure of amalgam and cast restorations. Common causes of amalgam restoration failure include marginal degradation, isthmus fracture, recurrent caries, tooth fracture, and discoloration. Marginal degradation can result from depletion of support, insufficient bulk/thickness, or voids. Isthmus fracture is caused by incorrect resistance/retention, excessive forces, or structural discontinuities. Recurrent caries and tooth fracture occur due to lack of support and reinforcement. Cast restorations may fail due to recurrent caries from poor fit or cementation, under extension of cavities, or plaque stagnation. Dislodgment can result from caries, poor cementation, or excessive torque.

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document discusses reasons for failure of amalgam and cast restorations. Common causes of amalgam restoration failure include marginal degradation, isthmus fracture, recurrent caries, tooth fracture, and discoloration. Marginal degradation can result from depletion of support, insufficient bulk/thickness, or voids. Isthmus fracture is caused by incorrect resistance/retention, excessive forces, or structural discontinuities. Recurrent caries and tooth fracture occur due to lack of support and reinforcement. Cast restorations may fail due to recurrent caries from poor fit or cementation, under extension of cavities, or plaque stagnation. Dislodgment can result from caries, poor cementation, or excessive torque.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    367 views17 pages

    2-Failure of Amalgam Restoration

    Uploaded by

    Haidy Mahmoud El-Sanosy
    The document discusses reasons for failure of amalgam and cast restorations. Common causes of amalgam restoration failure include marginal degradation, isthmus fracture, recurrent caries, tooth fracture, and discoloration. Marginal degradation can result from depletion of support, insufficient bulk/thickness, or voids. Isthmus fracture is caused by incorrect resistance/retention, excessive forces, or structural discontinuities. Recurrent caries and tooth fracture occur due to lack of support and reinforcement. Cast restorations may fail due to recurrent caries from poor fit or cementation, under extension of cavities, or plaque stagnation. Dislodgment can result from caries, poor cementation, or excessive torque.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 17

    Failure of amalgam

    restoration
    :
    1. Marginal and surface degradation.
    2. Isthmus fracture .
    3. Recurrent caries.
    4. Gingival or periodontal inflammation.
    5. Hypersensitive .
    6. Tooth discoloration.
    7. Tooth fracture .
    1-Marginal degradation:
    It refers to breakage of a thin edge of a restoration creating an
    irregular v shaped marginal crevice .

    Causes:
    a) Depletion of support: as a result of excessive expansion
    creep or crevicular corrosion.
    b) Insufficient bulk or thickness
    c) Voids
    d) Excess mercury
    2 -Isthmus fracture :
    Isthmus is the narrowest junction between the principle portion
    and the auxiliary portion.
    Cause:
    A ) Factors that increase flexure stresses:
    • Incorrect resistance and inadequate retention.
    • Excessive occlusal forces.
    • Surface and structural discontinuities.

    B) Factors that lower the flexure strength:


    • Insufficient bulk of the amalgam.
    • Excess mercury.
    • Structural discontinuities.
    3-Tooth fracture:
    • Definition: fractured cusp or ridge under functional forces due
    to lack of support and reinforcement.
    4-Recurrent caries:
    • Definition: caries developed in a previously restored tooth.
    5.Excessive discoloration

    Causes:
    • Tarnish: Surface discoloration of amalgam with loss of its luster.

    • Clinical picture: Loss of surface luster.

    • Corrosion: Actual disintegration of the bulk of amalgam.

    • Clinical picture: Rough pitted amalgam surface


    Amalgam blues: The amalgam shown through enamel.

    • Clinical picture: dark bluish discoloration.


    6.Post – restoration hypersensitivity

    Causes:
    • Hypersensitivity in a recently amalgam restored tooth-may be
    generated by stimulation of freshly exposed permeable virgin n
    dentin surface by:
    1. Galvanic: Stimuli generated on immediate contact with opposing dissimilar
    metals.

    2. Thermal: Thermal stresses conducted through large non-isolated metallic


    restorations.

    3. Chemical and osmotic: Stimuli


    4. Tactile: Pressure of premature contact.
    7.Gingival and periodontal affections
    8.Dislodgment of restoration

    • Causes:

    • Clinical Picture

    • Treatment
    Criteria for replacement of amalgam restoration :
    • Extensive marginal degradation .

    • Isthmus fracture .

    • Recurrent caries .

    • Tooth fracture .

    • Porous surface .

    • Improper contact and contour .

    • Overhanging margins .
    FAILURE OF CAST RESTORATIONS
    1.Recurrent caries

    Causes:

    • Fitting discrepancies:

    • Poor cement or cementation:

    • Under extension of cavity outline:

    • Stagnation of bacterial plaque:


    2.Dislodgment of restoration
    Causes:

    • Recurrent caries.

    • Poor cementation.

    • Excessive torque by occlusal interference.

    • Breaking of the cement.

    You might also like