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树脂基复合材料是否已取代汞合金?

Has resin-based composite replaced amalgam?

作者信息

Christensen Gordon J, Child Paul L

出版信息

Dent Today. 2010 Feb;29(2):108, 110.

Abstract

The major health organizations in the world continue to accept amalgam use, but the "amalgam war" of the 1800s is still going on. The end is not in sight. There is little disagreement that amalgam serves well and, although controversial, it appears to have minimal to no health hazards. There is a wide variation in the relative amount of amalgam placed in developed countries, and many dentists in North America do not use it. However, amalgam is still being used at least some of the time by the majority of practitioners in North America, and most of those practitioners also place resin-based composite in Class II locations. The evolution from amalgam to tooth-colored restorations has been a slow and tumultuous journey. The acceptability of resin-based composite in Class II locations continues to be a question for some dentists, while others have concluded that amalgam is "dead." It would be highly desirable if some of dentists using the alleged poisonous properties of amalgam as a "practice building" ploy would find more legitimate methods to increase their practice activity.

摘要

世界上主要的卫生组织仍继续认可汞合金的使用,但19世纪的“汞合金之战”仍在持续。看不到尽头。几乎没有人不同意汞合金的使用效果良好,而且尽管存在争议,但它似乎对健康危害极小甚至没有危害。发达国家使用汞合金的相对量差异很大,北美许多牙医不使用它。然而,北美大多数从业者仍至少在某些时候使用汞合金,而且这些从业者中的大多数也会在二类洞型中使用树脂基复合材料。从汞合金到牙齿颜色修复材料的演变是一个缓慢而动荡的过程。对于一些牙医来说,树脂基复合材料在二类洞型中的可接受性仍然是一个问题,而另一些人则得出结论认为汞合金已“过时”。如果一些利用汞合金所谓的有毒特性作为“业务拓展”策略的牙医能找到更合理的方法来增加他们的业务活动,那就再好不过了。

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