Lynch C D, Wilson N H F
Reader/Honorary Consultant in Restorative Dentistry, School of Dentistry, Cardiff University, Cardiff.
Br Dent J. 2013 Aug;215(3):109-13. doi: 10.1038/sj.bdj.2013.737.
Following the recently agreed Minamata Convention, a phase-down in the use of dental amalgam will become a priority for the profession. With a lead-in period of a number of years, important changes in the mind-set of the profession are required to ensure that patient safety is not compromised. Posterior composites have been a viable, and in many cases preferable, alternative to amalgam for many years. However, notwithstanding considerable developments in dental school teaching on the application and placement of posterior composites, growing evidence to support the use of composites in the restoration of posterior teeth and advances in composite systems, many practitioners remain reluctant to place composite rather than amalgam. This paper considers the present and future use of posterior composites and highlights ways in which dental school teaching and continuing professional development (CPD) may contribute to the successful phase-down, and now inevitable discontinuation, in the use of dental amalgam.
继最近达成的《水俣公约》之后，逐步减少牙科汞合金的使用将成为该行业的首要任务。鉴于有几年的导入期，需要该行业的思维方式发生重大转变，以确保患者安全不受影响。多年来，后牙复合树脂一直是汞合金可行的，而且在许多情况下更可取的替代品。然而，尽管牙科学校在关于后牙复合树脂的应用和充填方面的教学有了相当大的发展，支持在后牙修复中使用复合树脂的证据越来越多，并且复合树脂系统也有了进步，但许多从业者仍然不愿意使用复合树脂而不是汞合金。本文探讨了后牙复合树脂的当前和未来使用情况，并强调了牙科学校教学和持续专业发展（CPD）可能有助于成功逐步减少并最终不可避免地停止使用牙科汞合金的方式。
