A cosmetic difference

I enjoyed the composite vs. amalgam debate and have sent in my "vote." However, I feel compelled to respond further.

Clayton Pesillo, DMD

Lewisburg, Pa.

I enjoyed the composite vs. amalgam debate and have sent in my "vote." However, I feel compelled to respond further.

Unless I have missed some recent significant research, composite has one advantage over amalgam - cosmetics. Otherwise, existing composite materials are not better than or inferior to amalgam.

If a patient desires cosmetics and is willing to sacrifice durability and money to attain the cosmetic benefit of composites, I agree with the use of these materials on posterior teeth. However, I strongly object to the characterization of composite material as generally superior to amalgam and the implication that the patient is paying for a superior service and/or that the dentist is a superior dentist.

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