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"The Performance of Bonded vs. Pin-Retained Complex Amalgam Restorations: A Five-Year Clinical Evaluation" by Dr. J.B. Summitt and colleagues (July JADA) was a great article, and the restorations shown were great restorations. In an academic setting it’s great, but in a private-practice setting, the time to make a beautiful amalgam complex restoration is approximately one hour.

The cost for the patient may be about $200. The cost to run a dental office today is about $300 an hour. Financially, if we do as suggested in the article, either the insurance companies and the dental community need to raise the fee for a complex amalgam filling to $400 or we go broke.

Furthermore, indirect restorations as we know from experience and research have been shown to be far more protective and last longer. I feel that it would be a disservice to my patients with a complex amalgam.

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Young, P. Search for Related Content PubMed Articles by Young, P.