fall office

Donald W. Davison, DDS   FAGD

50 Tom Miller Rd., Plattsburgh, NY 12901

(518) 561-6123     davisondds.com

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I could devote many pages to the debates about fluoride, x-ray safety, filling materials, tooth bleaching, and so on.  I will be glad to discuss your concerns with you.  When you do your research, remember the Internet is rife with misinformation.  You would do best to seek the well regarded, scientific sites such as the ones below.  Here are some background articles.

Amalgam (silver fillings):

Don't worry, they are safe, less expensive, and work really well!  They are more durable than the alternative, composite resin (the tooth colored material). 

Dental Economics Magazine April 2017 :  "The international research on large amalgam restorations shows about twice the longevity of composite"


November 2016 Journal of the American Dental Association: "resin-based composite restorations had decreased longevity and a greater incidence of
secondary caries compared with amalgam restorations" (see article conclusion)


November 2015 Dental Economics article by Gordon Christenson: "It is well recognized among practicing clinicians that large Class II resin-based composites do not serve as long as amalgam"



May 2015  European panel concludes  "From the perspectives of longevity, mechanical performance and economics, amalgam has long been
considered the material of choice"


June 2014 Dental Economics Magazine:  Expert Gordon Christenson writes about shortcomings of composites as compared to amalgam, saying "I have placed Class II composites since their inception in the profession, and I have personally observed the less than desirable longevity of these restorations when compared to metal restorations"


June 2012: The editorial in Dentaltown magazine, where the editor explains how he chooses amalgam for his own recent restoration: "I'll take amalgam any day"


June 2012: An expert's opinion on amalgam vs. composite fillings  "While composite resin restorations are more aesthetic and
are certainly an acceptable alternative, they generally do not
compare favorably in other respects. The “solution” might not
necessarily be to switch to composite resins but rather to con-
tinue using dental amalgam, not composite resin."

October 2011  Dental Economics Magazine: "Nevertheless, the research information on the longevity of Class II composites when related to Class II amalgams is embarrassing. There are many controlled research projects that show the longevity of amalgam is about twice that of composite in Class II restorations."

July 2011 Dentaltown magazine:  "In searching
for the ideal direct posterior restorative, it is evident that amalgam
has many of the ideal characteristics, namely bacteriostatic, longevity
and strength. "


February 2009  Journal of the American Dental Association:  "Significantly more resin-based composite restorations in place at the initial examination will require replacement than will amalgam restorations".

July 2007 Journal of the American Dental Association: "The overall risk of failure due to secondary caries was 3.5 times higher in composite
restorations than in amalgam restorations" (click for article)


July 2007 Journal of the American Dental Association conclusion:
"composite restorations required seven times as many repairs as did amalgam restorations" (click for article)


The publisher of one of dentistry's most popular journals says "If a dentist tells you that composite lasts longer than amalgams he has an IQ less
than the average temperature in Siberia" 2007(click for article).

Mayo Clinic: Amalgam is safe

California Dental Association handout on restorative materials.

Time Magazine on amalgam safety.pdf

Center for Disease Control (CDC) position that amalgam is safe and effective.

Composites are the most common alternative to amalgam, and they have their own controversy:

Toxicology International article on dental composite: "the concern for its intrinsic toxicity remains high"

The ADA sees no cause for concern at this time regarding potential BPA exposure from composites or sealants.

Fluoride:

Center for Disease Control (CDC) that water fluoridation is safe.

NY State Dental  fluoride fact sheet

X-rays:

Explains how minuscule is the amount of radiation from dental x-rays.

Powerpoint presentation on dental x-ray exposure.

Cracked tooth syndrome (this is becoming more and more common):

A good article from Colgate on cracked tooth syndrome.

The ADA's handout on the subject (PDF file).

Every subject is covered on the ADA's site.


Medical issues related to dentistry:

Prosthetic Joint Replacements do not routinely require antibiotic premedication (January 2015)

NYS Journal Nov. 2009 on treating pregnant patients

Bisphosphonates (like Fosamax) and dentistry


Informed consent information if on bisphosphonates

ADA handout on antibiotic premedication for heart conditions

The guidelines for patients with joint replacements are controversial

December 2011 article questioning need for antibiotic pre-med for
patients with prosthetic joints


New joint replacement pre-med guidelines being discussed

NYS Guidelines regarding dentistry for pregnant patients

2408 Patient Cases of Bisphosphonate Associated Osteonecrosis of the Jaw Bone: the Most Extensive Review to Date (LexiComp)

Managing the care of patients receiving antiresorptive therapy for prevention and treatment of osteoporosis

January 2013: routine antibiotic prophylaxis for joint replacement patients no longer required (NYS Dental Journal)

January 2013: American Dental Association guidance regarding routine antibiotic prophylaxis for joint replacement patients no longer required

Miscellaneous

A famous dentist lecturer "How to Kill a Tooth"

You can e-mail Dr. Davison at

Donald W. Davison, DDS complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

 

 
Member American Dental Association, New York State Dental Society, Fourth District Dental Society, Adirondack Dental Society, North Country Chamber of Commerce.