I’m not one to take out amalgams just to take out amalgams, but you can’t deny that they usually present like this. In dental school, we were trained that the corrosion was a good thing to keep the seal. Really? When is corrosion ever good for anything, especially in medicine?
I guarantee if this “corrosion” was under your fingernail, you’d go see a doctor about the problem! 🙂
Yes, a direct composite would be a great way to restore this as well. We chose to use the indirect method to restore 99% of this because it was predictable and easy. We did not have to deal with polymerization shrinkage, stack curing, etc., etc. I discuss this further in this video.
I opened the lingual groove during milling the restoration, and left it open. During adhesively cementing the Enamic inlay (Vita) with Multilink (Ivoclar-Vivadent), I restored the lingual groove with Tetric Evo Ceram Bulk Fill (Ivoclar-Vivadent.)
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