Diagnosis of failed restorations management/ dental implant courses by Indian dental academy

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Proximal

overhangs are diagnosed visually tactilely, and

radiographically. - The amalgam tooth junction is evaluated by moving the explorer back and forth across it. If the explorer stops at the junction and then moves outwardly on to the amalgam, an overhang is present. - Overhang also can be confirmed by catching or tearing or dental gloss. - Such an overhang can be a plaque trap, provide an obstacle to good oral hygiene, and result in inflammation of the adjacent soft tissue, if causing problems, an overhang should be corrected, and this often indicates replacement of the defective restoration. 3) Marginal gap or ditching : Marginal gap or ditching is the deterioration of the amalgam – tooth interface as a result of wear fracture, or improper tooth preparation . - It can be diagnosed visually or by the explorer dropping into an opening as it crosses the margin. Shallow ditching less than 0.5 mm deep usually is not a reason for restoration replacement, because such a restoration usually looks worse than it really is. - If the ditch is too deep to be cleaned the restoration should be replaced. In addition secondary caries is frequently found around the marginal ggps. Near the gingival wall and thus warrants the replacement. 4) Voids : Voids other than ditching also occur at the margins of amalgam restorations.


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