Is amalgam or composite the best material to restore teeth in children?
Dr. Berman: Unless aesthetics is an issue, I like amalgam. In many situations, it’s durable, reliable, and cost-effective. In my opinion, the concern about mercury in amalgams is not scientifically sound. Mercury is released and consumed when we eat a tuna sandwich or shrimp- and probably much more than is released from amalgam restorations. Therefore, I use amalgam routinely with my pediatric patients. By the same token, composite materials are improving, and I am gaining more confidence in them. When the caries is less invasive – composites are ideal. If they come together, in what sequence should we see family members – the younger or older child first? Dr. Berman: A three-year-old child has a shorter attention span than a six-year-old. He hasn’t had as many experiences in a dental office, or in life, and is more likely to listen! He doesn’t know what to expect, so it’s up to the clinician to make that initial experience positive. If the younger reacts negatively, you can always say
