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Letters: Amalgam restorations

I read Dr. Puszykowski’s response (Letters, May 18 ADA News) to Dr. Kessler’s letter (Letters, April 20 ADA News) with interest. I fully agree with his assessment of amalgam restorations. I recently saw a patient in whom I placed numerous amalgams 44 years ago and not one shows any sign of breakdown or wear. No current posterior composite that I am aware of can even come close to this type of durability and cost effectiveness.

However, even though Dr. Kessler has an “amalgam free” office and doesn’t place amalgam, I can’t imagine any dentist who doesn’t have to remove old amalgams that need replacement or that require reduction during crown preparation. Wouldn’t that necessitate the use of an amalgam separator? Could somebody please clarify this point?

John M. Peacock, D.D.S.
West Dundee, Illinois