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Letters: More on amalgam

August 19, 2013

In response to Dr. Carapezza's letter, I am in full agreement. There is no doubt that a viral paradigm called "mercury-free practice" has infected not only pediatrics but dentistry as a whole. Student loans, managed care and fluoride-induced decreasing decay rates have spawned offices increasingly desperate for new profit centers.

Enter the concept of posterior composite amalgam replacement and, long-term documentation to the contrary, we have contagion.

Spread by false prophets in dubious journals it has become epidemic to the detriment of enamel and pulpal preservation. To be sure, posterior esthetic restorations have their place, but wholesale denial of alloy advantage (especially in pediatrics) is a bad idea whose time has come.

Lloyd S. Drucker, D.D.S.
Berwyn Heights, Md.