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Letters: The silent opinion

July 15, 2013

This opinion stated by me is not going to affect my practice or career at this time, but my conscience compels me to express it.

I have been practicing for over 40 years. My dental education began at a dental school known for its disciplined restorative clinical training. This was followed by two years in the Naval Dental Corps; pediatric specialty training obtained at a prestigious University Hospital certification program.

In the past few years, the demand by the public has antiquated the amalgam restoration. The question to be asked from this revolution, "What has this brought to pediatric dentistry"?

My observation of my own practice and that of others has witnessed with the exclusive use of composite restorations an increase in failures of interproximal restorations with resulting pulpotomies and stainless steel crowns. Presently, the marketing of esthetic primary crowns is the rage.

This new millennium of pediatric restorative dentistry has brought a perceived increased need for pediatric sedation dentistry. Is this a necessity or self-inflicted by the new approach in restorative pediatric care?

Speaking to colleagues on a one-to-one basis, they express the same concerns and offer their own clinical anecdotal experiences.

Where is the silent majority on this issue? A response to this view would be appreciated and welcomed.

Leonard J. Carapezza, D.M.D.
Associate Clinical Professor
Tufts University School of Dental Medicine
Wayland, Mass.