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Dental Materials

Dental Amalgam vs Composite: Composition, Setting Reaction & Biocompatibility

NEET MDSINI-CET MDSINBDE

This high-yield revision note on Dental Amalgam vs Composite: Composition, Setting Reaction & Biocompatibility covers everything examiners typically test under Dental Materials — structured as quick-reference tables, clinical correlations, mnemonics and previous-year-style high-yield points. It's built for last-mile revision before NEET MDS, INI-CET MDS and INBDE, so you can scan it in minutes instead of re-reading a whole textbook chapter.

PropertyAmalgamComposite Resin
CompositionAlloy powder (Ag-Sn-Cu) + mercury, trituratedResin matrix (Bis-GMA/UDMA) + inorganic filler + coupling agent (silane) + initiator (camphorquinone)
Setting reactionTrituration → Ag3Sn (γ) + Hg → gamma-1 (Ag2Hg3) + gamma-2 (Sn7Hg, weakest phase, corrodes) matrixFree radical polymerization (light-cure: camphorquinone + blue light 468nm, or chemical/dual cure)
High copper amalgamEliminates/minimizes gamma-2 phase → less corrosion, better strength, marginal integrityN/A
Polymerization shrinkageNot applicable (no shrinkage issue of this kind)Major drawback (2-3%), causes marginal microleakage - C-factor concept important
Biocompatibility concernMercury toxicity debate (minimal risk per WHO/FDI, being phased down - Minamata Convention)Bis-GMA/BPA release concern (minimal, controversial), better esthetics, no mercury
Mnemonic: Gamma-2 phase (Sn-Hg) = weakest, most corrosion-prone; High-copper amalgams (>6% Cu) consume tin preferentially, preventing gamma-2 formation = stronger, longer-lasting restoration.
HY: C-factor (configuration factor) = ratio of bonded to unbonded surfaces in a cavity; HIGH C-factor (e.g., class I) = more shrinkage stress = higher risk of debonding/microleakage with composite. Incremental layering technique reduces effective C-factor and shrinkage stress.
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