Class III restorations are typically single-surface restorations on the proximal contact surface of a tooth. Generally, they are formed with composite resin or ionomeric cement. In pediatric dentistry, the same restorative materials used in general dentistry are employed. This article will identify the most commonly used materials and provide information specific to their use. When it comes to choosing a material, there are many options and clinical considerations will often determine the best choice.
The most popular materials used in pediatric restorative dentistry are amalgam, resin-based compounds, glass ionomer, calcium hydroxide, and stainless steel and zirconium crowns. According to dental manuals from the mid-19th century American Civil War era, metal fillings made of lead, gold, tin, platinum, silver, aluminum or amalgam had been used since the beginning of the 19th century. The process involved rolling up a granule slightly larger than the cavity, condensing it in place with instruments, and then shaping and polishing it in the patient's mouth. Gold foil was the most popular and preferred filling material during the Civil War. Tin and amalgam were also popular due to their lower cost but were held in lower regard.
Indirect restorations involve preparing the tooth or teeth that will receive the restoration first, then taking a dental impression and sending it to a dental technician who manufactures the restoration according to the dentist's prescription.