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Adhesively bonded versus non-bonded amalgam restorations for dental caries
Cochrane Reviews, 10/19/09

Fedorowicz Z et al. – There is no evidence to either claim or refute a difference in survival between bonded and non–bonded amalgam restorations. This review only found one methodologically sound but somewhat under–reported trial. This trial did not find any significant difference in the in–service performance of moderately sized adhesively bonded amalgam restorations, in terms of their survival rate and marginal integrity, in comparison to non–bonded amalgam restorations over a 2–year period. In view of the lack of evidence on the additional benefit of adhesively bonding amalgam in comparison with non–bonded amalgam, it is important that clinicians are mindful of the additional costs that may be incurred.

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