Restorative & Materials · single question

What happens to marginal leakage around an amalgam restoration over the first year after placement?

  1. It increases steadily as the restoration ages
  2. It decreases as corrosion products accumulate and seal the interface
  3. It increases sharply and then stabilises within a week
  4. It remains unchanged
Show answer and explanation

Correct answer: B. It decreases as corrosion products accumulate and seal the interface

  • A. Marginal leakage decreases rather than increases; this is one of amalgam's most useful clinical properties.
  • B. CORRECT. Amalgam is unique among restorative materials in this respect. It does not bond to tooth structure, so leakage is initially significant — but corrosion at the interface generates oxide and chloride products that progressively fill the microgap. Leakage therefore DECREASES over the first months, and the restoration effectively seals itself.
  • C. There is no such sharp early increase; the trend is a gradual decline.
  • D. There is a definite change, and it is favourable.

Note: The irony worth appreciating: corrosion is what damages amalgam mechanically (through gamma-2 and creep) and simultaneously what seals it marginally.

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