That said, it is acknowledged that the placement of posterior composites, as presently practised, may be found to be more demanding and time consuming, and therefore more costly than the placement of amalgam restorations in similar situations; however, as reported in studies from The Netherlands the health economies of posterior composites, with their capacity to be refurbished and repaired to extend longevity may, over time, be found to be more favourable than those for dental amalgams, in particular, once practitioners become more familiar and comfortable practising minimally invasive dentistry than traditional techniques. 4, 18 The transition occurs when practitioners stop using composites as 'white amalgam' and adopt approaches and techniques found to maximise the benefits and life expectancies of composites in the restoration of posterior teeth.

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