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for a composite filling only a small amount of tooth structure needs to be removed just enough to remove the decay the prepared area is then filled with the composite material and cured with a high intensity light finally it is polished to a smooth finish this movie demonstrates how an amalgam filling is used to restore a large sized cavity first the drill removes most of the decay leaving the area close to the pulp slow speed round burs carefully remove the remaining decayed areas a liner can be placed to insulate the filling from the pulp to decrease sensitivity then the amalgam can be used to fill the remaining space it is compacted and finished the tooth pulp may react and the tooth may become sensitive if this tooth is healthy it may be able to repair itself by shrinking the pulp and creating a larger distance between the filling and the pulpit tissue
