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THE

Sandwich Technique
EQUIA Forte Fil or GC Fuji II LC
® ®
with G-Premio BOND

and G-ænial Sculpt
®
ABOUT the A Clinical
Sandwich Technique Step-by-step Guide

Leading independent reviews confirm the benefits of the Sandwich Technique:


Placement of moisture tolerant glass ionomer restorative in subgingival interproximal boxes
yy
Reduced microleakage compared to composite-only techniques5
yy
What is the Sandwich Technique?
Zone of inhibition adjacent to the glass ionomer 6
yy
The sandwich of glass ionomer (GI) cement, dental adhesive and composite resin is an
effective technique that optimally combines the desirable properties of the restorative Open Sandwich Technique Using Self-Cured, Biomimetic Glass Hybrid Restorative*
materials. In the sandwich technique, the GI is placed as a liner or base, followed by
placement of a resin composite to provide an aesthetic restoration of the remaining cavity.

The Sandwich Technique may be open or closed. Open Sandwich


In the open technique, the GI is used to replace the dentin and also fill the cervical part of Technique
the box, which results in a part of the GI being exposed to the oral environment. Use the
“open sandwich” technique when there is no remaining enamel at the gingival margin. Class II preparation Place EQUIA® Forte Fil in Self-curing of Apply G-Premio BOND™ on Final, aesthetic glass
with deep the box, occlusally and to EQUIA Forte Fil. surface, light-cure, then place hybrid and composite
In the closed technique, the dentin is covered by the GI, which is in turn completely subgingival box. the gingival margin. G-ænial Sculpt® composite, sandwich technique
covered by the overlaying composite. Use the “closed sandwich” technique when there is followed by light-curing. restoration.
remaining enamel at the gingival margin.
Closed Sandwich Technique Using Light-Cured, Biomimetic Glass Ionomer*

The Sandwich Technique using glass ionomer plus composite resin offers
Closed Sandwich
significant clinical advantages. 1

Technique
Indications: Clinical benefits:
Class I, Class II, Class III and
yy Reduced post-operative sensitivity
yy
Class V lesions Pulpal protection from irritation2
yy
Class II preparation Place GC Fuji II LC® Light-cure GC Fuji II LC. Apply G-Premio BOND on Final, aesthetic glass
Deep posterior restorations
yy Fluoride release over time3
yy with shallow occlusally. surface, light-cure, then place ionomer and composite
Extensive, bulky posterior restorations
yy Helps in prevention of demineralization4
yy supragingival box. G-ænial Sculpt composite, sandwich technique
Posterior restorations with subgingival
yy Rapid placement and curing of a single
yy followed by light-curing. restoration.

“
interproximal preparations that are bulk layer


difficult to isolate or where no enamel Aesthetics
yy  hen placing posterior composites, the key to preventing post-op sensitivity is to establish a
W
remains. Radiopacity
yy
gap-free resin/dentin interface, or use the Sandwich Technique.
1) Giachetti et al. A review of polymerization shrinkage stress: current techniques for posterior direct resin restorations Journal of Contemporary Dental Practice, Volume 7, No. 4, – E. Hewlett, D.D.S.
2CIJ6. 2) Suzuki et al. Glass ionomer composite sandwich technique, Journal of the American Dental Association, Volume 120, 1990. 3) Berg JH. Glass ionomer cements Pediatric
Dentistry, Volume 25, No 5, 2002. 4) Tantbirojn et al. Inhibition of dentin demineralization adjacent to a glass-ionomer/composite sandwich restoration Quintessence Int. 40(4):287- *GC Fuji IX GP and GC Fuji LINING LC are also suitable for the sandwich technique.
® ™

94 2009. 5) Hagge et al. Effect of four intermediate layer treatments on microleakage of Class II composite restorations General Dentistry, Volume 49, No 2, 2001. 6) Tantbirojn et OPTIONAL: All exposed restorative surfaces can be coated with EQUIA® Forte Coat.
al. Inhibition of dentin demineralization adjacent to a glass-ionomer/composite sandwich restoration Quintessence International, Volume 40, No 4, 2009.
EQUIA® Forte EQUIA Forte Coat GC Fuji II LC ® 425003..... Shade A3
425004..... Shade A3.5
A new generation of high SKU Description Triple-cure, radiopaque, 425005..... Shade A4
strength, wear resistant 452500..... Bottle (4mL) resin reinforced glass 425006..... Shade B2
glass hybrids 452505..... Unit Dose (50; 0.1mL each) ionomer restorative 425007..... Shade B3
Introductory Kits 425008..... Shade B4
Contains EQUIA Forte Fil (48 capsules; EQUIA Forte Fil - Refill Assorted Package 425009..... Shade C2
Contains 48 capsules; Contains 24 capsules;
0.14mL liquid/capsule), EQUIA Forte 425010..... Shade C4
0.14mL liquid/capsule 0.10mL liquid/capsule
Coat bottle (4mL) and GC CAVITY (Geriatric)
CONDITIONER bottle (5.7mL) SKU Description SKU Description
GC Fuji II LC also available in
SKU Description 452000..... Assorted Shades 425020..... Dark Shades
powder-liquid refills. Please
452010..... Shade A1 425015..... Light Shades
452005..... Assorted Shades refer to GCA website for SKUs.
452001..... Shade A1 452011..... Shade A2
452002..... Shade A2 452012..... Shade A3 Refill Package
452013..... Shade A3.5 Contains 48 capsules; Accessories
452003..... Shade A3
452004..... Shade A3.5 452014..... Shade B1 0.10mL liquid/capsule SKU Description
452006..... Shade B1 452015..... Shade B2 SKU Description 437555..... GC Capsule
452007..... Shade B2 452016..... Shade B3 Applier III
425001..... Shade A1 (Pedo)
452008..... Shade B3 452017..... Shade C4 000110..... GC Cavity Conditioner
425002..... Shade A2
452009..... Shade C4 (5.7mL)

G-ænial Sculpt ® 009153..... Shade A2 Unitip Refill 009177..... Shade C3


009154..... Shade A3 Contains 20 tips (0.16mL each) 009183..... Shade CV*
Universal nano hybrid 009155..... Shade A3.5 (Cervical)
*
Contains 10 tips (0.16mL each)
self-polishing composite 009156..... Shade A4 009184..... Shade JE
SKU Description
Introductory Kits 009168..... Shade AE
009169..... Shade A1
(Junior Enamel)
(Adult Enamel) 009182..... Shade XBW*
SKU Description 009170..... Shade A2
009161..... Shade AO1 (Extra Bleach White)
401000..... Syringe Introductory Kit 009162..... Shade AO2 009171..... Shade A3
Contains 3 syringes 009163..... Shade AO3 009172..... Shade A3.5
(2mL each) and 009157..... Shade B1 009173..... Shade A4 G-Premio BOND™
1 G-Premio BOND bottle 009158..... Shade B2 009185..... Shade AE* One component,
(5mL) 009159..... Shade B3 (Adult Enamel) light-cured adhesive
401100..... Unitip Introductory Kit 009164..... Shade BW 009178..... Shade AO1*
009179..... Shade AO2*
SKU Description
Contains 60 unitips (Bleach White)
(0.16 mL each) and 009180..... Shade AO3* 009275..... Kit
009160..... Shade C3 Contains 1 bottle (5mL),
1 G-Premio BOND bottle 009166..... Shade CV (Cervical) 009174..... Shade B1
(5mL) 009175..... Shade B2 50 disposable applicators
009167..... Shade JE and 20 disposable
009176..... Shade B3


(Junior Enamel) dispensing dishes
Syringe Refill 009165..... Shade XBW 009181..... Shade BW*
(Bleach White) 009277..... Bottle Refill (5mL)
Contains 1 syringe (2.0mL) (Extra Bleach White) 009276..... Unit Dose
SKU Description (50; 0.1mL each)
009152..... Shade A1

SKU #605000.01.2017.Ver1 • 800.323.7063 • www.gcamerica.com • www.gcamerica.com/training • © 2017 GC America Inc.