Вы находитесь на странице: 1из 20

Fuji IX GP

Extra TRANSLUCENCY
Extra FLUORIDE
Extra OPTION

GOLD
LABEL
Extra OPTION
GC GLASS IONOMER CEMENTS ARE
ESSENTIAL IN EVERY DENTAL PRACTICE
Glass ionomer cement is clinically proven as the most successful adhesive system!

In a recent systematic review of adhesive clinical trials, glass ionomer cement was ranked
number 1 delivering superior retention and clinical performance over resin adhesive systems
(i.e., superior to etch and self etch, 3-step, 2-step and 1 step adhesives)*.
* Peumans M, Kanumilli P, De Munck J, Van Landuyt K, Lambrechts P, Van Meerbeck B. Clinical effectiveness of contemporary adhesives:
A systematic review of current clinical trials. Dent Mater 2005;21:864-881.

GC’s ONGOING COMMITMENT to glass ionomer


research and innovation has led to the next significant
evolution in Fuji IX GP technology.
• GC Fuji IX GP has set the benchmark that other high strength glass ionomers
can only try to achieve

• Outstanding properties plus unrivalled proof and experience have made


GC Fuji IX GP the low-risk, hassle free ‘gold standard’ glass ionomer restorative

GOLD LABEL 9
EXTRA added to
the Fuji IX family!

2
GOLD LABEL 9 EXTRA
Fuji IX GP EXTRA

Fuji IX
THE WORLD’S FIRST HIGH STRENGTH
GLASS IONOMER FOR POSTERIOR USE

Dr J. Neo
Prepared cavity after Final result after finishing The same restoration The same restoration six
conditioning – 1995 and polishing – 1995 three years later – 1998 years later – 2001

In 1995, this patient required


replacement of a class II
composite restoration.

Fuji IX was used to

Photographed by Dr Tith Hong Yoeu


restore the cavity.

10+ years later,


the results speak
for themselves…
The same restoration twelve years later – 2007

3
GOLD LABEL 9 EXTRA Gold Label HS Posterior EXTRA Gold Label HS Posterior EXTRA

Fuji IX GP EXTRA

Amount of released fluoride from material


500
450
400
350
Extra FLUORIDE 300

[µ g/cm2]
250
A new glass formulation has
200
enabled a substantial increase in 150
the amount of available fluoride 100
to provide even better protection 50

against continuing caries. 0


0
7 14 21 28 35 42 49 56 63
Soaking Time [day]

Extra TRANSLUCENCY
Research into light
transmission through
restorative materials
identified how to achieve
Gold label HS Gold label HS Gold label HS Gold label HS
a better shade matching Posterior EXTRA Posterior Posterior EXTRA Posterior
ability from high strength
Thickness : 0.5 mm Class I cavity of resin teeth
glass ionomer cements. 10 minutes after the mixing 10 minutes after the mixing
Shade : A2 Shade : A2

GOLD LABEL IX EXTRA PHYSICAL PROPERTIES


Gold Label HS Gold Label HS Fuji IX GP Fuji IX GP
Posterior EXTRA Posterior Extra Capsule Capsule

P/L [g/g] 3.4 3.6 3.3 3.6


Working Time 2’00” 2’00” 1’15” 2’00”

Net Setting Time* 2’20” 2’20” 2’00” 2’20”

Final Finishing Commencing Time** 6’00” 6’00” 2’30” 6’00”

Compressive strength* [MPa] After 1 day 226 (10) 220 (9) 255 (14) 220 (9)

Tensile bond strength** [MPa] After 1 day - - - -


W/Cavity Conditioner - - - -
5.9(1.7) 5.9(1.7)
Bovine enamel (#600) 6.0(1.1) 6.4(2.2)
Bovine dentin (#600) 4.4(1.4) 4.4(1.6) 6.0(1.4) 4.4(1.6)

Radiopacity YES YES YES YES

*ISO9917-1 : 2007
**: in-house test 4
(): S.D.
GOLD LABEL 9 EXTRA
Fuji IX GP EXTRA

ADVANTAGES OF GC CAPSULES
• Uniform consistency of mix - correct P/L ratio
• Working properties remain constant
• No hand mixing, easy application in the oral cavity
• Less porosities in the mix, therefore, a stronger and longer lasting restoration

“ Mechanical mixing in a capsule is the safest,


quickest and most reliable form of dispensing.
- Australian Dental Standards Laboratory

Fuji IX GP EXTRA Physical properties



Fuji IX GP (GC) Fuji IX GP EXTRA
(GC)

Lot Number Condition 0306052 0512201


Mixing Time [Sec.] 10” 10”
Working Time** [Min., Sec.] 23°C 2’00” 1’15”
37°C,
Final Finishing Commencing Time** [Min., Sec.]
After starting mix
6’00” 2’30”

Surface Hardness** [Hv] After 1 day 74(3) 72(5)

Compressive Strength* [MPa]


After 1 day 220(9) 255(14)
After 1 week 230(14) 265(15)
Modulus of Elasticity** [GPa] After 1 day 8.3(0.5) 7.8(0.1)
Diametral Tensile Strength (MPa) After 1 day 22(2) 23(1)
Flexural Strength** [MPa] After 1 day 26(4) 25(1)
Radiopacity** [mm AI] 3.7(0.3) 2.3(0.2)

To Bovine Enamel, After 1 day 5.9(1.7) 6.4(2.2)


Bonding Strength** [MPa]
with Cavity Conditioner
To Bovine Dentine, After 1 day 4.4(1.6) 6.0(1.4)

* ISO 9917-1:2003 ** in-house test ( ): Standard Deviation GC Corporation R&D Dept.

5
ACHIEVING OPTIMUM CLINICAL RESULTS WITH
GC GOLD LABEL 9 EXTRA / Fuji IX GP EXTRA
1. Cavity preparation 2. Apply conditioner for 10 seconds 3a. Mixing GOLD LABEL 9
EXTRA Powder & Liquid

1 Dispense 1 level scoop of


powder to 1 drop of liquid.
For accurate dispensing of
the liquid, hold the bottle
vertically and squeeze gently.

Recommendations: Recommendations:
• Ensure a clean, caries-free • Conditioner is recommended
periphery around the DEJ. to remove surface debris left
• Fuji IX GP EXTRA will help following cavity preparation.
remineralise underlying • Conditioning will also 2 Close bottles tightly
immediately after use.
dentine. For teeth with deep improve the surface energy
lesions and a symptomless so that Fuji IX GP EXTRA can
pulp, it is suggested to leave flow better and adapt to the
softened dentine on the cavity floor and walls.
cavity floor rather than risk • Polyacrylic acid in
pulpal exposure. Conditioner will also prepare
dentine and enamel for
chemical adhesion without 3 Dispense powder and liquid
onto the pad. Using plastic
opening the dentine tubules. spatula, divide the powder
into 2 equal parts.
Remineralisation

Hypermineralisation
Remineralisation
Dr H. Ngo

GOLD LABEL 9 EXTRA / Fuji IX GP EXTRA


contains strontium containing glass which is
Mix the first portion with all
reported to be more effective at remineralising the liquid for 10 seconds.
Dentine surface after treatment with
soft dentine. polyacrylic acid conditioner Incorporate the remaining
portion and mix the whole
• After washing off the thoroughly for 15-20 seconds.
conditioner gently dry to
remove excess moisture
without dessicating the tooth.

6
GOLD LABEL 9 EXTRA
Fuji IX GP EXTRA

3b. Fuji IX GP EXTRA Capsule 4. Place GOLD LABEL 9 EXTRA / Fuji IX GP EXTRA
activation and mixing

Dr G. Milicich
Injection of GOLD LABEL 9
EXTRA / Fuji IX GP EXTRA
should be undertaken This SEM image identifies the
immediately following mixing. acid resistant chemically fused
This will ensure intimate seal (A) which appears as a
surface contact of the cement raised ridge between the Fuji
to the tooth for optimum
IX GP and dentine.
chemical adhesion.

The formation of a
strong chemically
fused seal is the most
significant benefit
gained by using glass
ionomer cement as
the adhesive interface
with tooth.

7
5. Contour the surface 6. Apply G-COAT PLUS 7. Finished restoration

Dr J. Lucas
Apply a single layer of G-COAT
PLUS and light cure. This will:
• maintain the moisture
balance within the glass
ionomer while increasing
the cement’s fracture
 toughness.
• This coating will gradually
 wear out over time. 0.060
Fracture Toughness, 1 day (MPa)

• GOLD LABEL 9 EXTRA 0.050

/ Fuji IX GP EXTRA can 0.040

R&D Dept. GC Corporation.


benefit from additional 0.030

surface hardening as 0.020

a result of calcium and


 – G-COAT PLUS  phosphate uptake from
0.010

 – 40 micron film thickness 0.000


Fuji IX GP EXTRA Fuji IX GP EXTRA
 – Infiltration of G-COAT PLUS saliva. + G-COAT PLUS

8
GOLD LABEL 9 EXTRA
Fuji IX GP EXTRA

Strengthening your restorations

 Lamination strengthening
G-COAT PLUS is a tough, nano-filled, self adhesive coating that will chemically bond to Fuji IX GP and
surrounding tooth surfaces. It has a lamination hardening effect that markedly increases the fracture
toughness, early wear resistance and acid resistance of the cement.

1. Glass ionomer cement 2. Mechanical stress 3. G-COAT PLUS bonds to 4. Mechanical stress is
concentrates on surface voids the surface and fills voids dispersed by the toughened
leading to crack propagation laminate layer

 Achieving optimum maturation


Fuji IX GP gains strength over time due to maturation of the internal chemical
reactions and surface strengthening due to the uptake of calcium and phosphate
from saliva.
GC Corporation R&D reports that greatest improvement in strength is achieved by
coating Fuji IX GP with a protective layer (such as G-COAT PLUS) to allow internal
cement maturation, then over time allow delayed exposure to saliva to start the
surface hardening process through uptake of calcium and phosphate.

 Sandwich technique
An external restorative material can be placed over a base of Fuji IX GP in clinical situations where:
• cavities are larger and under greater stress
• when restorations are placed in patients with highly acidic mouths
Composite resin is often the external material selected to laminate Fuji IX GP although amalgam and
porcelain are options as well.
This can be further enhanced with the use of G-BOND as the adhesive link between the two. This is
due to G-BOND’s ability to both micromechanically and chemically bond the composite laminate to
both the Fuji IX GP base and surrounding tooth surfaces.

9
GOLD LABEL 9 EXTRA / FUJI IX GP EXTRA PUTS
A NEW PERSPECTIVE ON RESTORING THE
INITIAL CARIOUS LESION
Minimal occlusal restorations in permanent teeth
The combination of GOLD LABEL 9 EXTRA / Fuji IX GP EXTRA and G-COAT PLUS gives a fast,
minimally invasive technique for aesthetic restoration of initial occlusal lesions up to one third the
inter-cuspal distance in size.
Using GOLD LABEL 9 EXTRA / Fuji IX GP EXTRA with G-COAT PLUS gives a permanent restoration
• strength,
• wear resistance,
• durable adhesion and
• maximum protection

Occlusal caries Apply conditioner for Place GOLD LABEL 9 EXTRA /


10 seconds Inject Fuji IX GP EXTRA
Dr J. Lucas

Contour occlusal anatomy Apply G-COAT PLUS Finished restoration


and light cure

10
GOLD LABEL 9 EXTRA
Fuji IX GP EXTRA

GOLD LABEL 9 EXTRA / Fuji IX GP EXTRA is your first


choice for restoring minimal carious lesions
Using glass ionomer cement as the durable interface with dentine is part of a long term strategy to
minimise the biological cost to the tooth of replacement dentistry.

Cavity preparation Conditioner is applied to dentine Un-cut enamel is acid etched


Dr G. Milicich

GOLD LABEL 9 EXTRA/ G-COAT PLUS is applied


Fuji IX GP EXTRA is placed to the glass ionomer and
surrounding etched enamel

Extra TRANSLUCENCY
Extra FLUORIDE
Extra OPTION

11
Larger occlusal restorations
In clinical situations where there is a higher occlusal load, the use of a GOLD LABEL 9 EXTRA /
Fuji IX GP EXTRA and GRADIA DIRECT composite in a laminate technique is recommended. The
snap set of GOLD LABEL 9 EXTRA / Fuji IX GP EXTRA along with G-BOND’s ability to provide strong
chemical adhesion between glass ionomer and composite has renewed popularity of this very
successful technique.

Young adult presents with Following cavity Fuji IX GP EXTRA Excess cement is
active caries and an initial preparation (GOLD LABEL 9 EXTRA) removed. Note the
lesion on 46 CONDITIONER shade A2 is syringed into excellent shade match of
is applied to remove the cavity Fuji IX GP EXTRA (GOLD
the smear layer LABEL 9 EXTRA)

Dr S. Vouliotis

2½ minutes from start of A thin layer of G-BOND is GRADIA DIRECT Posterior Completed restoration
mix the cement is cut back applied to all surfaces, air shade A2 is placed as an
to allow for a 2mm veneer dried with maximum air enamel replacement
of composite pressure and light cured

12
GOLD LABEL 9 EXTRA
Fuji IX GP EXTRA

Tunnel Restorations
Proximal lesions can
be accessed without
compromising the rim by using
a tunnel preparation technique
to remove proximal decay.

Patient presents A “T” access cavity A short Mylar strip is


with a distal lesion is created in the placed interproximally
on an upper first enamel and caries and wedged against
premolar removed with #5 the cavity preparation
round bur

GIC is placed to As the patient The restoration Completed Protective


slightly overfill occludes the Mylar is contoured and restoration. varnish may
the cavity strip is pushed over finished reduce surface
the cement degradation of
the GIC

Tunnel restoration
14 months after placement

Images first published in the


ADA News Bulletin, No 358,
Dr G. Knight

2007 and are reproduced with


the permission of the Australian
Dental Association Inc.

13
Cervical Restorations
The superior shade matching of GOLD
LABEL 9 EXTRA / Fuji IX GP EXTRA means
more aesthetic results can be achieved
with conventional glass ionomer cements
in cervical cavities.

Cervical lesion Apply conditioner

Dr S. Vouliotis
Place GOLD LABEL 9 Place cervical matrix Apply G-COAT PLUS Finished restoration
EXTRA / Inject Fuji IX
GP EXTRA

14
GOLD LABEL 9 EXTRA
Fuji IX GP EXTRA

Paediatric
Proximal Restorations
GOLD LABEL 9 EXTRA / Fuji IX GP EXTRA
can be used as a restorative material in

Dr J. Lucas
its own right or used in conjunction with
composite in a laminate technique.
Before Tooth 64 mesial restored
with Fuji IX GP EXTRA
(GOLD LABEL 9 EXTRA)
Laminate technique shade B1

Cavity preparation on Apply conditioner for Place Fuji IX GP EXTRA Apply G-BOND for 10
Distal 84 10 seconds, wash and (GOLD LABEL 9 EXTRA) seconds to the cut enamel
gently dry shade B1 to form a base and gic base
Dr J. Lucas

G-BOND is vigorously air Shade A1 GRADIA Finish with fine diamonds Completed restoration
dried and light cured for DIRECT posterior
10 seconds composite is applied
and light cured

15
Continuing caries
For small lesions in permanent posterior teeth, restoring with GOLD LABEL 9 EXTRA /Fuji IX GP
EXTRA and G-COAT PLUS provides a very useful combination of strength, aesthetics and protection.
G-COAT PLUS can be extended beyond the GOLD LABEL 9 EXTRA /Fuji IX GP EXTRA restoration.
This helps maintain the marginal integrity of the sealant.

New lesion on tooth 47 Caries removal Apply conditioner Surrounding enamel and
existing sealant are etched

GOLD LABEL 9 EXTRA / Contour occlusal anatomy G-COAT PLUS is applied Light cure for 20 seconds
Fuji IX GP EXTRA shade to all enamel, sealant
B1 is placed and GIC surfaces
Dr S. Vouliotis

Completed restoration

16
GOLD LABEL 9 EXTRA
Fuji IX GP EXTRA

Continuing caries
New lesions can develop around existing restorations, especially if hostile environmental factors
remain unchanged. GOLD LABEL 9 EXTRA / Fuji IX GP EXTRA is ideal as a transitional
restorative for patients with active decay and as part of a pulp protection strategy.

New lesion on tooth 46 Caries removal Apply conditioner

Dr S. Vouliotis

Fuji IX GP EXTRA Final finishing Completed restoration


(GOLD LABEL 9 EXTRA)
shade B1 is placed

17
GOLD LABEL 9 EXTRA / Fuji IX GP EXTRA is
ESSENTIAL for replacement dentistry
Replacing existing restorations
In these situations, a closed sandwich technique is suggested where GOLD LABEL 9 EXTRA /
Fuji IX GP EXTRA is able to seal and protect the tooth. Then all exposed external surfaces are
laminated with composite resin.

An amalgam restoration Dentine is conditioned GOLD LABEL 9 EXTRA G-BOND is applied to


in tooth 24 has recurrent with 10% polyacrylic acid / Fuji IX GP EXTRA is the etched enamel and
caries and requires and enamel etched with injected into the cavity GOLD LABEL 9 EXTRA /
replacement 37% phosphoric acid gel to form a base Fuji IX GP EXTRA base.
Light cure for 10 seconds

Dr G. Milicich

A flowable resin is placed GRADIA DIRECT A final layer of GRADIA Completed restoration
on the gingival margin Posterior (A2) is placed DIRECT Posterior Natural after finishing and
and polymerized and sectioned into Translucent is placed and polishing
increments to reduce light cured
shrinkage stress

18
GOLD LABEL 9 EXTRA
Fuji IX GP EXTRA

Transitional restorations and cores


GOLD LABEL 9 EXTRA / Fuji IX GP EXTRA is an ideal transitional restorative material for emergency
patients requiring immediate treatment for fractured cusps.

Initial patient presentation Amalgam and fractured Matrix in place Placement of GOLD
palatal cusp removed LABEL 9 EXTRA / Fuji IX
GP EXTRA

Dr G. Milicich
Completed Fuji IX GP Subsequent crown Fitted crown occlusal Fitted crown facial view
EXTRA transitional preparation four weeks view
restoration later

Extra TRANSLUCENCY
Extra FLUORIDE
Extra OPTION

19
GC GOLD LABEL 9 EXTRA
RADIOPAQUE POSTERIOR
GLASS IONOMER
1-1 pack, 15g Powder, 8g Liquid
Shades: A2, A3, A3.5
(also available in individual
15g Powder and 8g Liquid pack)

GC FUJI IX GP EXTRA
Box 50 capsules
Shades: A2, A3, A3.5

GC GOLD LABEL 9 GC FUJI IX GP GC FUJI IX GP FAST


1-1 pack, 15g Powder, 8g Liquid Box 50 capsules Box 50 capsules
Shades: A2, A3, A3.5, B2 Shades: A2, A3, A3.5 Shades: A2, A3, A3.5
(also available in individual 15g Powder
and 8g Liquid pack)

G-COAT PLUS DENTIN CONDITIONER


Contains: 25g (23.8ml) bottle
1x 4ml bottle of G-COAT PLUS 6g (5.7ml) bottle
50x micro-tips
1x micro-tip applicator
20x disposable dispensing dishes

GC Asia Dental Pte Ltd


Changi Logistics Centre 19 Loyang Way #06-27 Singapore 508724
Tel (65) 6546 7588 Fax (65) 6546 7577 | www.gcasia.info Copyright © 2012

Вам также может понравиться