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GOLD
LABEL
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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.
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
3
GOLD LABEL 9 EXTRA Gold Label HS Posterior EXTRA Gold Label HS Posterior EXTRA
Fuji IX GP EXTRA
[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
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
Compressive strength* [MPa] After 1 day 226 (10) 220 (9) 255 (14) 220 (9)
*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
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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
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
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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.
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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)
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GOLD LABEL 9 EXTRA
Fuji IX GP EXTRA
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
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.
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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
10
GOLD LABEL 9 EXTRA
Fuji IX GP EXTRA
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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
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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.
Tunnel restoration
14 months after placement
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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.
Dr S. Vouliotis
Place GOLD LABEL 9 Place cervical matrix Apply G-COAT PLUS Finished restoration
EXTRA / Inject Fuji IX
GP EXTRA
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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.
Dr S. Vouliotis
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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.
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
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GOLD LABEL 9 EXTRA
Fuji IX GP EXTRA
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
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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