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Conditioning the cavity

Use of hand instruments


causes smear layer
Conditioning the cavity
 Improves the chemical bonding
 Choice of conditioner
 Special product or
 Liquid component glass-ionomer
 Only when it contains acid
 Follow manufacturer’s instructions
 Some brands contain only water

 In doubt: follow manufacturer’s


instructions
Conditioning the cavity
Smear Layer

Smear Layer
after
conditioning
Dispensing the glass-
ionomer liquid
1

2
 Avoid air bubbles
3  Put drop one on the pad
 Tip bottle carefully
 Often bubbles in first drop
 Don’t use drops with bubbles
 Use for conditioning
Dispensing the glass-
ionomer liquid
1

2
 Avoid air bubbles
3  Drop two
 Don’trelease pressure
 Move bottle vertically
 No bubbles

 Replace top of bottle


Dispensing the glass-
ionomer liquid
1

Drop
Dropwith
bubbles
number and
one
drop
without
with bubbles
bubbles
Conditioning the Cavity
(cont’d)

 Timing (Follow manufacturer’s


instructions)
 Bond strength is affected
 Wash and dry
 No compressed air
 Isolation is essential
 Chemical bonding is affected
Conditioning the Cavity
(cont’d)

Wash and
dry cavity,
pits, fissures
Mixing the glass-ionomer

2
 Forms
3  Hand-mix
4
 Encapsulated (more expensive)
5

 Follow manufacturer's instructions


 Watch powder to liquid ratio
 Estimate needed amount
Mixing the glass-ionomer

2
 Shake: powder consistency
3  Full scoop and remove excess
4

5
 Check for voids
 Place on pad
 Close the bottle
Mixing the glass-ionomer

Full scoop
and
remove
excess
Mixing the glass-ionomer

2
 Spatulate powder and liquid
3  Mixing time advised by manufacturer
4
 Faster setting in high temperature
5

 Experience
 Judge consistency
 Don’t use dry or thin mixes

 Trained assistant is useful


Mixing the glass-ionomer

5
Restoring the cavity and
filling the pits and fissures
 Use promptly
 Apply in small increments
 Use applier/carver
 First around margins
Restoring the cavity and
filling the pits and fissures

Use
applier/carver

First
around
margins
Restoring the cavity and
filling the pits and fissures
 Overfill cavity
 Place glass-ionomer in adjoining pits
and fissures
 Small amount of petroleum jelly
onto the gloved index finger
Restoring the cavity and
filling the pits and fissures

Overfill
cavity
Place glass-
ionomer in
adjoining
pits, fissures
Restoring the cavity and
filling the pits and fissures
 “The press-finger technique“
 Use the gloved index finger (with small
amount of petroleum jelly)
 Place the glass-ionomer, press firmly
 Move index finger sideways
Restoring the cavity and
filling the pits and fissures

Press
firmly
Move
index
finger
sideways
Restoring the cavity and
filling the pits and fissures
 “The press-finger technique“ results
in excess, displaced glass-ionomer
 Remove excess quickly (use carver
or excavator)
 Don’t dislodge ART restoration
Restoring the cavity and
filling the pits and fissures

Remove
excess quickly
Use carver or
excavator
Adjusting the bite

 Check the bite


 Use articulating paper
 No cotton wool rolls in between the
bite
Adjusting the bite

Check the
bite
Use
articulating
paper
Adjusting the bite

 Identify coloured marks


 Adjustment using the carver
 Paint with varnish or petroleum jelly
 Remove cotton wool rolls
Adjusting the bite

Paint
Adjustmen
with
varnish
t using or
the
petroleum
carver
jelly
Restorative procedure is
completed
 The restoration procedure is now finished
and the patient is asked to refrain from
eating for at least an hour.
Caution in restoring the
cavity

 small parts of glass-ionomer


 insufficient condensing
 may cause voids
Caution in restoring the
cavity

Avoid voids at
dentine –
glass-ionomer
interface
Properly restored cavity

 Good adaptation of glass-ionomer to the


cavity walls.
 Good packing of glass-ionomer in the
cavity.
Properly restored cavity

Excellent
ART
restoration

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