Zusammenfassung der Ressource
GLASS IONOMER
- Contains fluoroaluminosilicate (fluoride releasing)
- Adheres directly to enamel and dentine
- Cariostatic properties from fluoride release
- Brittle and poor resistance to abrasion
- ADVANTAGES OF USING GI
- Tooth coloured and translucent
- Bonds directly to enamel and dentine no adhesion system required
- Easy to mix and manipulate
- Fluoride release
- Can be resin modified to increase strength
- DISADVANTAGES OF USING GI
- Wear resistance and compressive strength less than composite
- poor aesthetics for ant teeth
- Finite working time - sets fast
- CLINICAL INDICATIONS FOR USING GI
- Abrasion and erosion cavities
- Deciduous teeth
- Class III + IV
- Temps
- ART, root caries, luting cement
- CLINICAL INDICATIONS FOR RMGI
- Lining, base, sandwich technique
- CONTRAINDICATIONS OF USING GI
- Class I, Class II - wear resistance and strength probs
- Class III, IV unless no alternative
- TUNNEL PREPERATIONS
- Material is syringed into cavity to ensure that the base is filled
- Then comp on top
- ADVANTAGES - fluoride, no packing required, direct bonding, depth can be cured
- TEMP RESTORATION
- Strength to withstand some time in the mouth
- direct bond
- tooth coloured and easy to use
- biocampatible
- ATRAUMATIC RESTORATIVE TREATMENT (ART)
- Used when restorative tech are not available or appropriate
- ie underdeveloped countries or tx of anxious patients
- Caries is excuvated by hand and GI is placed
- ROOTCARIES
- non load bearing areas
- Fluoride release may be beneficial
- Direct bond to dentine
- RMGI
- Lining or used as a base
- has strength to withstand perm material
- Can be placed over other medicaments eg calcium hydroxide
- material not fully set for 24 hrs - final polishing 24 hrs after
- Sens to moisture - place varnish or vaseline