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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
Drop
Dropwith
bubbles
number and
one
drop
without
with bubbles
bubbles
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
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
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
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
Avoid voids at
dentine –
glass-ionomer
interface
Properly restored cavity
Excellent
ART
restoration