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SILVER MODIFIED ATRAUMATIC RESTORATIVE TECHNIQUE( SMART): AN ALTERNATIVE CARIES PREVENTION TOOL
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Figures 4A and 4B. Using a microbrush, SDF is transferred from a dappen dish to lesions and left for 1 minute
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Figures 5A and 5B. Clean perimeter margins in # 41 and ICDAS 2 lesions after 10 sec rinse making sure not to desiccate
GIC placement. Keeping the tooth properly moist( careful not to desiccate) GIC can be dispensed over 10 seconds and applied over pits and fissures and preparation. It is essential to not touch or move the GIC after 30 seconds from start of mix. When working on multiple teeth some use the“ finger push” technique. If using a finger press technique, consider changing gloves to avoid potential SDF transfer extraorally( skin, clothes, surfaces) Dispose contaminated items to prevent accidental contact by others.
With a gloved finger slightly lubricated with unfilled resin or manufacturer coat, push the GIC in the pits and fissures and at the same time removing the excess( Fig. 7). Helpful hint: To avoid adjusting the occlusion you can mark the occlusal contacts( including excursions) prior to GIC placement with articulating paper then avoid applying GIC to those areas. If you see some GIC in the marked areas you have 10 sec to carve it off and remove any unwanted excess. Excessive GIC can be removed from
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