A
B
SILVER MODIFIED ATRAUMATIC RESTORATIVE TECHNIQUE( SMART): AN ALTERNATIVE CARIES PREVENTION TOOL
Figure 6. Polyacrylic acid over the entire occlusal tooth surface applied with a microbrush
A
Figure 7. GIC sealants placed on teeth # 24 and # 25
B
Figures 8A and 8B. Postoperative photo of tooth # 41 after GIC placement. Red articulating paper marks are visible. Note the darkened margin on the facial
unwanted areas using an instrument lubricated with a thin film of unfilled resin. After placement of GIC it is best to allow it set for 2 minutes from the start of the mix before finishing and polishing. The use of unfilled resin or manufacturer’ s coat is best to ensure water loss or water gain. Light cure is not needed for this step as the GIC is setting. Light curing will intensify the blackening of the tooth and restoration. As an alternative to using unfilled resin to coat surface, one could simply wet the area with saliva or water when the GIC starts to look“ frosty” during the setting process. Once matrices were removed from preparation, bulk reduction was accomplished with high-speed finishing burs and profuse water spray for anterior tooth, # 41. Contouring was accomplished with light pressure, and polishing cups under water spray to help establish anatomical features( Figs. 8A and 8B). Surface drying is avoided as surface cracking and unesthetic opaqueness can result. Abrasive use of high speed and burs during contouring can also end in“ ditching” the surface of the restoration
4. Clinical Implications Practitioners and patients benefit from the additional opportunity for a caries prevention
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