Glass ionomer restorative in the primary dentition
August 18, 2021
Dr. Rajeev Thaper, BDS, MDS

Clinical Case: Effective Where Additional Protection is Needed – Use of a Glass Ionomer Restorative in the Primary Dentition

Using 3M™ Ketac™ Universal Aplicap™ Glass Ionomer Restorative.

About the Case

Children have a very short attention span. Hence, the treatment needs to be carried out quickly. For these cases, dentists need easy-to-use materials that help change a high caries risk oral environment into one which is healthier and less prone to disease. In our dental office, children who don‘t necessarily need an invasive treatment are usually given a fluoride boost with 3M™ Vanish™ 5% Sodium Fluoride White Varnish during regular check- ups. This varnish contains fluoride, calcium, and phosphate – all important for building strong teeth. When a direct restorative treatment is required in one of our restless children, we usually use 3M™ Ketac™ Universal Aplicap™ Glass Ionomer Restorative. The bulk fill material eliminates many of the time-consuming work steps usually required and provides a high level of protection by releasing fluoride over a period of at least 24 months.

Early enamel lesions

Initial situation with some early enamel lesions.

White varnish applied on teeth

3M™ Vanish™ 5% Sodium Fluoride White Varnish applied regularly on teeth showing at risk enamel surfaces led to a stable situation over 3 years.

Tooth showed secondary decay

In the 4th year, tooth #84 showed secondary decay under an existing composite restoration.

Fluoride releasing glass ionomer restorative was selected

3M™ Ketac™ Universal Aplicap™, a fluoride releasing glass ionomer restorative, was selected for a high level of protection.

Old restoration was removed

Old restoration was removed, and caries excavated.

Isolation of the prepared tooth

Isolation of the prepared tooth using a T-Band Matrix and a wedge.

Bulk placement of the glass ionomer restorative

Bulk placement of the glass ionomer restorative into the cavity.

Newly restored tooth

Newly restored tooth #84.

Intact restoration after 12 months

Intact restoration after 12 months.

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