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    How to use a glass ionomer to fill an occlusal caries lesion

    Why the Ketac Universal Aplicap Glass Ionomer Restorative from 3M is an excellent choice for pediatric dental procedures.

    Children can be restless. Managing their fidgeting and keeping them on track for treatment is often as challenging as the dental treatment itself. Families today have many commitments related to work, the children’s school, homework, sports and social activities. Because of this normal daily chaos of life, dental appointments need to be tightly scheduled, and treatment that can be simplified is desirable for patients, parents and dentists alike.

    When treating children and teens, glass-ionomer systems offer remarkable advantages. They are biocompatible and suitable for many applications. They chemically bond to tooth structure and have good resistance to wear and fracture. They also have a coefficient of thermal expansion similar to that of tooth structure, and the glass component has fluoride ions that are released into enamel and dentin. In addition, their tooth colored appearance is pleasing to parents.  

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    Back in the 1970s and 1980s, the glass ionomers got off to a slow start in the United States, compared to their use in Europe and Australia. As time passed, and the materials improved, dentists worldwide came to appreciate their better handling properties, versatility and durability. Besides their use in children, glass ionomers are well suited for certain geriatric applications, cervical restorations, core buildups and many interim-type restorations.

    Recently, a mother brought in her 6-year-old daughter who had an occlusal caries lesion of a mandibular primary second molar (Fig. 1). I told the mother about all the advantages of glass ionomer filling materials, and I also related that KetacTM Universal, introduced in September of 2016, was the latest advancement and an excellent choice for her daughter’s treatment.

    Fig. 1Fig. 2

    Fig. 1                                                                                      Fig. 2

    3M™ Ketac™ Universal Aplicap™ Glass Ionomer Restorative has all the favorable properties of glass ionomers, along with the following key advantages:

    • No need for conditioner or coating
    • Bulk fill, no layering
    • Non-sticky formulation makes for easy placement
    • Aplicap mixes and injects material most conveniently
    • Chemical bond to tooth structure
    • Rapid hardening after placement
    • Six tooth-colored shades
    • Good radiopacity

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