Clinical performance

One of the principal benefits of GICs is their adhesion to the dental hard tissues, and this has been confirmed in non-undercut non-carious cervical lesions (NCCLs) where dentine is the main substrate. However, because of the low fracture toughness of GICs (including RM-GICs), they are recommended principally for non-stress-bearing areas, e.g., carious and non-carious cervical lesions and approximal anterior lesions. Nevertheless, the high powder:liquid ratio materials may be useful in the restoration of small cavities in deciduous teeth. Clinical studies on RM-GICs are less extensive because of their more recent introduction [6, 13]. However, the results are mixed with respect to both brand comparisons and comparisons with polyacid-modified resin composites. One presentation of an RM-GIC is in a low powder:liquid ratio form (Fuji Bond LC; GC International), and is used in a similar way to a dentine bonding agent. Excellent five-year results have been obtained for the retention by this material of resin composite in non-carious cervical lesions [78].

Evidence is accumulating that GIC may have an important role in minimum intervention dentistry. Modern concepts of operative dentistry propose that only the 'infected' dentine should be removed, leaving the 'affected' dentine which has the potential to remineralize. Recent evidence suggests that such remineralization may be potentiated by GIC [3], and this has special relevance in the ART technique [79].

Was this article helpful?

0 0

Post a comment