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GLASS IONOMER CEMENT

 INTRODUCTION  CLASSIFICATION  COMPOSITION  SETTING REACTION &STRUCTURE  DISPENSING & MANIPULATION  PROPERTIES  ADVANTAGES  DISADVANTAGES  INDICATIONS  CONTRAINDICATIONS  CLINICAL STEPS

INTRODUCTION:Combination of aluminosilicate glass powder with polyacrylic acid.So called as ³ASPA-Alumino Silicate Poly Acrylate cement´

CLASSIFICATION

powder/liquid ratio & clinical applications of the material TYPE 1-Luting USES POWDER/LIQUID RATIO 1.tunnel restoration.inlays.class-5.root 3:1 or greater caries.Based on composition.deciduous restoration Liners & bases 1.bridges.5:1 2-A Restorative esthetics 2-B Restorative reinforced 3-Lining or base Cementation of crowns.tunnel 3:1 or greater restorations Core build up. orthodontic appliances Class-3.5:1(lining) Composite restoration 3:1(base) COMPOSITION .

POWDER:Silica-29.3% Aluminium fluoride-5.6% Calcium fluoride-34.Strontium-traces LIQUID:- Polyacrylic acid-40-55% Itaconic acid-40-55% Malleic acid-40-55% Tartaric acid-5-15% Water-30% SETTING REACTION (1)AUTOCURED GLASS IONOMER CEMENT .Barium.3% Sodium aluminium fluoride-5% Aluminium phosphate-9.9% Lanthanum.0% Alumina-16.

stronger & less sensitive to moisture.later hydrates cross linked matrix making set cement stable.so must be protected from water loss or gain during placement & for a few days after setting (2)RESIN MODIFIED GLASS IONOMER CEMENT .gelation & hardening -Calcium & aluminium ions bind to polycarboxylate groups -Cross linking of calcium ions:4 to 10 min after mixig .-Acid base reaction -3 stages Stage:1-Dissolution -surface of particle is attacked by polyacid -releasing calcium & aluminium ions leading to formation of cement sol Stage:2-Precipitation of salts.Maturation over next 24 hrs -No participation of sodium & fluoride ions Stage:3-Hydration of salts -Progressive hydration & improved physical properties STRUCTURE:-Unreacted glass particle in polysalt matrix -Fluoride release -Water:Initially as reaction medium.

2 chemical reactions (1)Acid base reaction between glass & polyacrylic acid (2)Cross linking of methacrylate groups On exposure to curing light.rapid cross linking of HEMA & methacrylate groups of polymer due to photoinitiators TRI-CURE (1)Acid base reaction between glass powder & polyacrylic acid (2)Light cure of resin component (3)Chemical cure of residual resin component STRUCTURE:Multiple cross linked matrix or a matrix containing two separate phases(polysalt matrix & poly HEMA matrix) DISPENSING & MANIPULATION 2 forms: (1) Powder & liquid for hand mixing .

dry glass slab or a paper pad using a thin bladed plastic spatula.(2)Pre proportioned capsules for mechanical mixing (1)HAND MIXING: -Proper powder liquid ratio -mixing done on cool.done to wet powder particle.2nd half in 15 sec -Glossy wet surface on mixing -Working time:1-2 min (2)Mechanical mixing: -Standarized mixing & setting time -Can also be syringed into cavity with opotimum physical properties PROPERTIES (1)Adhesion to enamel & dentin -Chemical adhesion -³Diffusion based adhesion´ (2)Biocompatibility -Favourable pulpal response -High buffering capacity .not to dissolve it -powder divided into 2 halves -Mixing time:1st half in 10 sec.

-Because of higher molecular wt cannot pass through narrow dentinal tubules (3)Fluoride release -Released slowly so protection against caries -reservoir of fluoride (4)Colour & consistency -Acceptable colour matching & translucency (5)Radioopacity -Conventional-radiolucent -Resin modified-radioopaque (6)Strength & fracture resistance -Modulus of elasticity:7Gpa to 13 Gpa -Weak & lack fracture resistance (7)Abrasion resistance -Less resistant than composite (8)Solubility & disintegration -Low solubility (9)Thermal expansion & diffusivity -Linear coefficient & thermal diffusion similar to tooth structure ADVANTAGES  Adhesion to enamel & dentin  Anticariogenic effect-fluoride release .

 Acceptable esthetics  Low solubility  Biocompatibility  Less technique sensitive DISADVANTAGES  Low fracture & wear resistance  Colour  Sensitive to moisture soon after setting INDICATION  As a pit & fissure sealant  Class 1 restoration  Class 3 restoration  Class 5 restoration  Tunnel restoration  Root caries  As a liner/bases  Restoration of deciduous teeth  As a core build up material  Luting cement  As an interim restoration  As a repair material  In endodontics CONTRAINDICATION  In stress bearing areas .

Immediate protection with low viscosity resin sealant & gross excess.tannic acid.cotton rolls.retraction cords & saliva ejectors (2)Tooth preparation:(a)Cavity preparation (b)Prophylaxis (c)Surface conditioning -Citric acid.trimmed using bard parker blades or sharp carvers -Final finishing & polishing-after 24 hrs under moist condition -Finishing diamond points & Sof-Lex discs from coarse to fine.EDTA.12-fluted carbide burs . Labial build ups  Cuspal coverage  In mouth breathers CLINICAL STEPS (1)Isolation:-Rubber dam.polyacylic acid (3)Proper manipulation of the cement (4)Finishing & polishing:.