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SILVER MODIFIED ATRAUMATIC RESTORATIVE TECHNIQUE ( SMART ): AN ALTERNATIVE CARIES PREVENTION TOOL
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Figures 4A and 4B . Using a microbrush , SDF is transferred from a dappen dish to lesions and left for 1 minute
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Figures 5A and 5B . Clean perimeter margins in # 41 and ICDAS 2 lesions after 10 sec rinse making sure not to desiccate
GIC placement . Keeping the tooth properly moist ( careful not to desiccate ) GIC can be dispensed over 10 seconds and applied over pits and fissures and preparation . It is essential to not touch or move the GIC after 30 seconds from start of mix . When working on multiple teeth some use the “ finger push ” technique . If using a finger press technique , consider changing gloves to avoid potential SDF transfer extraorally ( skin , clothes , surfaces ) Dispose contaminated items to prevent accidental contact by others .
With a gloved finger slightly lubricated with unfilled resin or manufacturer coat , push the GIC in the pits and fissures and at the same time removing the excess ( Fig . 7 ). Helpful hint : To avoid adjusting the occlusion you can mark the occlusal contacts ( including excursions ) prior to GIC placement with articulating paper then avoid applying GIC to those areas . If you see some GIC in the marked areas you have 10 sec to carve it off and remove any unwanted excess . Excessive GIC can be removed from
246 STOMA . EDUJ ( 2016 ) 3 ( 2 )