A
B
SILVER MODIFIED ATRAUMATIC RESTORATIVE TECHNIQUE ( SMART ): AN ALTERNATIVE CARIES PREVENTION TOOL
Figure 6 . Polyacrylic acid over the entire occlusal tooth surface applied with a microbrush
A
Figure 7 . GIC sealants placed on teeth # 24 and # 25
B
Figures 8A and 8B . Postoperative photo of tooth # 41 after GIC placement . Red articulating paper marks are visible . Note the darkened margin on the facial
unwanted areas using an instrument lubricated with a thin film of unfilled resin . After placement of GIC it is best to allow it set for 2 minutes from the start of the mix before finishing and polishing . The use of unfilled resin or manufacturer ’ s coat is best to ensure water loss or water gain . Light cure is not needed for this step as the GIC is setting . Light curing will intensify the blackening of the tooth and restoration . As an alternative to using unfilled resin to coat surface , one could simply wet the area with saliva or water when the GIC starts to look “ frosty ” during the setting process . Once matrices were removed from preparation , bulk reduction was accomplished with high-speed finishing burs and profuse water spray for anterior tooth , # 41 . Contouring was accomplished with light pressure , and polishing cups under water spray to help establish anatomical features ( Figs . 8A and 8B ). Surface drying is avoided as surface cracking and unesthetic opaqueness can result . Abrasive use of high speed and burs during contouring can also end in “ ditching ” the surface of the restoration
4 . Clinical Implications Practitioners and patients benefit from the additional opportunity for a caries prevention
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