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Alan welcomes Dr. Zach Meiners, co-host of the Very Clinical podcast and restorative dentist extraordinaire, back to the Very Dental podcast. They dive deep into their shared passion for glass ionomer (GI) restorative materials. Sparked by Alan's recent solo episode on using glass ionomer for groove restorations the guys talk GI in depth. Key Takeaways Glass Ionomer (GI) as a Primary Restorative: Both doctors advocate for GI (like Fuji 9 or Equia) as a legitimate, permanent restorative material for specific classes of restorations, moving past its traditional use as only a provisional or base. Ideal Clinical Applications: GI is highly effective for: Class I, III, and V restorations, particularly on posterior teeth where aesthetics are less critical. Geriatric and Pediatric patients due to its forgiving nature, minimal technique sensitivity, and fluoride release. Core Build-ups: Zach considers it his main build-up material, noting its reliable adhesion and stability against being pulled out by temporary crowns. Crown Margin Repairs. Material Benefits: GI offers several advantages over traditional resin or amalgam: No Post-Operative Sensitivity and Minimal Shrinkage. Forgiving Technique in less-than-ideal isolation situations, sticking particularly well to dentin. Continued Hardening for months after the initial set, leading to excellent longevity and a surprisingly low failure rate. Efficiency and Cost: While the initial cost of GI is relatively high, the efficiency gained from eliminating the need for separate etching and bonding steps (using only a cavity conditioner provided in the kit) and the speed of placement makes it a cost-effective choice in terms of time and materials. Placement and Setting: Placement Technique: For occlusal restorations (like in grooves), Alan recommends over-squirting the material and using a moist, gloved finger to push it into the grooves, or using an anti-stick agent like Stick Free for metal instruments. Accelerating Set: Though not a light-cure material, applying the curing light can accelerate the chemical setting reaction via heat, cutting the two-and-a-half-minute set time down to about 90 seconds. The GI "Dream": The doctors agree that a future GI material with the strength to reliably handle Class II restorations would revolutionize the entire direct restorative market, given GI's unique benefits. Some links from the show: Fuji IX Fuji Equia Forte Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy," "Lipscomb" or "Gary!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!
Brews and Tiny Teeth, The Unfiltered Pediatric Dentistry Podcast
Dr. Karli Williams is a pediatric dentist at Black Hills Pediatric Dentistry in South Dakota. She is a partner at a large, established practice that serves children with major access to care barriers across South Dakota and the surrounding states. Her busy practice also owns and runs a stand-alone surgery center that operates with CRNAs five days a week. Carly cracks a beer and talks with me about South Dakota, treating Native children, operating a surgical center, using Equia strip crowns, and how they survived a Medicaid audit.
PLEASE LEAVE US A REVIEW HERE! Join Andrew Johnston, RDH - a restorative hygienist who practices in Washington State and Oregon. Andrew has been a practicing since 2009 and is here to talk to us about Glass Ionomers/Hybrids and EQUIA Forte by GC. TIPisode Highlights A look at Glass Ionomer Glass Hybrids Importance of Instructions for Use What Andrew loves about EQUIA Forte Ways to use EQUIA Forte in today's ops. Quotes “Traditionally Glass Ionomers have been used where moisture control has been problematic” “GC kept working on ways to improve the clinical outcomes and developed the next generation which was the EQUIA Forte” “For the super nerdy people like me who care about flexural strength and wear resistance this new improved formula is higher flexural strength, higher wear resistance, higher resistance to acid, and higher fluoride release than the previous Equia” “Please please please read the instructions for use, follow them, and make sure everyone on your team is doing the same” “It takes about 6 months for the coating to wear off” “Triaging is the most important factor to determining which treatment route you should take." “…using it (Silver Diamine Fluoride) underneath Equia Forte has shown to reduce sensitivity and potentially aid in remineralization of the tooth. Links Learn more, sign up for a virtual meeting and get FREE CE: https://bit.ly/2Lw3g4y http://www.gcamerica.com/ce/alleducation.php http://www.gcamerica.com http://www.gcamerica.com/products/operatory/EQUIA_Forte/ http://www.gcamerica.com/products/operatory/EQUIA-Forte-HT/
GC Europe Podcasts - Dental Bonding - A clinical Dental Podcast
Christina and Bart are making sure that the GC products are safe. We talk about lab and clinical testing. It was intersting to find out that in Glass hybrid restaurations like Equia Forte the contact point and matrixing is very important. Also to round the edges during the preparation. I also talked about everX Flow. This Podcast is sponsored by GC Europe.
GC Europe Podcasts - Dental Bonding - A clinical Dental Podcast
Matteo Basso is a dentist in Milan and in 2007 he did a clinical study about a GIC what performed really good clinically. We talk about the old problems with GIC and how Equia and later Equia forte HT changed his clinical dentistry. The Podcast was recorded on the hotel ship where we did not have any background noice. This Podcast is sponsored by GC Europe.
GC Europe Podcasts - Dental Bonding - A clinical Dental Podcast
Ingmar is a Dentist in rural Germany and has over 10 years of experience with Equia and tells us why it´s worth using the new Equia Forte HT. It is a nice clincal ten minute chat with a friend. This Podcast is sponsored by GC Europe
GC Europe Podcasts - Dental Bonding - A clinical Dental Podcast
Dana is treating MIH Patients in her dental office. We talk about her protocol for treating and even bonding to MIH teeth. This Podcast is sponsored by GC Europe
GC Europe Podcasts - Dental Bonding - A clinical Dental Podcast
I had a nice talk with Josef Richter about EQUIA, EverXflow and the GC Scanners Aadva IOS 100 P and IOS 200. This Podcast is sponsored by GC Europe
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 16/19
Das Ziel der Forschungsarbeiten zu dieser Dissertation war zu überprüfen, ob die Anwendung von Wärme einen Einfluss auf GIZ und GCP hat und ob der Lack die mechanischen Eigenschaften von GCP beeinflusst. Als Erstes wurden die mikromechanischen Parameter wie die Vickershärte, das mikroskopische Elastizitätsmodul (Emirko) und das Kriechverhalten von fünf konventionellen, hoch viskösen GIZ unter verschiedenen Temperaturbedingungen und Lagerzeiten verglichen. Im zweiten Teil wurden makromechanische Parameter (Biegefestigkeit und Elastizitätsmodul im Drei-Punkt-Biegeversuch) und mikromechanische Parameter (Vickershärte, Emikro und Kriechverhalten) von GCP in Abhängigkeit von der Verwendung eines Lacks und unter unterschiedlichen Temperaturbedingungen gemessen und die Werte mit kunststoffmodifizierten GIZ verglichen. Die Wärmebehandlung zeigte weder bei konventionell, hoch viskösen GIZ (ChemFil Rock, Fuji IX GP Fast und Equia), noch bei Glass Carbomer Zement eine Veränderung der mechanischen Eigenschaften. Diese waren hauptsächlich von der Art des verwendeten Zements abhängig. Die Lagerung der GIZ zeigte einen geringen Einfluss auf die mechanischen Parameter. Für ChemFil Rock und Equia wurde bei einem Monat Lagerzeit der größte Anstieg der gemessenen mechanischen Werte beobachtet. In der zweiten Versuchsreihe überragten die kunststoffmodifizierten GIZ bei den makromechanischen Versuchen GCP, während GCP bezüglich der mikromechanischen Parameter dominierte. Ebenso wie Wärme beeinflusste der Lack die mechanischen Eigenschaften von GCP nicht.