figure1 |
The
fissure in the first molar was sufficiently complex to require
attention. Following the original opening there proved to
be an extensive lesion under the lingual fissure so the cavity
outline was modified and extended in the region of the lesion
only. The remaining fissures were explored conservatively
to make sure there was no other large extension. The fissures
on the second molar were similarly explored but that proved
to be a
Site 1, Size 1
lesion only. |
 figure2 |
The walls of
the extensive lesion were cleaned but the floor was left
with softened demineralised dentine to avoid a possible pulp
exposure. Both the cavities are now being conditioned with
10% PAA for 10 seconds only. |
 figure3 |
The entire cavities
in both teeth were restored with a Type II.1 restorative
aesthetic glass-ionomer, immediately sealed and allowed to
mature. |
 figure4 |
It was decided
that the occlusal load was too great for that type of GIC
so subsequently it was laminated for strength. The glass-ionomer
was cut back to a depth of about 2mm., the GIC and the surrounding
tooth structure was etched, washed and dried. Note that the
fissures remain sealed with glass-ionomer alone. |
 figure5 |
The cavity was
now restored incrementally with composite resin. Note that
the second molar was restored with the glass-ionomer alone. |
