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Cervical

Description
A high proportion of these lesions will arise from chemical or mechanical erosion and will need to be restored to overcome sensitivity. In the presence of active caries the elimination of the disease will often be sufficient to arrest the lesion and a restoration will be required only to re-establish aesthetics

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figure1
There is erosion and sensitivity at the cervical margins of the upper right lateral and canine sufficient to justify restoration with glass-ionomer.
Click on the image to see a larger versionfigure2 The cavity surface is conditioned with a 10 second application of 10%polyacrylic acid, then washed vigorously and dried lightly.
Click on the image to see a larger versionfigure3 The capsulated glass-ionomer is mixed and syringed to place. As it is an auto cure material it is firmly adapted to place using a soft tin matrix which was pre-contoured to fit this position.
Click on the image to see a larger versionfigure4 The matrix will remain in position until the excess cement has set firmly, at which time the matrix can be flicked off and the glass-ionomer immediately covered with a thin layer of a light activated resin bond. The bond will be light activated and this will maintain the water balance until the cement is mature.
figure5 One week later the restorations were reviewed to ensure there were no overhangs. Note the colour match and translucency that were satisfactory following maturation of the glass-ionomer.
figure6 The same restorations photographed 14 years after placement. There has been a small amount of wear, mostly from surrounding tooth structure.

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Copyright © 2003 Graham J Mount