SANDWICH TECHNIQUE – Discuss Dentistry

Re: SANDWICH TECHNIQUE

tirath — Thu, 30 Dec 2010 02:56:51 +0000

Closed Sandwich technique: This technique is used when a glass
ionomer is placed in an area where there is no contact with the cavosurface
of the preparation. The material is completely covered with
the restorative material. (Base and liners) A liner should be used as a
very thin covering over deep and questionable dentin surfaces. A
base should be selected anytime the material is placed thicker than
.25 mm and should be a high strength restorative material. Tooth
conditioning is not required with this technique.
Open Sandwich technique: This technique is used when a Glass
ionomer is placed in an area where there is contact with the cavosurface
on the preparation. The margin of the preparation is sealed
with the Glass Ionomer material. A restorative material should
always be used here and the tooth conditioner is indicated.
Class II Open Sandwich: Used when any part of the gingival
margin of a Class II preparation has been extended past the CEJ and
no longer has an enamel cavo-surface.
1. After placement of the matrix, condition the gingival floor with GI
conditioner for 10 seconds and wash off.
2. Place either a pure glass ionomer or a resin modified glass
ionomer interprox. to the start of enamel margins. Do not build
interproximal or occlusal contact in this material. Make sure that
there is a minimum of 2mm of the final restorative material above the
Glass Ionomer to support the marginal ridge.
3. Continue with step 4 with the above composite technique if final
material is a composite restoration.

Re: SANDWICH TECHNIQUE

adwait — Sat, 01 Jan 2011 22:45:50 +0000

Although the sandwith technique has proved its utility and predictability in durable composite restoration , the time has changed so the techniques and material science ,which led to the fact that there is hardly any need to use glass ionomers as base before placing composite restorations.
There is predictable bond between the dentin and the composites leading to successful restoration even in reversible pulpits situations … If bonded well and protocol followed ..

Re: SANDWICH TECHNIQUE

Mon, 03 Jan 2011 10:41:39 +0000

i agree, however the gic not just helps in bonding but mainly pulp protection…..few modified light cure dycal is available which can be used as pulp protection

Re: SANDWICH TECHNIQUE

adwait — Tue, 04 Jan 2011 09:55:55 +0000

What about the polyacrylic acid from gic which is more irritating to pulp than the shrinkage in composites..
Why to use so many dissimilar material rather than using single material creating good integrated bond.. when the science and innovations permits and allow us to use materials /composites in predictable way.

Re: SANDWICH TECHNIQUE

sushantpatel_doc — Tue, 04 Jan 2011 12:25:13 +0000

Etching for composite in a deep cavity without an appropriate base can cause sensitivity and irritation…Researchers say that the polyacrylic acid molecules in GIC are too large to enter the pulp through the dentinal tubules..

Re: SANDWICH TECHNIQUE

Wed, 05 Jan 2011 10:39:52 +0000

I agree,….gic isnt irritating to the pulp which is a noted fact