EQUIA Forte Glass Ionomer Cement Nowak Strip Crown Atraumatic Restorative Treatment Tutorial

Watch Dr. Jeanette MacLean of Affiliated Children's Dental Specialists demonstrate step by step the minimally invasive, atraumatic placement of Nowak pediatric strip crowns with GC America's Fuji EQUIA Forte glass hybrid high viscosity glass ionomer cement restorative. This painless approach is done without shots of local anesthetic ("novocaine") or sedation, making the experience less stressful for the child patient and their parents, as well as reducing cost and risk associated with managing severe decay.
For additional resources, including a download of our post op instructions, list of Dr. MacLean's upcoming lectures, and links to articles, research, and on demand webinars, please visit www.kidsteethandbraces.com
Dental professionals, please check out Dr. MacLean's online CE from Dentaltown;
Silver is the New Black
www.dentaltown...
Less is More
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[@Yh17171]

I’m so sad my son had pulp therapy and resin crowns placed on all four of his front teeth. I wish I could send this video to the pediatric dentist we go to. More pediatric dentist should learn how to treat patients with this method. I am thankful for your work and information online.

[@nmda9578]

Love it! Thank you! I wish more clinicians would realize how great RMGI can be - especially in caries-prone children.

[@Dentist4KidsJaipur]

just wow madam eliminating the first click n then mixing it is something new for me ( can you please share some info on that) putting opaque over the crowns is something I will wish to try soon

[@affiliatedchildrensdental]

Thanks so much! “The capsules will remain the same, only the technique has changed. The activation step (one click) was there only to make sure that the plunger is depressed completely, but it is not necessary anymore. Also, we noticed that it may cause improper mixing in some cases. Therefore, we decided to get rid of it. This change is applicable to all capsule products regardless of their lot number.” (from a dentist/materials science colleague at GC)

[@RLSDDS]

Excellent Presentation and Documentation. Thank You

[@affiliatedchildrensdental]

Ronald Singer you’re welcome!

[@eddyzhou7398]

Thank you so much for putting together this great video!

[@kiwi2berry]

Hi- beautiful work! Any tips on trying this technique on previously SDF treated anterior teeth? Please and thank you!

[@phatkat132]

Thank you for this! How do you decide whether to use sdf underneath the HVGIC vs caries removal with a slow speed?

[@rickypyun]

Which is your preferred treatment of choice in this situation: strip crowns or prefab crowns?

[@odontoprime2023]

If there is a hard black tissue on tooth, should I keep it and put GIC on it?

[@affiliatedchildrensdental]

It’s not necessary to remove it, but you could to help improve esthetics

[@odontoprime2023]

@@affiliatedchildrensdental thank you!

[@asdfrayy]

Hey doctor, wondering what dental code do you use when restoring with GI (referring to SMART technique also). Love your work and instructional videos

[@affiliatedchildrensdental]

asdfrayy thanks! Usually strip crown or interim therapeutic restoration

[@brim8420]

Thank you for these videos! My daughter is 2 and her dentist has recommended crowns and a pulpectomy on her two front teeth. We have completed 2 SDF treatments but the dentists in my area are not familiar with covering with glass ionomer after. Is it possible for the roots to heal if the caries are addressed with a non invasive treatment such as this? And how do I encourage our local dentists to look into treatments like this? I would really like to avoid anesthesia. Thanks!

[@affiliatedchildrensdental]

Unfortunately, it is impossible to say without radiographs or a clinical exam. Sometimes the decay is already into the nerve and this technique is not an option. You could ask your dentist if they use glass ionomer and if they can do atraumatic restorative treatment (ART)/ interim therapeutic restoration (ITR) instead, and/or find another provider that is familiar with and uses glass ionomer restorative. I lecture on this topic frequently. Not a lot of US pediatric dentists are trained with glass ionomers, so it may be a challenge to find a provider. Minimal intervention dentistry is more common in Europe and South America.

[@ericb7131]

@@affiliatedchildrensdental It's a shame about GI in the US too because it's an amazing material. I use it almost exclusively in children, no composite, no amalgam (although I'm not anti-amalgam), but glass ionomer all day long. I was lucky I spent my first 2 years working on kids in a clinic in California where it was available to use any time I wanted. PS1: We all like to avoid giving kids anesthetic injections but have you considered custom compounded topical? I'd use a blend of Prilocaine, Tetracaine and Lidocaine in a viscous base and we'd almost get pulpal anesthesia if we let it sit and soak long enough (used a cotton roll in the vestibule to keep it in place and undisturbed). PS2: what's the name of the music you used? I loved it!

[@affiliatedchildrensdental]

Eric B thanks! I’m not sure, my husband puts the videos together and it was one of the free/non-copyright protected options

[@xavnl3298]

I'd be curious to know why a HVGIC is used instead of a RMGIC? Wouldn't it be faster to light cure instead of waiting 2min30 and have immediate maximum strenght of the GIC ? Thank you for the advice!

[@affiliatedchildrensdental]

You could use a RMGI, but it will wear & yellow faster, so you’d just have to repair or replace it sooner.

[@fatimaabdurrahman499]

thankyou for sharing please im dentist can you tell me why you not make pulpectomy for lateral incisor?

[@affiliatedchildrensdental]

Because her teeth were vital

[@dgvlogs08]

What early age can start doing that process?

[@rugbman9]

Hi Love the technique...where are you sourcing your Brix 3000?

[@affiliatedchildrensdental]

Thanks, got it from a colleague in Brazil

[@taebasiddeeque9903]

Awesome 👏🏻 👏🏻

[@affiliatedchildrensdental]

thank you!

[@XclusiveChiq]

How to treat crown discoloration

[@Muslimah393]

Amazingly done

[@affiliatedchildrensdental]

thanks!

[@sataylou91]

Hi, may i know why cant we just use sdf for this patient instead?

[@Candycandis]

What’s the cost??

[@sey-censizer2153]

Hello why make a resin over glass ionomer again?

[@ashershadi7817]

What has your experience been using this technique vs prefab crowns? my concern would be how long they will last.

[@affiliatedchildrensdental]

This aren’t as durable or aesthetic. It’s an alternative if the child can’t tolerate conventional surgical dentistry & the parent doesn’t want sedation.

[@skr123e]

What type of resin opaque do find works the best on teeth that have been treated with SDF

[@affiliatedchildrensdental]

EQUIA Forte

[@brendaranda1217]

@@affiliatedchildrensdental could I put equia forte on my 3 year old? Or does a dentist do it? She’s had SDF treatment done to her already and I hate seeing her teeth black.

[@affiliatedchildrensdental]

@@brendaranda1217 you’d have to see a dentist, and one that’s experienced using it

[@irinairina9069]

But what about the pulp? 52, 62 seemed to be already infected and endo needed? What prognosis, waiting for fistula?

[@affiliatedchildrensdental]

The teeth were asymptomatic and not infected. The prognosis is good because less invasive preparation (partial caries removal) is more favorable to the vital pulp. (JADA 2008, Cochrane Review 2013)

[@irinairina9069]

@@affiliatedchildrensdental thank you, very interesting! And what about glassionomer restoration, how reliable in practice? I often see that glass ionomer fillings fall out, especially on incisors

[@maryamashraf1717]

Why you use glass inomer not composite?

[@affiliatedchildrensdental]

Because glass ionomer is the appropriate material for ART (atraumatic restorative treatment). It’s hydrophilic and bioactive. Resin is far too technique sensitive, requires harsher etch, ideal isolation, and extensive caries removal, which some young children may not be able to tolerate without sedation.

[@BrilShine007]

Hello! I am just wondering how long a typical ART restoration will take in terms of patient chair time?

[@affiliatedchildrensdental]

A simple occlusal could take just 5 minutes in a relatively cooperative patient. A strip crown would be the most time consuming, by far!!

[@carlosyeepes4820]

SVeporlamaneradeque pensecomoenelmometono etabaconsentradoynosabiA deloquesetratava peromeempesentircomonoseuntipodevi brasiondesesperadoquealgoestBapasandomal y entonces empeseaberiguar ycomounoyanote itenjatiemposi nybarasits mpeseaveriguar comobielprimerlugar ypense endichosaestrategiacomowinlaprimera perosinhimajinasin poque1 entosesabialgoenmidentrofuerte ycomoesidobaleadobarasvese meanjugadochueco dijeescomishijos no poalquepase masamarcos loadorohigalpeelasuperdomasdoles queimajinables Respetomuchohaeyos isimeanayudado peronometerse niponer niñosenestas cosasimassabiendo enmisituasioncuantospadre omadre noarianllomismoporsushijos comonopusoadigeracamionetacontracamion. Poreso siemponadiosporenfrente hypuesnuncahayqueasereso sabe mirarunniñotsufrirno leplatoico yesrealparaquebianqueconlafamilinosease esto asifueelmododijeno eaguatAdo tantacosashidibas aquisemetaconmihijoscualquipap homomloharia yoadiarilepidoadiosporhyo portoddelmundo aunquemeque deenlacaye peroheyoqueestenbienporesoboyenlasmañanasescondidas aunqumeye a erlo sedemustraamor halodemihermanA contodorespetoavesesjuegoconeho alpelo unpoco yesreal henoesmentira poresodigonohayquetirar espadasos pordetrasdioseziste ignorante hosabio todolobueno reproduce mejor porquenoase ocalifique peronoconmigo porque. Nosabemosdepro yalosabenpersons hinuncaecido niagodañoparaquenoagandañoael hiastaaoritPienso queno pues todo respeto sindañar anadimishijosomishijo yasiesporquecreque.no.me hebuscadonovia Porlapocatencionquemedejandarlesselabrindoaheyos ysisalealguien puevienvenida perosinotambiennadisemueredeeso poro

[@silvanabianchini956]

Me encantó!!!

[@nefernunezmontano2257]

How long does this restorarion last?

[@affiliatedchildrensdental]

depends which material you use, skill of the operator, behavior of the patient, and then diet, hygiene, and activities of the child (like are they biting into lollipops, biting finger nails, playing rough, not brushing and flossing, etc.)

[@nidiachavez9022]

It last one year on my 4 year old son but he bites everything

[@yourshiva1]

Hi. How much does this typically cost in USA (without any insurance) for a 3 year old kid? If anyone has an idea, please let me know.

[@neekhouse8266]

Around $600

[@nidiachavez9022]

Is it painful without local anesthesia?

[@affiliatedchildrensdental]

no, not at all

[@nidiachavez9022]

How long can this crown last?

[@savski6367]

@@nidiachavez9022 Mom here, the crowns stayed white all the way up until she lost her baby teeth and the new grown up teeth have come in nice and white. She still has one crown left and it is still very white and clean! This procedure has changed her personality dramatically! She is now very confident in herself and we are delighted with the work and professionalism Affiliated Children's Dental Specialists have done for our little girl. Thank you!

[@katietowlr5531]

I have been taking my 23month old daughter to the dentist since March, because of a chipped tooth and her 4 front teeth were a little yellow they said from breastfeeding at night, and they wanted to send us to a different dentist, and this dentist wanted to keep watch over them so they didn’t get worse. We had another appointment the other day and they looked at her for 1 minute and said they wanted to extract all 4 of her front teeth. But her teeth look similar to this girl in the video. I’m taking her in for a second opinion next week. Because it just doesn’t seem right. I’ve been doing a bunch of research and I think they are still able to be crowned/capped. What do you suggest? I have such bad anxiety over what this dentist said. Because she won’t have her adult teeth in for another 4 years or so. She would be able to talk the same nor eat the same And she would have to have oral sedation, but she would still be awake. I’m just so scared.

[@affiliatedchildrensdental]

Different dentists (depending when/where they trained, CE they've taken, etc.) have very different approaches. It's a good idea to get a 2nd opinion and see if someone is willing to try to save the teeth, as long as they're not abscessed, or at least buy time with silver diamine fluoride or glass ionomer ART restorations like these (which a 23 month old will most likely not cooperate very well for). Just do not take too much time, because SECC (severe early childhood caries) is truly severe, and can progress rapidly to the point of the teeth not being salvageable. Good luck!

[@iambeezee]

Did you end up getting your daughters teeth capped? I was told the sane thing, to have them pulled but I see options like this that are never discussed

[@dearjane352]

That was impressive. Can you duplicate yourself and send your twin to Atanta? :-)

[@affiliatedchildrensdental]

LOL working on a clone!

[@tanniarecinos9571]

Where are you guys located

[@affiliatedchildrensdental]

Arizona

[@gamma105]

Omg, USC PBL?!

[@affiliatedchildrensdental]

Yes sir, is it Steve?

[@carlosyeepes4820]

Pienso1

[@affiliatedchildrensdental]

www.dentaltown.com/onlinece/details/1072/the-hall-technique-for-excellent-pediatric-dentistry

[@carlosyeepes4820]

Podridosdelchocolates

[@suckmaballz257]

How does anyone let their child’s teeth get this bad

[@ashleykipling3854]

I have no idea honestly I've been a nanny for 12 years a mother for 5 and never in my life have I seen teeth like this. Pure neglect unless they're battling disease or infection

[@estrella.8263]

but like omg they babies why ruin their baby teeth 🥴