Sandwich Technique

So what is this sandwich technique? Is it associated with the edible sandwiches ?

Easy Corn Sandwich | Dassana's Veg Recipes

No!

In fact it is associated with a technique in dentistry. So it looks something like this . Lets see what,why, and how is it used !

Open-sandwich technique. | Download Scientific Diagram
  • Composite doesn’t bind to the dentin in an adequate manner
  • So during polymerization there maybe a gap created
  • This gap is created if the margin is near the dentin

How can the bonding be improved ?

  • By placing a layer of Glass Ionomer Cement (GIC) between the composite restoration and the dentin.
  • The GIC bonds to dentin by chemical adhesion
  • And resin bonds mechanically to porosities
  • Crazing is seen on the surface of GIC
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GIC between dentin and composite
Effects of etching and adhesive applications on the bond strength ...
Surface micromorphological changes of glass ionomer following ...
crazing on gic

GIC can be etched with phosphoric acid which helps in retention.

37% Phosphoric Acid Gel – Dental Shivam

Indications –

  • In class 2 composite restoration
  • Lesions where one or more margins are in dentin (cervical lesions)
Class II Composites
class 2 composite restoration
Abfraction cervical lesions | Dental, Dental problems, Cervical
cervical lesions

Procedure

Sandwich technique restoration step by step - YouTube
Sandwich technique

source – textbook of dental materials (manapallil), philips, slide share and google images

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