Giomeros. A clinical case.

Abstract

Introduction: Giomers are the latest category of hybrid restorative materials with bioactive attributes, representing the true hybridization of glass ionomer and resin composite. Its S-PRG technology is based on the prereacted glass surface in which multifunctional fluoride-boron-aluminosilicate glass particles are trapped within a polyacid matrix and six beneficial ions are actively released: fluoride, strontium, borate, aluminum, silicate and sodium. They have a trilaminated structure which forms a stable type of glass ionomer allowing the release and recharge of ions, protecting the internal glass particle from harmful wet agents, improving long-term durability. Clinical case: 10-year-old female patient. He presents with caries lesions on teeth 11, 12, 21, 22, and 44 with a diagnosis of ICDAS 0-3 and 0-5. He removed tissue faceted with a diamond ball bur, teaspoon and smar brush bur. Once the carious tissue has been removed, the pulp protector is placed with Theracal LC, continuing with the etching and adhesion protocol for the placement of the Giomero Beautifil II. On follow-up the patient appears symptomatic. Conclusions: The release of fluoride with giomers is prolonged and continuous which causes remineralization of the tissues, there is less probability of secondary caries due to its buffer capacity and decreased biofilm adhesion and its placement is easy, fast and does not require appliances or specialized instruments, final polishing being optional.