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Glass ionomer cement (GIC) is a self-adhesive restorative material.[1] Chemically, it combines fluoro-aluminosilicate glass powder and polyacrylic acid liquid. GIC has a broad spectrum of restorative adult and pediatric dentistry uses and exhibits potent anti-cariogenic action. GIC was first described by Wilson and Kent in 1972 and has evolved gradually to improve its properties and broaden its uses. GIC is used for the cementation of fixed dental prosthesis (FDPs), orthodontic bands, and brackets, to restore carious and noncarious lesions, and as liners or bases, core build-up material, pit and fissure sealant, and for atraumatic restorative techniques (ART).[2]

Each healthcare team member has specific responsibilities in the context of using GIC. Physicians, advanced practitioners, and nurses may be responsible for diagnosing and recommending treatments, while dentists and dental hygienists would be responsible for applying and managing GIC. Clear delineation of responsibilities ensures a coordinated and efficient approach to patient care. Effective communication among healthcare professionals is essential for seamless care delivery. Dentists, physicians, nurses, and other team members must share patient history, treatment plans, and progress information. Clear and open communication facilitates collaborative decision-making and ensures that the use of GIC aligns with the overall care plan for the patient. This collaborative effort ensures that healthcare professionals are well-equipped to provide patient-centered care, enhance outcomes, promote patient safety, and optimize team performance in the context of GIC applications.

The chairside dental assistant is in charge of mixing the glass ionomer cement on a glass slab or mixing pad with an agate spatula and handing it to the dentist. The mixing technique is explained in further detail above in the manipulation section. Dental assistants must be well informed on adequately preparing the GIC, instruments needed, and the material setting time.

Nurses play a crucial role in assessing patients before and after GIC procedures. They must monitor for any allergic reactions, discomfort, or adverse events related to using GIC. Nurses should maintain detailed and accurate documentation of GIC procedures, including the type of GIC used, dosage, patient response, and complications. This information is essential for patient care continuity and communication with other healthcare providers. Interprofessional teams, which may include dentists, physicians, nurses, pharmacists, and other healthcare professionals, should collaboratively decide on using GIC based on the patient's overall health, treatment goals, and available alternatives. Interprofessional communication is crucial for reporting and addressing any adverse events associated with GIC. This allows for prompt intervention, shared learning, and adjustments to clinical practices if necessary. All team members, including nurses and allied health professionals, should participate in ongoing training and workshops to stay updated on the latest advancements, techniques, and safety considerations related to GIC.