In this paper, we monitor the setting reaction of commercial glass ionomer cements using a laser speckle technique and adopting a spatial approach in the analysis of recorded speckle images. Experimental results showed that spatial contrast and speckle grain size increased as two studied cements underwent their setting reactions. After combining two geometrical configurations to measure the intensities of backscattered and transmitted light, we concluded that the increase in speckle grain size was caused by an increase in size of the scattering centers, since cement components aggregate and hence transition from a Rayleigh to a Mie scattering regime. Finally, two main phases were distinguished in the hardening process, as reported in the literature; however, the technique we propose has the advantage of easily identifying these two phases. The analysis of a single speckle image offers multiple advantages over the temporal analysis of a series of speckle images, in particular due to the low number of images recorded and a far shorter image processing time.