November 2013, Volume 9, Issue 11
Published by AEGIS Communications
Keeping it Simple for Successful Adhesive Dentistry
Flexibility and high performance in one bottle
In the 1960s, the US Navy adopted the acronym “KISS” (Keep it simple, stupid) as a guiding design principle. The implicit concept is that most systems work best if they are not made overly complex. The KISS principle can be applied to many professions, including dentistry. With varying clinical beliefs among practitioners, different patients requiring many types of restorations, and numerous materials available to restore teeth, it seems that new products for every different clinical situation keep appearing and the inventory in offices keeps growing.
Until recently, the author stocked a separate bonding agent for veneers, composites, post cementation and resin luting cements. With the introduction of All-Bond Universal® from BISCO (Figure 1), multiple bonding agents for various situations can become a thing of the past. Keeping it simple for successful adhesion is, and will be, the future.
Whether one uses total-etch, self-etch, or even selective-etch, All-Bond Universal provides the clinician with all of these options in one bottle. It gives the clinician multiple options, depending on the clinical situation, while only requiring one bottle of adhesive.
Some of the benefits of All-Bond Universal are:
• Flexibility of technique (total-etch, self-etch, or selective-etch)
• Used for both direct and indirect restorations
• High bond strengths to all indirect substrates, including metal, glass ceramics, zirconium, alumina, porcelain (silica-based), and lithium disilicate
• Fully compatible with all light-cured, self-cured, and dual-cured composite and luting cements
• Low film thickness (less than 10 µm)
• Additional activator not required
Using All-Bond Universal
After the tooth is prepared, it should be washed thoroughly with water spray. If using the self-etch technique, an absorbent pellet or high-speed suction should be used to remove excess water, avoiding desiccation, prior to placement of All-Bond Universal. If using the total-etch or the selective-etch technique, place etchant on the appropriate area, namely enamel and dentin for the former and enamel only for the latter. Rinse thoroughly and remove excess water with an absorbent pellet or high-speed suction, avoiding desiccation.
All-Bond Universal is applied in 2 coats, scrubbing the preparation with a microbrush for 10 to 15 seconds per coat. It is important not to light cure between coats. Next, evaporate the solvent by thoroughly air-drying with an air syringe for a minimum of 10 seconds. There should be no visible movement of the material and the surface should have a uniform glossy appearance (Figure 2). The material can now be light cured for 10 seconds. The clinician can now continue with placement of whatever restorative material they choose, according to the manufacturer’s instructions.
All-Bond Universal is currently the only truly universal one-bottle dental adhesive for all dental bonding procedures. No additional primers or activators are required and it does not require refrigeration. With all of the different materials available to restore teeth, it makes sense to “keep it simple” with All-Bond Universal.
About the Author
Adamo E. Notarantonio, DDS, FICOI, AAACD, is in private practice in Huntington, New York.
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The preceding material was provided by the manufacturer. The statements and opinions contained therein are solely those of the manufacturer and not of the editors, publisher, or the Editorial Board of Inside Dentistry.