Richard Goldman, DDS, FAGD
Ever since Parkell introduced the Brush&Bond® self-etching dentin/enamel adhesive system to the US market in 2003, dentists have continued to find new and beneficial uses for the product. Dentists around the world have discovered the benefits of using Brush&Bond routinely as a preparation desensitizer, dentin protector, and bond enhancer during restorative and fixed prosthodontic treatment. There are many reasons why one should consider using a low-viscosity, self-etching, resin-based bonding agent such as Brush&Bond or Brush&Bond® Universal (ie, the most updated, current Brush&Bond formula), including significant advantages over other materials for teeth prepared with rotary instruments.
Brush&Bond’s resins easily penetrate into the dentin tubules, imparting immediate, profound desensitization to a healthy, vital tooth. In addition, this application should significantly reduce or eliminate postoperative sensitivity. A tooth that remains sensitive after an application of Brush&Bond (or Brush&Bond Universal) could be indicative of a possible endodontic issue.
Brush&Bond strengthens the bond between the tooth and the restoration. It also makes the dentin highly resistant to acid attack from acidogenic bacteria. Oftentimes, patients are forced to delay crown insertion appointments for many reasons. In these situations, when the patient does return for crown insertion, Brush&Bond minimizes the possibility of recurrent caries occurring under the provisional.
Another great advantage to using Brush& Bond or Brush&Bond Universal is that these materials reduce the need for anesthesia at the cementation visit. If Brush&Bond is applied to the tooth at the preparation visit, the tooth should not be sensitive when the provisional is removed. This is due to the effective penetration of the adhesive into the tubules. In addition, because only one coat is required, and the film thickness of Brush&Bond is a miniscule 3 microns, the material will not interfere with the seating of indirectly fabricated restorations, such as crowns, bridges, inlays, onlays, or veneers.
This clinically proven product is based on time-tested 4-methacryloyloxyethy trimellitate anhydride (4-META) chemistry. Historically, 4-META has more than 35 years of success as a penetration-promoting molecule for dental bonding. Brush&Bond and, subsequently, Brush&Bond Universal have been used successfully by tens of thousands of dentists on millions of teeth. Some dentists actually refer to Brush&Bond as “Bonding for Dummies,” because it’s almost impossible to use the product incorrectly.
About the Author
Richard Goldman, DDS, FAGD, maintains a private practice in Chicago, Illinois, that specializes in treating temporomandibular joint dysfunction syndrome.
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