Nov/Dec 2016
Volume 37, Issue 11

ALL-BOND UNIVERSAL’s Versatility: An Indispensable Addition to Your Practice

Like all dental practitioners, Joseph Kim, DDS, JD, needs an adhesive he can depend on. ALL-BOND UNIVERSAL® by BISCO offers his dental practices the predictability and reliability he sought. ALL-BOND UNIVERSAL is a universal adhesive that can adhere to all dental substrates for both direct and indirect restorations and is formulated to be compatible with light-cured, dual-cured, and self-cured materials.

“I need to know that the chemistry that is serving as the foundation of my adhesive dentistry is completely dependable. Therefore, the primary reason I use this product is due to its predictability,” stresses Kim, who has two Illinois-based offices—one focused on restorative dentistry and the other on implantology.

“In private practice, we can’t use electron microscopes or testing machines to verify the manufacturers’ claims,” he says. “Even if we could, we wouldn’t have time to use them. So ultimately, we have to evaluate these claims using our clinical expertise. Is the restoration falling off? Is it staining? Is the patient in pain? Also, from a practice-management perspective, I can’t afford the financial and reputational costs of failures. With ALL-BOND UNIVERSAL, I don’t worry about costly redos, bonding leakage, or marginal staining.”

Its low film thickness (<10 μm) allows the adhesive to be used with indirect restorations without affecting the fit.

“I use this on composites, veneers, cores with or without pins, e.max®, lithium disilicate, zirconia products of every variety, precious and non-precious metal, Maryland bridges, crowns, bridges, implants, just about everything. If I plan on using a resin cement, I will be priming with ALL-BOND UNIVERSAL,” says Kim.

The “universal” refers not only to its compatibility with light-cure, dual-cure, and self-cure materials (without the need for a separate self-cure activator), but also its compatibility with any etching method. “Prior to the introduction of this product, I was primarily using the total-etch technique we were taught in dental school. Currently, I use the selective-etch technique. This means that when I am bonding to enamel (cut or uncut), I am going to use a high-viscosity, low-flow phosphoric acid gel, prior to using the adhesive itself. This allows for the dentin to remain unetched after preparation, resulting in optimal bond strengths with minimal technique sensitivity,” Kim says.

Being hydrophilic on application but hydrophobic on polymerization allows this to be chemically stable, protect collagen fibers, provide sufficient wetting of dentin, and lead to quickly polymerizing hydrophobic barriers to water penetration.

The financial benefits of this are noteworthy, as well. Other adhesive systems may need more than 1 bottle for use in indirect restorations. But with ALL-BOND UNIVERSAL, no activator is required; therefore, less product and materials are needed. Kim adds, “Not having to stock 4 or 5 different bottles, often from multiple vendors, which tend to expire prior to depletion and come at a high expense, or to worry if something was ordered or restocked is a huge relief for my practice team and myself.”

As an advantage to the patients, clinical evaluation has confirmed the ease-of-use and virtually no postoperative sensitivity. Kim even stresses how he has never had a patient complain after a procedure using this “tenacious” adhesive, as he puts it.

ALL-BOND UNIVERSAL’s impressive bond strength cannot be ignored either. Kim emphasizes, “The restorative care I provide my patients has improved significantly since starting my first practice in 2001. We have experienced fewer restorative failures, in large part because of this product. At this phase in my dental career, predictability is key. With ALL-BOND UNIVERSAL, the bonding agent will never be the weak link.”

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