Bonding Products

 3M products
Optibond products
Bisco

4th Generation - gold standard. 1 etch 2 rinse 3 prime 4 bond more technique sensitive Top 3

• 3M Adper Scotchbond Multi-purpose plus
• Optibond FL
• All-Bond 2

5th Generation - 1 etch 2 rinse 3 prime and bond. not all adhesives in this category are compatible with DC and SC composites because the lower pH of the oxygen inhibited layer de-activate the tertiary amine in chemical cured composites.

• Optibond Solo Plus adds a dual cure activator, benzene sulphinic-acid/sodium salt solution, to raise pH.  With that it can bond to DC and SC but the extra chemical lowers bond strength.
• 3M Adper Single bond plus, Excite, Prime&Bond NT

6th Generation - selective etch products
Type 1 - 1 etch and prime 2 bond.

• Clearfil SE Bond, AdheSE

Type 2

• All-Bond SE, Adper Prompt L-Pop, Xeno III

7th Generation - selective etch with a all-in-one consistency

• Clearfil S3 Bond
• G-Bond, Futurabond DC, Bond Force, Xeno IV

Universal (2011) Compatible with both total and self etch systems, works with both dual and self cure products, primer for silica and zirconia.

1. Differs from 7th in that can bond dentin after phosphoric etch due to higher pH
2. Contains Silane (ceramic) and/or acidic monomer like MDP (zirconia) Tests show coat silane still improves and HF is mostly responsible anyway so not sure much advantage. 1

Scotchbond Universal has silane and phosphate monomer
All-Bond Universal found spot said has phosphate monomer BUT said needs Z-Prime still?? 1
Voco Futrabond U  is DC universal

 

Source

Generation	Dates	Dentin Bond Strength (MPa)	Smear Layer	Products
4th	Late 1980's	20-35	Removed	ALL-BOND 2, OptiBond FL., Adper Scotchbond Multipurpose
5th	Early 1990s	20-30	Removed	Optibond SOLO Plus, Prime & Bond NT, Adper Single Bond Plus, Excite
6th Type I	Mid-late 1990's	15-35	Modified	AdheSE,CLEARFIL SE Bond
6th Type II	Mid-late 1990's	10-30	Modified	ALL-BOND SE, Adper Prompt L-Pop, Xeno III
7th	Early 2000's	20-30	Modified	CLEARFIL S3 BOND, G-BOND,Futurabond DC, BOND FORCE, Xeno IV
Universal	Late 2011	30-50	Modified	Scotchbond Universal, Peak Universal, ALL-BOND Universal, Optibond XTR, Prime & Bond Elect

Universal Bonding Agent	Shear Bond Strength – Enamel (MPa)	Shear Bond Strength – Dentin (MPa)
Optibond XTR	39	47
Scotchbond Universal	26 (SE) / 30 (TE)	41 (SE) / 43 (TE)
ALL-BOND Universal	nt	29 (SE) / 39 (TE)
Total Etch and Self Etch Bonding Agents	Shear Bond Strength – Enamel (MPa)	Superficial Dentin-(MPa)
Kerr Optibond All In One	26.3	40.4
3M ESPE Adper Scotchbond SE	34	33
All Bond TE	22	34

Table 3: Universal, Total Etch and Self Etch bonding agents tested using the Ultradent Shear Test. (“nt” = not tested, “SE” = self-etch, “TE” = total-etch)

Bryan Bauer, DDS, FAGD                                                                
630-665-5550                                                                  

Wheaton General and Cosmetic Dentists

Steps

1. Seat patient confirm completing filling on tooth listed today.
2. Place bid
3. Dry mucosa at site of injection and place topical with cotton gauze or roll over top
4. If anterior filling check shade with mock composite
5. Doctor deliver first step anesthetic
6. Doctor deliver second step anesthetic
7. ASK patient feels numb
8. Remove decay and bevel all enamel edges
9. Use Viscostat, cords, or traxodent as needed.

 Anterior filling Total etch technique

1. Place mylar strip and wave wedge
2. Etch enamel 15 seconds and dentin 10 seconds then wash and dry (with bac etch)
3. 2% CHX unknown duration 30-60 sec suggested (only beneficial on areas etched) air dry
4. Gluma 10-20 seconds with scrubbing in dentin and air dry
5. If deep, line dentin with RMGI (but etch and CHX steps get moved to right after this step)
6. Step 1 Optibond Fl Prime 15 seconds scrubbing then air dry 5 sec
7. Step 2 1 tooth?=same brush Optibond Fl Adhesive 15 seconds scrubbing then air thin 3 sec
8. Cure
9. Layer composite curing as needed
10. Peel mylar strip back place flowable comp IP and pull mylar through and cure

Buccal filling Total etch technique

1. Place #0 cord soaked in hemodent
2. Etch enamel 15 seconds and dentin 10 seconds then wash and dry (with bac etch)
3. 2% CHX unknown duration 30-60 sec suggested (only beneficial on areas etched) air dry
4. Gluma 10-20 seconds with scrubbing in dentin and air dry
5. If deep, line dentin with RMGI (but etch and CHX steps get moved to right after this step)
6. Step 1 Optibond Fl Prime 15 seconds scrubbing then air dry 5 sec
7. Step 2 1 tooth?=same brush Optibond Fl Adhesive 15 seconds scrubbing then air thin 3 sec
8. Cure
9. Layer composite curing as needed
10. Remove cord

Posterior filling Selective etch technique

1. Place V-ring if IP
2. Etch enamel 15 seconds then wash and dry (with bac etch)
3. 2% CHX unknown duration 30-60 sec suggested (only beneficial on areas etched) air dry
4. Gluma 10-20 seconds with scrubbing in dentin and air dry
5. If deep, line dentin with RMGI (but etch and CHX steps get moved to right after this step)
6. Step 1 Clearfil SE Protect prime and etch 20 seconds with scrubbing then air dry
7. Step 2 Clearfil SE Protect bond, air thin then cure 5-10 seconds
8. Burnish metal matrix if needed
9. Layer composite curing as needed
10. Removal V-ring, wedge, and peel back matrx to cure IP

 Finish and polish

1. Bulk reduction excess composite
2. Check occlusion and excursion with Troll foil
3. Check contacts with floss
4. Fine tune with finishing burs
5. Polish

Total etch article is good
6 month test showing total etch maintains bond strength best
Kanca article on moist bonding with total etch technique
Kanca article on HEMA.

Kanca says HEMA is acting as the wetting agent, most glutaraldehyde products also contain that.

Bryan Bauer, DDS, FAGD                                                                
630-665-5550                                                                  

Wheaton General and Cosmetic Dentists