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  An Exclusive Review is an editors' evaluation. This product has been evaluated by editors of THE DENTAL ADVISOR.
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  Preferred Products are selected by Dr. John Farah and the staff of THE DENTAL ADVISOR. These products are featured each year in the January-February issue of THE DENTAL ADVISOR.

AdheSE (BG)

+++++

Editors' evaluation

Ivoclar Vivadent, Inc
800.533.6825 - 716.691.0010
www.ivoclarvivadent.us.com

Editors' Comments

• “The adhesive does not bond to the metal matrix band, which is easily removed after use.”
• “I like not having to refrigerate this product.”
• “Increase the viscosity of the primer slightly to allow more controlled dispensing and application.”

Description

AdheSE is a two-component, no-mix, self-etching bonding system (6^th-generation, Type I) designed for use with direct light-cured composite restorations. The acidic primer (pH 1.6) of AdheSE etches the enamel and dentin surfaces. Primer is applied for 30 seconds then air-dried, followed by application of the bond and a 10-second light cure. As the hydrolysis of methacrylate-based monomers can significantly reduce bond strengths, AdheSE is formulated with a hydrolytically stable monomer that provides consistent bond strengths. The introductory kit includes 5-g bottles of primer and bond, a dispensing well and applicator brushes. About 150 drops can be dispensed from each bottle; one drop from each bottle is adequate for one medium restoration. Sixteen editors used AdheSE in over 350 restorations over a six-week evaluation period. This product received a 96% clinical rating.

Suggested Retail Cost

• $50.00/5 ml primer or bond refill

Editors' Observations

Manufacturer’s Instructions
Instructions for use are clear with the clinical procedure well illustrated. The application steps printed on the dispensing well provide an excellent, quick reference for assistants and octors during use.

Delivery System
Separate priming and bonding steps assure consistent adhesive application. Editors appreciated the green and black bottles of primer and adhesive, which are color-coded to the brushes and dispensing well. The imprinting of the recommended curing time onto the dispensing well was suggested.

Ease of Use
The self-etching bonding system is very easy to use. The adhesive flows evenly and wets the surface well. Editors found the abbreviated instructions on the dispensing well to be very useful. The lack of the need for refrigeration was also appreciated.

Postoperative Sensitivity
Minimal postoperative sensitivity was reported during the six-week evaluation period.

Ease of Band Removal
Removal of the metal matrix band after using AdheSE with a direct composite was not difficult.

More About: Ivoclar Vivadent, Inc, 6th-generation Bonding Agent, Bonding Agent - 6th-generation, Self-etch Adhesive

Editors' Note: Editor's Note: Since this evaluation, Ivoclar Vivadent has introduced AdheSE One; a self-etching, light-cured, single-component, 7^th-generation adhesive for direct restorative treatment. It is only available in the VivaPen.

The original evaluation was published in THE DENTAL ADVISOR, Vol. 20, No. 9, November 2003.