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ALL-BOND UNIVERSAL

Bisco Dental Products www.bisco.com

Consultants’ Comments

  • “Easy to use and works for everything!”
  • “Less technique sensitive than other adhesives.”
  • “The built in desensitizer eliminates one step from our previous protocols.”
  • “Works great with my dual-cure core material.”
  • “Low viscosity wets the tooth well.”
  • “Film thickness does not interfere with seating of indirect restorations.”
  • “Application of two coats makes the procedure longer.”
  • “No silane is included for priming silica-based ceramics.”

Description

ALL-BOND UNIVERSAL is a single-component, light-cured bonding agent that combines etching, priming and bonding in one bottle. It may be used in self-etch, total-etch or selective-etch bonding techniques. Compatible with all dental materials, ALL-BOND UNIVERSAL is an ethanol/water-based adhesive containing MDP. It bonds to dentin, cut and uncut enamel. It is fully compatible with light-cured, self-cured and dual-cured resin composites and can be used for the bonding of both indirect and direct restorations, for porcelain repairs and as a protective varnish for glass ionomer-based restorations. ALL-BOND UNIVERSAL is also indicated for desensitization of preparations prior to provisionalization/immediate dentin sealing and for the desensitization of exposed root surfaces. The kit contains a 6 mL bottle of adhesive, a 5 g syringe of Select HV Etch, a high viscosity etchant and accessories. ALL-BOND UNIVERSAL was evaluated by 19 consultants in over 900 uses. It received a 96% clinical rating.

Clinical Observations

Instructions/Packaging

ALL-BOND UNIVERSAL has many indications which are thoroughly explained in the instructions for use. The laminated technique card was found to be a very good chairside reference for common procedures such as direct composite restorations. The packaging of ALL-BOND UNIVERSAL in a plastic dropper bottle with a screw-on cap is simple and neat. The 6 mL size is a larger volume than many other adhesives. No refrigeration is required, making it convenient to store.

Dispensing/Application

The low viscosity of ALL-BOND UNIVERSAL makes it easy to dispense from the bottle. A gentle squeeze produces single-drop delivery. Care must be taken to avoid additional pressure on the bottle, which could express too much liquid. Excellent surface wettability is achieved by the low viscosity of the adhesive. It coats the tooth well and leaves a glossy surface after light curing.

Clinical Procedure

ALL-BOND UNIVERSAL can be used with or without a phosphoric acid etchant for direct bonding procedures. Whether used in a self-etch or total-etch technique, two coats of adhesive followed by air drying are required. Light curing time is 10 seconds. When bonding indirect restorations, the adhesive must be applied on the inner surface of the restoration and light cured. Some confusion was noted regarding the manufacturer’s recommendation that a separate ceramic primer (silane) should be used on silica-based ceramic veneers instead of ALL-BOND UNIVERSAL.

Versatility

The usefulness of ALL-BOND UNIVERSAL for various restorative procedures was rated excellent by consultants. Having one adhesive that can be used for self-etch, total-etch, direct, and indirect bonding procedures simplifies the clinical procedure. Its compatibility with self- and dual-cured composites without a separate dual-cure activator reduces the inventory of materials required in the office.

Retention

The durability of bond during the evaluation period was rated excellent.

Sensitivity

No instances of post-operative sensitivity were noted.

SUMMARY

ALL-BOND UNIVERSAL provides a one-bottle solution for most clinical bonding procedures. It is easy to apply and spreads on the tooth to a thin, even coat. Thirty-seven percent of consultants rated ALL-BOND UNIVERSAL better than other universal bonding agents; 53% reported it was equivalent. Seventy-four percent would switch to ALL-BOND UNIVERSAL and 90% would recommend it to a colleague.

Clinical Tips

  • Dispense immediately before use and recap tightly after use – it evaporates quickly.

  • Use the included high-viscosity SELECT HV ETCH for the selective-etch technique.

  • The tooth surface should be moist before applying ALL-BOND UNIVERSAL.