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Adhese® Universal-One Year Clinical Performance

Consultants’ Comments

  •  “I love the VivaPen dispensing system – very convenient and minimal waste.”
  • “I like having one bonding system that allows both self-etch and total-etch
  • “I have always had success with Ivoclar Vivadent bonding systems – I was not disappointed with Adhese Universal.”



Adhese® Universal is a single-component, light-cured adhesive for direct and indirect bonding procedures. It is compatible with self-etch, selective-enamel-etch, and etch and rinse techniques. The VivaPen applicator has an internal locking mechanism and disposable angled brush cannula to keep material fresh and minimize waste. Each pen contains 2ml of liquid for up to 190 single-tooth applications. The brush tip is saturated with two to three clicks of the button on the pen, a single coat (applicable with any etching technique) is applied and agitated for 20 seconds, then dispersed with air, and light cured for 10 seconds.

Clinical Evaluation Protocol

Adhese Universal was used to place a total of 83 direct and indirect restorations. At one year, 73 of these restorations (one zirconia crown, five IPS e.max veneers and 67 universal composite restorations) were available for recall (Figures 1 and 2). Restorations bonded with Adhese Universal were evaluated in the following categories:  lack of postoperative sensitivity, resistance to marginal discoloration and retention. The restorations were evaluated on a 1-5 rating scale: 1=poor, 2=fair, 3=good, 4=very good, 5=excellent (Figure 2).

Clinical Observations

Lack of Postoperative Sensitivity

No sensitivity was reported by patients in any of the retained restorations placed with Adhese Universal (Figure 3).

Resistance to Marginal Discoloration

Ninety-five percent of the restorations showed no signs of marginal staining (Figure 3). Three anterior composite restorations exhibited slight marginal staining.


Ninety-nine percent of the restorations were retained after one year in service (Figure 3). One large anterior composite restoration debonded and was replaced.


Eighty-three direct and indirect restorations were placed using Adhese Universal bonding system. Seventy-three of these restorations were available for recall after one year. All restorations received excellent ratings for lack of postoperative sensitivity, resistance to marginal discoloration and retention. One anterior composite restoration debonded.  Adhese Universal received a clinical performance rating of 99% at one year.