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CLEARFIL MAJESTY ES Flow with CLEARFIL Universal Bond Quick (1-Year Progress Report)

Kuraray Noritake Dental Inc. www.kuraraydental.com

Consultants’ Comments

  • “I love flowables – Clearfil Majesty is in a class of its own.”
  • “I use Clearfil Majesty regularly in areas of incipient decay − flows well, very esthetic and polishes easily.”
  • Clearfil Majesty is my go-to flowable to repair small chips in anterior teeth. It blends seamlessly with the tooth.”
  • “Great to use in abfraction areas in conjunction with CLEARFIL Universal Bond Quick. Clearfil Majesty bonds well and is very easy to finish and polish. Patients love the outcome.”

Clinical Evaluation Protocol

A total of 99 CLEARFIL Universal Bond Quick with CLEARFIL MAJESTY ES Flow restorations were placed over an eight-month period. At year one, 92 restorations had been recalled, 68 of which had been in place for at least a year. Restorations were placed in 46 molars, 26 premolars and 27 anterior teeth (Figure 1). The classification of restorations was recorded with 46 Class I, 7 Class II, 1 Class III, 30 Class V, and 14 Class VI restorations (Figure 2)

Results at One-year Recall

Recalled restorations were evaluated in the following areas: esthetics, lack of sensitivity, resistance to fracture/chipping, resistance to marginal discoloration, wear resistance, and retention. Restorations were evaluated on a 1-5 rating scale: 1= poor, 2 = fair, 3 = good, 4 = very good, 5 = excellent. Two restorations received a rating of one in each category, as they had debonded.
Esthetics
Eighty-nine of ninety-two recalled CLEARFIL Universal Bond Quick with CLEARFIL MAJESTY ES Flow restorations (97%) received an excellent rating of five (Figure 3). One restoration received a rating of four.
Lack of Sensitivity
Ninety of ninety-two recalled CLEARFIL Universal Bond Quick with CLEARFIL MAJESTY ES Flow restorations (98%) received an excellent rating of five (Figure 3).

Resistance to Fracture/Chipping
Ninety of ninety-two recalled CLEARFIL Universal Bond Quick with CLEARFIL MAJESTY ES Flow restorations (98%) received an excellent rating of five (Figure 3).
Resistance to Marginal Discoloration
Ninety of ninety-two recalled CLEARFIL Universal Bond Quick with CLEARFIL MAJESTY ES Flow restorations (98%) received an excellent rating of five (Figure 3).
Retention
Ninety of ninety-two recalled CLEARFIL Universal Bond Quick with CLEARFIL MAJESTY ES Flow restorations (98%) received an excellent rating of five (Figure 3).

Description

CLEARFIL MAJESTY ES Flow is a light-cure, universal flowable composite. It contains submicron fillers that are treated with a proprietary silane coupling agent to provide for low shrinkage, high mechanical properties, and low viscosity. The submicron fillers and high filler load provide for esthetics. CLEARFIL Universal Bond Quick is a single-bottle, universal bonding agent that contains a novel rapid bond technology and releases fluoride. It is compatible with total-, self- and selective-etch techniques and with light-, self- and dual-cured materials (with CLEARFIL DC Activator).

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Summary

The clinical performance of recalled CLEARFIL Universal Bond Quick with CLEARFIL MAJESTY ES Flow restorations was exceptional. Esthetics was excellent, as were the lack of sensitivity, resistance to marginal discoloration, resistance to fracture/chipping and retention. The restorations will continue to be monitored over time. CLEARFIL Universal Bond Quickwith CLEARFIL MAJESTY ES Flow received a clinical performance rating of 98% at one year.