I have trouble with post-operative sensitivity in some of my patients after restoration with indirect composite or ceramic, and in some cases, direct composite. Is there a bonding agent that is known for its low incidences of post-operative sensitivity?

Yes, Clearfil PROTECT BOND (Kuraray America) is a self-etching, light-cured adhesive that offers long-term fluoride release and contains MDPB monomer that has an antibacterial cavity cleansing effect. This product was tested for post-operative sensitivity in both direct and indirect restorations by clinical consultants at THE DENTAL ADVISOR. For both procedures, the use of Clearfil PROTECT BOND produced no to very mild sensitivity. For the indirect restoration group, post-operative sensitivity was absent or very mild in 95% of patients after permanent cementation. For the direct restoration group, 100% of the patients reported no to minimal sensitivity after three days.