CLEARFIL MAJESTY™ ES Flow Universal Low Syringe 2.7g/1.5mL15x Needle Tips Shade Choose an Option... - + Add to Cart
CLEARFIL MAJESTY™ ES Flow Universal Super Low Syringe 2.7g/1.5mL15x Needle Tips Shade Choose an Option... - + Add to Cart
Answering your needs In modern dental practice, there is a strong need for materials that combine convenient handling and procedural efficiency with aesthetic, durable results. These materials enable dental practitioners to achieve desired outcomes more efficiently, enabling them to spend more time on personal interaction with their patients. In the context of direct restorative treatments, the selected resin composite has a strong impact on the simplicity of procedures and the quality of the outcomes: This is why universal paste-type composites, such as CLEARFIL™ MAJESTY ES-2 Universal (Kuraray Noritake Dental Inc.) are becoming increasingly popular. With CLEARFIL™ MAJESTY ES Flow Universal, the same company has now introduced a flowable composite that offers similar benefits, summarized below by answering your key questions. How can you achieve aesthetic, durable restorations with flowable ease? CLEARFIL™ MAJESTY ES Flow Universal is a flowable solution with two complementary shades designed for intuitive shade matching that supports a range of restorative procedures. It combines practical flow characteristics with advanced shade-blending ability and outstanding mechanical properties. Low Flexural strength 151 MPa. Compressive strength 373 MPa. Filler load 75 wt/% / 59 vol%. Radiopacity 140 % Al. Super Low Flexural strength 152 MPa. Compressive strength 374 MPa. Filler load 78 wt/% / 60 vol%. Radiopacity 150 % Al. What is CLEARFIL™ MAJESTY ES Flow Universal? CLEARFIL™ MAJESTY ES Flow Universal is a light-cured, radiopaque composite resin designed for a variety of clinical situations, available in two viscosities and 2 shades. It features nano-filler technology that allows for controlled flow, polish retention, and natural-looking restorations. Seamless blending of the composite is achieved by having a smart combination of an enamel-like translucency, dentin-like chroma and Light-Diffusion Technology (LDT). The enamel-like translucency allows light to transmit through the material, enhancing the color integration with surrounding tooth structure. LDT makes restorations diffuse light in a similar way as enamel and dentin. Together with the fine-tuned chroma, these characteristics contribute to a smooth optical integration of the material into the surrounding tooth structure. Where can you use CLEARFIL™ MAJESTY ES Flow Universal? This flowable composite is intended for a wide scope of restorative needs. From Class I-V restorations to pit and fissure sealing and repairs, it is formulated for use in both conservative and comprehensive treatment plans. CLEARFIL™ MAJESTY ES Flow Universal may be used for: Direct restorations for all cavity classes, cervical lesions (e.g. root surface caries, v-shape defects), tooth wear, and tooth erosion. Cavity base / liner. Correction of tooth position and tooth shape (e.g. diastema closure, tooth malformation). Intraoral repair of fractured restorations. How is shade selection accomplished? Shade selection is virtually effortless with CLEARFIL MAJESTY™ ES Flow Universal. The two complementary shades, universal (U) and universal dark (UD), are intuitively selected – no shade guide needed. Shade U is suitable for most posterior and anterior restorations. UD performs best in darker-shade teeth (B3 and above) with a low amount of surrounding tooth structure, including Class III and IV cavities. Depending on the cavity class and age of the patient, you may pick the shade that fits best. Color matching with anterior and posterior restorations. What contributes to the performance of CLEARFIL™ MAJESTY ES Flow Universal? The formulation includes several features aimed at clinical effectiveness: Nano-filler technology: Maintains an optimal filler load for reduced shrinkage, enhanced wear resistance, and long-term polish retention. Universal shade adaptation: Offers good visual integration with surrounding tooth structure, supporting streamlined shade selection. Thixotropic handling: Flows under pressure during placement but remains stable once in position, enabling precise application. Why consider CLEARFIL™ MAJESTY ES Flow Universal? Clinicians may find CLEARFIL™ MAJESTY ES Flow Universal beneficial due to its: Predictable handling and delivery. Aesthetic outcomes for both anterior and posterior restorations. Resistance to wear and surface degradation. Radiopacity that supports radiographic evaluation. Adaptability across a variety of restorative needs. How do you apply CLEARFIL™ MAJESTY ES Flow Universal? The application is straightforward and fits into standard clinical workflows: Prepare and isolate the area as required. Apply a compatible adhesive (e.g., CLEARFIL™ Universal Bond Quick 2). Dispense the material using the syringe and fine-tip applicator. Light-cure according to the manufacturer’s guidelines (typically 20 seconds, depending on the shade and curing light used). Finish and polish to complete the restoration. Syringe-based delivery supports controlled application and convenience. Direct restoration with CLEARFIL MAJESTY™ ES Flow Universal. Has CLEARFIL™ MAJESTY ES Flow Universal been evaluated by independent sources? Yes. CLEARFIL™ MAJESTY ES Flow Universal (Super Low) has been evaluated by dental professionals through third-party testing and peer-reviewed feedback. Most recently, it received Research Award 2025 from The Dental Advisor. In their conclusion, the evaluators from the U.S.-based publication stated: “Testing shows this composite to have among the highest physical properties for flowable composites that rivals the strongest packable composites in flexural strength, and compressive strength with an ideal radiopacity.” A versatile flowable option: CLEARFIL™ MAJESTY ES Flow Universal CLEARFIL™ MAJESTY ES Flow Universal is intended to support restorative procedures by combining controlled handling, aesthetic integration, and mechanical durability. It can be a practical choice for clinicians seeking a dependable flowable resin for a wide range of clinical scenarios. Read more > Universal Excellence - Smart Streamlined Solutions At Kuraray Noritake Dental Inc., we understand the demands of modern dental practices. Balancing complex procedures, tight schedules, and patient needs is no easy task. That is why we have been on a relentless journey to streamline, enhance, and refine every step of your work for decades. Our vision is clear: a world where your materials and tools work seamlessly in your hands, where complexity is minimized, and where you are given enough time to focus on what matters most: the individual desires and needs of every single patient. This is the future of dentistry, and together, we’re making it happen. Read more > Mar 11, 2026
Intuitive shade matching goes flowable: CLEARFIL MAJESTY™ ES Flow Universal With improving mechanical properties and evolving (injection-based) techniques, the use of flowable composites is becoming increasingly popular as a permanent solution in the aesthetic zone. Consequently, the originally challenging task of shade matching becomes relevant with this material class as well. That is why Kuraray Noritake Dental Inc. introduces CLEARFIL MAJESTY™ ES Flow Universal – a flowable composite with an intuitive shade-matching concept. Available in two flowabilities and two beautifully complementary shades, universal (U) and universal dark (UD), CLEARFIL MAJESTY™ ES Flow Universal turns shade matching into an effortless endeavour. Shade U is suitable for almost all posterior and anterior cavities and shades. UD (Universal dark) shows best results in cavities of shade B3 and beyond that are lacking a back wall, such as Class IV cavities. Hence, U or UD are intuitively selected – no shade guide needed. This is feasible due to a smart combination of an enamel-like translucency, dentin-like chroma and unique Light-Diffusion Technology (LDT). The placement procedure is simplified by the clever syringe design that reduces the risk of formation of air bubbles, extruding the composite without dripping, while the low stickiness facilitates handling and sculpting with the syringe tip. Once cured, the material seamlessly blends with the surrounding tooth structure. In this way, minimal effort is involved in the creation of beautiful restorations. With a flexural strength over 150 MPa, a compressive strength over 370 MPa and high filler loading of 75, resp. 78 wt/%), CLEARFIL MAJESTY™ ES Flow Universal rivals with its mechanical properties those of conventional paste-type composites. Thanks to this, the material is suitable for use even for stress-bearing areas like occlusal surfaces. This opens the door to a wide range of applications, including restorations of all cavity classes, direct veneering, simplified restoration of multiple teeth with the flowable injection technique, and intraoral repairs. In addition, the mechanical properties provide for an easy, time-saving polishing procedure and long-lasting gloss. So well equipped, the material positions itself as a high-performance permanent restoration solution offering both aesthetic excellence and structural reliability. For those users who would like to maximise their clinical efficiency without compromising on treatment quality, the combination with other high-quality materials of Kuraray Noritake Dental Inc.’s universal portfolio – e.g. with CLEARFIL™ Universal Bond Quick 2 – is highly recommended. Consisting of fewer components and requiring fewer steps, these products reduce the procedural complexity and smooth the way for great outcomes. More information about CLEARFIL MAJESTY™ ES Flow Universal and the whole universal portfolio is available online. Apr 3, 2025
Universal shade concept meets flowable restorative Interview with Takehiro KameyaManager of the Technology Division of Kuraray Noritake Dental Inc. How did you identify the need for a universal flowable restorative? Packable composites with a universal shade concept are becoming increasingly popular worldwide. This fact made us assume that there is a demand for the flowable type as well. Users will also benefit from simplified procedures and a reduced number of shades to be stocked, with a positive impact on inventory management. Accordingly, we introduced the universal flowable composite in Japan, where it already holds a significant market share. Users have been utilizing it for various cases with excellent feedback. As it turned out to be very well received in Japan, we approached the European team to extend the release area to Europe, and the decision was made to launch it. We pushed forward with commercialization in an ultra-short period of about one year. Does it really create added value to use a universal flowable composite in addition to the universal packable variant? Yes, several benefits arise from the additional use of a modern flowable composite. This is because – unlike earlier products – the latest generation of flowable composites offers sufficient mechanical strength to be used for regular restorations. The advantages of using a flowable composite include the ability to flow into even the narrowest parts of a (sometimes complex) cavity, which provides for easy and quick filling procedures, and to an intimate adaptation at the adhesive interface leading to a tight seal. What are the differences between CLEARFIL MAJESTY™ ES Flow and CLEARFIL MAJESTY™ ES Flow Universal? CLEARFIL MAJESTY™ ES Flow Universal maintains the distinctive features of CLEARFIL MAJESTY™ ES Flow, such as convenient dispensing, handling and sculpting, extremely easy and quick polishing, long-lasting gloss and great mechanical properties. Due to their high strength, both products can be used not only as liners, but also for regular direct restoration procedures. The difference lies in the shade concept. CLEARFIL MAJESTY™ ES Flow Universal introduces a universal shade system, allowing it to adapt to a wide range of colour tones with fewer shade variations. Please describe the shade concept behind CLEARFIL MAJESTY™ ES Flow Universal. How many shades are available and how are they selected? The CLEARFIL MAJESTY™ ES Flow Universal line-up consists of two shades: Universal (U) and Universal Dark (UD). U is an excellent choice for all posterior restorations, independent of the target shade. In the anterior region and cervical area (Class III, IV and V cavities), U is best suited for restoring teeth of the shades A1 to A3 (including B1, B2, C1, C2, D2, D2, D3 and D4), while UD is the shade of choice to match the target shades A3.5 to A4 (including B3, B4, C3 and C4). Color matching with anterior and posterior restorations. Why do you offer an additional shade for the anterior region? Universal-shade composites need to take on the colour of the surrounding tooth structure to deliver a perfect match for a great number of target shades. In the posterior area, large amounts of surrounding tooth structure are usually available with several cavity walls still present. This facilitates the taking on of the tooth colour compared to cavities in the anterior region. Here, light easily passes through, so that the colour of the composite itself is more likely to be reflected. This can lead to limitations in colour matching. In the case of CLEARFIL MAJESTY™ ES Flow Universal, the U shade that turned to be ideal for the posterior area showed some colour-matching limitations in anterior restorations of darker teeth. Hence, we decided to offer a second colour option specifically designed for these situations. With U and UD, CLEARFIL MAJESTY™ ES Flow Universal offers great colour adaptability from light to dark shades and hence addresses the need for precise colour matching especially in the anterior region. Developing just two shades of composite to cover so many target tooth shades sounds challenging. How did you evaluate whether the available shades are appropriate in the clinical environment? Indeed, it has been quite challenging to develop the U shade, which is able to match a wider range of tooth colours for both anterior and posterior teeth than the U shade of CLEARFIL MAJESTY™ ES-2 Universal. In order to evaluate and fine-tune the shades we developed, we repeatedly conducted filling tests using a wide range of experimental shades in artificial teeth and extracted teeth of various tooth colours. Additionally, the final selection of shades was visually evaluated by consulting dental practitioners who used the composite in the clinical setting. What are the greatest challenges in the context of determining and selecting the right shade in the clinical environment? The major drawback of classical shade determination is that it simply increases the chair time. For both, the dental practitioner and the patient, however, minimizing chair time is the ultimate goal, as it reduces costs and increases patient comfort. A true drawback in terms of time and comfort is a colour mismatch produced due to an error during shade determination: it may necessitate intra-oral adjustments or, in the worst case, the creating of a new restoration. CLEARFIL MAJESTY™ ES Flow Universal is available in two viscosities – Low and Super Low. Why is this the case and what is the difference in use? We decided to offer two types of flowability with different thixotropic properties to cater to users’ preferences in terms of handling. Basically, there is no difference in usage between Low and Super Low. However, users are encouraged to use composites with different thixotropic properties according to their preferences and the specific case. For example, Super Low is useful for shaping the occlusal surface of posterior teeth. Low can be widely used for applications such as lining and filling in the cervical area and on proximal surfaces. CLEARFIL MAJESTY™ ES Flow Universal – Great mechanical properties. What are the technologies behind CLEARFIL MAJESTY™ ES Flow Universal that provide for a great blend-in? The probably most popular technology used in this product is our proprietary Light Diffusion Technology. We determined the optimal light diffusion based on the observation that a strong diffuse reflection of incident light results in whitening, and weak light diffusion makes it easier to take on dark colours in the oral cavity, darkening the filling site. In addition, we focused on chroma adjustment: The universal shade concept is based on the ability to take on the colour of the surrounding tooth structure and blend with it. Therefore, we have set the chroma to be easily harmonized with a wide range of tooth shades. Finally, the translucency of the material was adjusted via its submicron fillers and silica clusters. Evaluation by key opinion leaders supported us in determining an appropriate level of translucency. How to proceed in cases with discoloured tooth structure underneath – is there a need for masking with a blocker or opaquer? The necessity depends on the degree of discolouration. Due to the light diffusion properties of CLEARFIL MAJESTY™ ES Flow Universal, it is generally believed that blocking is not required, and shading can be achieved. However, in cases of severe discolouration, it may be beneficial to fill the bottom of the cavity with A2D or A3D shades of CLEARFIL MAJESTY™ ES Flow, or to use CLEARFIL™ ST Opaquer. What did you do to avoid void formation during application? We have adopted the same packaging design used in CLEARFIL MAJESTY™ ES Flow to avoid void formation in this product as well. The innovative container design minimizes the gap between the needle tip and the syringe when the tip is attached. Are there any recommendations of when to use CLEARFIL MAJESTY™ ES Flow and when to opt for CLEARFIL MAJESTY™ ES Flow Universal? While the universal variant can be used for general lining and filling applications as described in the instruction for use, CLEARFIL MAJESTY™ ES Flow is recommended for those cases in which the tooth structure is covered and the colour of the entire tooth needs to be changed. Direct veneers are a perfect example. In those situations, the use of different shades and opacities is clearly beneficial. What is the future of flowable composites? As information on clinical performance and physical properties data continues to spread, the trust in flowable composites is expected to increase in Europe, leading to its expanded usage. Furthermore, an increased demand is anticipated due to the development of filling methods using flowable composites in conjunction with moulds or matrices. TAKEHIRO KAMEYA Sep 16, 2025
Use of the new CLEARFIL MAJESTY ES Flow Universal Case by Dr. Michał Jaczewski FLOWABLE INJECTION TECHNIQUE What are the most important properties of a flowable composite used for the flowable injection technique? Personal experience shows that balanced optical properties are essential, with an appropriate translucency, blend-in ability and surface gloss leading the way. However, the mechanical properties are also important, not least because the restorative material will be in direct contact with the antagonist teeth. And finally, handling properties are essential: The right level of flowability is needed for proper injection, while a void-free application is required for an intact, stain-resistant surface. For the last seven years, CLEARFIL MAJESTY™ ES Flow Low (Kuraray Noritake Dental Inc.) has been my go-to flowable composite for the flowable injection technique. Its level of flowability is ideal for the technique in the anterior and posterior region. Whenever a lower flowability is needed, it is possible to switch to the Super Low variant. Moreover, I like the shade offering, which – together with the superior polishability of the material – leads to natural aesthetics. Finally, its mechanical properties are so good that the product is approved for a wide indication range without load limitations. When the company announced the introduction of CLEARFIL MAJESTY™ ES Flow Universal, which comes in just two universal shades and two different levels of flowability (Low and Super Low), I immediately decided to give it a try: The prospect of balanced properties I am already familiar with, combined with a simplified shade selection sounded very promising. So far, the new product comes up to my expectations: The following case example reveals the simplicity of the procedure and the beauty of the results. The patient presented during orthodontic (aligner) treatment for a shape correction in the anterior region due to wear of the incisal edge. Fig. 1. Initial clinical situation: Patient in need of a shape correction in the maxillary incisor region. Fig. 2. Application of CLEARFIL™ Universal Bond Quick 2 (Kuraray Noritake Dental Inc.) to the enamel of a central incisor, which has been merely roughened by air abrasion with aluminium oxide (50 μm at low pressure) followed by etching with a phosphoric acid etchant. Fig. 3. Transparent silicon index placed in the mouth and CLEARFIL MAJESTY ES Flow Universal Low (U shade) already injected in the position of the maxillary right central incisor. Fig. 4. Shape correction on the maxillary right central incisor completed. Fig. 5. Situation after finishing and polishing of the incisor restorations. Fig. 6. Nice shade match leading to a smooth blend-in with the surrounding natural tooth structure. Fig. 7. Immediate treatment outcome supporting an improvement of the smile aesthetics and hence, the patient‘s quality of life during aligner therapy. RESULTS THAT SPEAK FOR THEMSELVES Like its related product CLEARFIL MAJESTY ES Flow, the universal-shade version CLEARFIL MAJESTY ES Flow Universal offers properties which are – from a personal perspective – ideal for the flowable injection technique. The shade-matching properties are astonishing; the translucency is quite high when placed in thin layers (so that enamel is very well imitated), and the polishability is as good as that of CLEARFIL MAJESTY ES Flow. For virtually effortless, bubble-free injection, the product comes in a nicely designed syringe. And last but not least, the product’s mechanical properties provide peace of mind even in the posterior region. Dentist: MICHAŁ JACZEWSKI Michał Jaczewski graduated from Wroclaw Medical University in 2006 and today runs his private practice in the city of Legnica, Poland. He specializes in minimally invasive dentistry and digital dentistry and is the founder of the Biofunctional School of Occlusion. Here he lectures and runs workshops with focus on full comprehensive patient treatments. Feb 4, 2026
Posterior direct composite restoration within the “Universal Excellence” concept Case by Dt. Koray Kendir, DDS, Turkey (İzmir) ABSTRACT This clinical case report presents a posterior direct composite restoration performed using Kuraray Noritake Dental Inc.’s “Universal Excellence” product concept. A universal adhesive (CLEARFIL™ Universal Bond Quick 2) and a highly filled, universal-shade flowable composite (CLEARFIL MAJESTY™ ES Flow Universal) were utilized to achieve both simplicity and predictability. Step-by-step documentation demonstrates isolation, cavity preparation, deep margin elevation, adhesive protocol, and final restoration. CASE DESCRIPTION A 38-year-old female patient presented with complaints of interdental bleeding and cold sensitivity between her maxillary left canine and first premolar (teeth #23 and #24, FDI notation). Clinical examination revealed an open margin and secondary caries at the gingival floor of the existing restoration on tooth #23. After rubber dam isolation, the stepwise treatment procedure was initiated. CLINICAL PROCEDURE Step 1. Tooth #23 exhibited an open gingival margin and caries (Fig. 1). Step 2. After enamel removal, caries was excavated down to the gingival level. The lesion on tooth #24 was observed to extend subgingivally (Fig. 2). Step 3. After complete caries excavation and cavity refinement, the need for deep margin elevation (DME) on tooth #24 became evident (Fig. 3). Step 4. Deep margin elevation (DME) was performed on tooth #24 using a custom sectional wedge. First, selective etching and CLEARFIL™ Universal Bond Quick 2 were applied, followed by the placement of CLEARFIL MAJESTY™ ES Flow Universal (Super Low) (Figs. 4 to 6). Step 5. After completion of the DME (deep margin elevation), appropriate matrix bands were placed, followed by a direct restoration of teeth #23 and #24 with CLEARFIL MAJESTY™ ES Flow Universal (Super Low) (Figs. 7 to 9). Thanks to the material’s easy handling, shade adaptation, and excellent polishability, this challenging DME case was successfully and efficiently managed. The treatment outcome is shown in Figures 10 and 11. Fig. 1. Preoperative view under rubber dam isolation. Fig. 2. Clinical situation after caries excavation. Fig. 3. Refined cavities with a deep margin on the premolar. Fig. 4. Custom wedge placed to elevate the margin. Fig. 5. Buccal view of the teeth after deep margin elevation with universal products. Fig. 6. Occlusal view of the teeth after deep margin elevation with universal products. Fig. 7. Placement of a sectional matrix. Fig. 8. Buccal view of the teeth restored with a universal-shade flowable composite with super low flowability. Fig. 9. Occlusal view of the teeth restored with a universal-shade flowable composite. Fig. 10. Occlusal view of the final restorations of teeth #23 and #24, showing colour blending, anatomical form, and surface gloss. Fig. 11. Buccal view of the final restorations of teeth #23 and #24, showing colour blending, anatomical form, and surface gloss. DISCUSSION Universal adhesives and modern flowable composites simplify posterior direct restorations by reducing technique sensitivity while providing for durable outcomes. In this case, CLEARFIL™ Universal Bond Quick 2 provided strong adhesion with minimal application time. The universal flowable composite demonstrated excellent adaptability, polishability, and durability. Even with a subgingival margin requiring DME, a streamlined approach was achieved without compromising quality. CONCLUSION The combination of CLEARFIL™ Universal Bond Quick 2 and CLEARFIL MAJESTY™ ES Flow Universal allows clinicians to perform predictable, efficient posterior restorations. Their universal applicability and handling properties align with the “Universal Excellence” concept, supporting simplified, yet reliable daily practice. Ethics & Disclosure All procedures were performed in accordance with standard dental practice. The patient provided informed consent for treatment and publication of anonymized clinical images. Author collaborates with Kuraray Noritake Dental Inc. as an advisor; content reflects clinical experience. Dentist: KORAY KENDIR Dt. Koray Kendir is a graduate of Hacettepe University Faculty of Dentistry and the co-founder of a private dental clinic in İzmir. He specializes in digital dentistry, smile design, and computer-aided restorative treatments. Known for his innovative approach, Dr. Kendir is a frequent speaker at national dental congresses and serves as an advisor to several dental companies. Jan 14, 2026
Amalgam replacement with flowable composite Case by Dr. Julien Molia YES, IT WORKS! In the minds of many dental practitioners, it has become firmly established that flowable composites are nice liner or base materials below stronger packable composites and indirect restorations or as a temporization material. Many of them assume, however, that their use is limited due to their poor mechanical properties. A NEW GENERATION OF FLOWABLES Luckily, this is no longer true: Several flowable composites of the latest generation – like CLEARFIL MAJESTY™ ES Flow and CLEARFIL MAJESTY™ ES Flow Universal (both Kuraray Noritake Dental Inc.) – are equipped with mechanical properties, which are on par with those of many packable alternatives. Consequently, the range of indications is extended. For example, CLEARFIL MAJESTY™ ES Flow Universal, has a high filler loading of 75 to 78 wt/%, a flexural strength of more than 150 MPa and a compressive strength exceeding 370 MPa according to the manufacturer. Thanks to its high strength, it serves as a reliable and permanent solution, even suitable for stress-bearing areas such as the occlusal surfaces of posterior teeth. However, this flowable composite has even more to offer: It is available in two levels of flowability – LOW and SUPER LOW – to serve a wider range of personal preferences and individual indication-specific needs and in just two shades (universal and universal dark). The latter offers the benefit of intuitive shade selection even in the anterior area and is enabled by a mixture of shade matching technologies, including optimized light diffusion technology and an enamel-like translucency. The following case example reveals how CLEARFIL MAJESTY™ ES Flow Universal makes my life easier in posterior restoration procedures. CASE EXAMPLE This patient presented for the replacement of two amalgam restorations in the mandibular right molars (teeth # 46 and 47 according to the FDI notation) (Fig. 1). As it would facilitate filling and provide for great adaptation to the cavity walls, it was decided to use CLEARFIL MAJESTY™ ES Flow Universal LOW as the only restorative material. The position of the teeth to be restored made shade selection easy: Shade U (universal) is designed to work perfectly for all posterior restorations. The amalgam restorations were removed and caries was excavated, while saving as much of the healthy tooth structure as possible (Figs. 2 and 3). A selective enamel etching technique was chosen, followed by the application of a universal adhesive (CLEARFIL™ Universal Bond Quick 2, Kuraray Noritake Dental Inc.). Subsequently, CLEARFIL MAJESTY™ ES Flow Universal in the LOW version and the selected shade U was applied into the cavities (Fig. 4). Thanks to the innovative syringe design, the applied flowable composite is virtually free of voids. In line with the instructions for use of the product, the thickness of each layer did not exceed 2 millimetres to provide for a complete cure (Figs. 5 and 6), which has a decisive impact on the long-term performance of the final restorations. Each layer should be thoroughly cured for 10 to 20 seconds (depending on the curing light) before the next layer is applied. As shown in Figure 7, the low flowability of the selected material allows for some modelling of the occlusal surface morphology. When more anatomical details need to be restored, the steadier SUPER LOW variant may be an option. It took just a few seconds to polish the restorations to high gloss (Fig. 8). Fig. 1. Two amalgam restorations to be replaced. Fig. 2. Situation after removal of the existing amalgam restorations. Fig. 3. Typical amalgam staining is visible at the bottom of the larger cavity. Fig. 4. Filling procedure: Application of the first layer of flowable composite. Fig. 5. Second molar already filled, first molar in need of another layer of flowable composite. Fig. 6. Filling completed. Fig. 7. Nice surface morphology and shade blend-in. Fig. 8. Treatment outcome after rubber dam removal. The restorations blend in nicely with the surrounding dentition – qua shade and surface gloss. EASY-TO-USE ALTERNATIVE TO PACKABLE COMPOSITES Especially in difficult-to-reach areas in the mouth, the use of a flowable composite with well-balanced mechanical properties can be a nice alternative to packable ones. Advanced shade-matching abilities, virtually void-free application, easy adaptation and modelling, and quick polishing truly simplify the life of the dental practitioner. However, many assume their use is limited due to poor mechanical properties. Dentist: JULIEN MOLIA Dr. Julien Molia graduated in 2008 with a thesis on computer-assisted implantology. He established a general dental practice in Saint-Jean-de-Luz, where he has since focused on implant surgery and jawbone reconstruction. In 2017, he completed a second university degree in implantology to update and deepen his expertise. He has also pursued advanced training in digital dentistry, orthodontic miniscrews, and mucogingival surgery. Committed to tissue preservation, he trained privately with Drs. Gil Tirlet and Jean-Pierre Attal in Paris. Dr. Molia is a founding member of the French Southwest BioTeam, a collaborative group dedicated to clinical research and innovation. Aug 19, 2025
Two shades, all tooth colours CLEARFIL MAJESTY™ ES Flow Universal WINS RESEARCH AWARD Kuraray Noritake Dental Inc. has just launched a flowable composite with a simplified shade concept: CLEARFIL MAJESTY™ ES Flow Universal. As published in the January/February 2025 issue of the US-based Dental Advisor, the brand-new product earned a prestigious Research Award for its convincing in-vitro performance. PROPERTIES IN A NUTSHELL In Europe, CLEARFIL MAJESTY™ ES Flow Universal was just launched in two viscosities – Low and Super Low, while in the United States, the Super Low variant is available. To provide for an effortless shade selection procedure, the material is equipped with a smart combination of an enamel-like translucency, dentin-like chroma and unique Light-Diffusion Technology (LDT). This leads to exceptional shade-matching abilities and allows for a minimal shade range of just two complementary shades – universal (U) and universal dark (UD). Once cured, the material naturally blends with the surrounding tooth structure. Apart from intuitive shade selection, the flowable composite offers another major advantage: Its exceptionally high strength. With a flexural strength of 152 MPa and a compressive strength of 374 MPa, CLEARFIL MAJESTY™ ES Flow Universal (Super Low) is as strong as many paste-type composites. Consequently, it is suitable for use even in stress-bearing areas and indicated for: Direct restorations for all cavity classes, cervical lesions (e.g. root surface caries, v-shape defects), tooth wear, and tooth erosion Cavity base / liner Correction of tooth position and tooth shape (e.g. diastema closure, tooth malformation) Intraoral repair of fractured restorations Cementation of ceramic and composite inlays, onlays and veneers with less than 2 mm thickness STUNNING IN-VITRO PERFORMANCE The Super Low flowability variant offered the United States was tested in the Dental Advisor Biomaterials Research Center and compared to two other flowable composites. Among the properties evaluated were the materials’ flexural strength, modulus of elasticity, fracture toughness, compressive strength and radiopacity. Moreover, the investigators assessed the shade-matching ability of the materials in the context of restoring Class V cavities in A1, B2, C3, and D4-shaded denture teeth. Finally, they put the radiopacity and flow properties to a test. CLEARFIL MAJESTY™ ES Flow Universal performed very well in all respects. Physical properties turned out to be among the highest of flowable composites and on a similar level as paste-type alternatives. Radiopacity was found to be ideal, as was the viscosity, as the material holds its initial shape after application. And although only two shades are offered, the investigators confirmed that the CLEARFIL MAJESTY™ ES Flow Universal matches a broad range of natural tooth shades. ABOUT DENTAL ADVISOR The Top Product and Preferred Product Awards from Dental Advisor, a US-based organization, were initiated to help busy practitioners navigate the variety of new dental solutions available, particularly for less invasive techniques and standardized procedures. These awards aim to identify products that improve outcomes consistently. Dental Advisor conducts clinical evaluations and product performance tests shortly after a product’s launch and publishes annual results online to help practitioners identify high-quality dental materials suited to their specific needs. Research Awards were initiated to honour those manufacturers of dental products with an ongoing commitment to research, development and advancement of dental materials to enhance treatment quality. For more information, visit Dental Advisor at: www.dentaladvisor.com May 20, 2025
Shaping the future of dentistry KURARAY NORITAKE DENTAL INC.'S AWARD-WINNING SOLUTIONS IN 2025 In our dynamic dental landscape, the demand for cutting-edge materials and devices that enhance clinical outcomes, simplify workflows and address individual patient needs continues to rise. Dental professionals never stop looking for such products that support them and their teams in achieving exceptional treatment outcomes safely and efficiently. In a short-lived world with new products being introduced frequently, however, it can be challenging to identify and choose the right solutions. Independent evaluations that assess practical application on one hand and laboratory as well as clinical performance on the other are among the most trusted sources of information. Each year, the Dental Advisor, a respected authority in dental product testing, recognizes those dental products that consistently perform at the highest levels. In its Top & Preferred Product as well as Research Awards published in the January/February 2025 issue of the Dental Advisor, several products from Kuraray Noritake Dental Inc. earned well-deserved recognition. Among this year’s winners are a new flowable composite as well as tried-and-tested favourites that continue to shape the field of restorative and adhesive dentistry. RESEARCH AWARD WINNERS According to Dental Advisor (www.dentaladvisor.com), “Companies that receive Research Awards demonstrate a commitment to advancing dental technology and enhancing patient care.” Features and physical properties are tested in the Dental Advisor Biomaterials Research Center to evaluate the scientific performance of the materials and recognize those products with the most promising blend of characteristics. CLEARFIL MAJESTY ES Flow Universal This brand-new flowable composite with a simplified shade concept has just earned the prestigious Research Award from the Dental Advisor. While the material is available in two flowabilities (Low and Super Low) in Europe, Low is the variant offered in the United States and tested in the Dental Advisor Biomaterials Research Center. According to the test results, the material stands out mainly due to its high mechanical properties and exceptional shade matching abilities. Its flexural strength and compressive strength are level with those of the strongest packable composites on the market. And although only two shades are offered, laboratory testing confirms that the material matches a broad range of natural tooth shades. This brings both simplicity and efficiency to restorative procedures without compromising on aesthetics and durability. PANAVIA Veneer LC (RESEARCH AWARD AND PREFERRED PRODUCT) PANAVIA Veneer LC has been revered for its exceptional bond strength and aesthetic outcomes in veneer applications. Testing confirmed that – when the components recommended in the United States (PANAVIA Veneer LC Paste, CLEARFIL™ Universal Bond Quick and CLEARFIL™ Ceramic Primer Plus) are used – bond strength is high after artificial ageing. This applies to various substrates including enamel, dentin, silica-based ceramics (lithium disilicate) and zirconia. The system also showed the best gloss retention and wear properties compared to two other leading veneer cements tested. TOP PRODUCT AWARD WINNERS Every year, the Top Product Award is awarded to materials and devices in different dental categories. The winners are selected based on clinical evaluations and laboratory test results. This award offers valuable insights as the tests are conducted under real-life conditions: “Our dedicated volunteer evaluators provide unbiased insights from their real-world experiences, ensuring that only the very best receive this prestigious accolade”, as stated on www.dentaladvisor.com. CLEARFIL MAJESTY™ ES Flow A consistent winner, CLEARFIL MAJESTY™ ES Flow has earned the Top Award again this year, reinforcing its status as a top performer in the composite resin category. Praised for its ease of use, excellent handling, and natural aesthetic appearance, this material is the go-to solution for clinicians who demand versatility and a superior finish. CLEARFIL™ SE Protect CLEARFIL™ SE Protect continues to lead the category of self-etch adhesives with its antibacterial effects and fluoride release. With a proven track record of clinical excellence, it secured a Top Award this year for its remarkable performance in both bonding and long-term performance, making it an indispensable product in restorative dentistry. PANAVIA™ SA Cement Universal The epitome of simplicity in self-adhesive cementation, PANAVIA™ SA Cement Universal earned a Top Award for its ability to bond reliably to a wide range of substrates without the need for additional primers. Its easy handling and consistent results have made it the preferred choice for clinicians looking for top performance and simplicity. TEETHMATE™ DESENSITIZER For the eighth year running, TEETHMATE™ DESENSITIZER has received a Top Award, highlighting its superior performance in the treatment of hypersensitivity. This non-invasive solution remains a favourite for addressing sensitivity issues, thanks to long-lasting pain relief. PREFERRED PRODUCT AWARD WINNERS Based on clinical evaluations and in-vitro tests, the Dental Advisor selects “those items that not only excel in performance but also resonate with the needs of dental practitioners”. As explained on www.dentaladvisor.com, these products receive a Preferred Product Award. CLEARFIL™ CERAMIC PRIMER PLUS Achieving Preferred Product status for its ability to bond to a wide variety of restorative materials, CLEARFIL™ CERAMIC PRIMER PLUS continues to shine in providing exceptional bond strength, particularly to silica-based ceramics, zirconia, and composites. Its consistent performance has earned it the recognition of clinicians worldwide. PANAVIA™ Veneer LC (PREFERRED PRODUCT & RESEARCH AWARD) This product not only excels in the laboratory setting, but also in the practice environment. Among the features highlighted by the consultants in the latter are its ease of excess clean-up, working time and aesthetics. A COMMITMENT TO EXCELLENCE At Kuraray Noritake Dental Inc., the pursuit of excellence is embedded in every product. The awards just won are a reflection of the company’s dedication to empowering dental professionals with solutions that improve patient care and optimize clinical workflows. From restorative materials to adhesive solutions, Kuraray Noritake Dental Inc.’s products support a wide range of applications that enhance both daily practice and patient outcomes. The recognition received from the Dental Advisor in 2025 is a testament to the ongoing research, development, and commitment to excellence at Kuraray Noritake Dental Inc. As the practice of dentistry continues to evolve, clinicians can be sure that the people behind Kuraray Noritake Dental Inc. will never stop pushing the boundaries of dental science and listening to their needs to develop products that lead the way. After all, it is your clinical success and your patients’ quality of life that motivates us every day. Apr 29, 2025
Treatment of a fractured and secondary carious permanent molar tooth Case report by Dr Mediha Isikver Tooth fractures and secondary caries are frequently observed in posterior teeth, often resulting from occlusal stress, restoration failure, or secondary bacterial infiltration. These conditions compromise tooth integrity, function, and aesthetics. With advancements in adhesive dentistry, minimally invasive and durable restorative solutions have become achievable. Material selection plays a critical role in the success of composite restorations, influencing marginal adaptation, wear resistance, and patient satisfaction. This case report describes the step-by-step clinical management of a fractured and secondary carious permanent molar restored using materials from Kuraray Noritake Dental Inc. CASE PRESENTATION A 32-year-old female patient presented to the clinic with sensitivity and discomfort in the upper left posterior region. Clinical examination revealed a distal wall fracture on tooth #26 (maxillary left first molar) with a secondary carious lesion extending subgingivally. Radiographic evaluation confirmed the absence of periapical pathology. Adjacent teeth (#25 and #27) showed early carious activity, but the patient opted for the restoration of tooth #26 only. The tooth was asymptomatic to percussion and showed normal vitality on pulp testing. Fig. 1. Initial clinical view of tooth #26 under rubber dam isolation. TREATMENT PROTOCOL Isolation and caries removal: The tooth was isolated with rubber dam. The existing defective restoration and carious tissue were carefully removed using tungsten carbide burs and a slow-speed handpiece. Surface cleaning: After preparation, KATANA™ Cleaner was applied to remove contaminants and optimize bonding surface quality. Bonding procedure: A single-step, self-etch adhesive, CLEARFIL™ Universal Bond Quick 2, was applied to both enamel and dentin following the protocol recommended by the manufacturer. Restorative phase: The deep and undercut areas were resin coated with CLEARFIL MAJESTY™ ES Flow Universal Low (U shade), ensuring adaptation and stress relief in undercut regions. The remaining cavity was restored incrementally using CLEARFIL MAJESTY™ ES-2 Universal (U shade) paste-type composite, with each 2 mm layer light-cured for 20 seconds. Fig. 2. Clinical view of tooth #26 after removal of the defective restoration and carious tissue. Fig. 3. Application of KATANA™ Cleaner to remove contaminants and optimize bonding surface quality after preparation. Fig. 4. Selective enamel etching performed on tooth #26. Fig. 5. CLEARFIL™ Universal Bond Quick 2 applied to both enamel and dentin following the manufacturer’s recommended protocol. Fig. 6. Resin coating with CLEARFIL MAJESTY™ ES Flow Universal Low (U shade). Fig. 7. Reconstruction of the mesial and distal walls with CLEARFIL MAJESTY™ ES-2 Universal (U shade) composite. Fig. 8. Incremental build-up of cusps and occlusal anatomy using CLEARFIL MAJESTY™ ES-2 Universal composite, refined with a brush for contour adjustment. Fig. 9. Initial finishing of the composite restoration performed with darkcoloured TWIST™ DIA for Composite (medium) rubber points to refine surface texture and anatomy. Fig. 10. Final polishing performed with light-coloured TWIST™ DIA for Composite (fine) rubber points to achieve a highgloss, smooth surface. FINAL SITUATION Fig. 11. Final view of the restoration after occlusal adjustment and polishing. CONCLUSION This case demonstrates that adhesive and restorative systems from Kuraray Noritake Dental Inc. offer a reliable, efficient and effective approach for treating fractured and secondary carious posterior teeth. The integration of self-etch adhesives and high performance composites contributes to durable and aesthetically pleasing restorations. Continuous follow-up is essential to evaluate the long-term clinical behaviour of these materials. Dentist: MEDIHA ISIKVER Dr Mediha Isikver is a graduate of the Ege University Faculty of Dentistry and the co-founder of Klinik M in Istanbul, Turkey. She focuses her professional practice on aesthetic and restorative dentistry, with particular expertise in composite laminate layering, porcelain laminates, and smile design. Believing that every smile tells its own story, she aims to create personalized aesthetic transformations that blend natural harmony with artistic detail. Mar 11, 2026
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