Wouldn’t it be great to have a single dental material indicated for the treatment of all kinds of hypersensitivities? A product that effectively and durably occludes exposed dentinal tubules caused by gingival recession, dental erosion or excessive toothbrushing, but also works in the context of professional tooth cleaning, scaling and root planning, tooth whitening or restorative procedures? The fact that Kuraray Noritake Dental Inc.’s TEETHMATE™ DESENSITIZER is ideally suited for all those indications by providing lasting hypersensitivity relief is surely one of the reasons for its winning of a Dental Advisor award for the seventh consecutive year.

Designed to crystallize hydroxyapatite (HAp) from the ground up, TEETHMATE™ DESENSITIZER reliably seals exposed dentinal tubules and enamel cracks.

Consisting of natural calcium and phosphate, the product may even be applied to freshly prepared tooth structure without negatively affecting the bond strength of subsequently utilized dental adhesives or cements.

The consultants of the Dental Advisor conducted a six-month clinical study to be able to evaluate the performance of TEETHMATE™ DESENSITIZER. They selected 27 patients with hypersensitivity issues in their dental practices. Thermal testing with cold air was used to identify the affected teeth, 54 of which were included in the evaluation. For the initial assessment, patients were asked to evaluate their level and frequency of hypersensitivity per tooth on a five-point scale (1 = severe, persistent sensitivity to 5 = no sensitivity). Subsequently, TEETHMATE™ DESENSITIZER was applied according to the instructions for use. Sensitivity was evaluated again immediately after the treatment and six months later. At baseline, 91 percent of the patients stated that they had no or only mild, sporadic sensitivity, which was still the case for 85 percent after six months. This indicates that the product is very effective in providing immediate and even long-term hypersensitivity relief.

Hence, it is not surprising that TEETHMATE™ DESENSITIZER has been among the winners of the Dental Advisor’s Top Product Award every year between 2015 and 2021.

Study results that confirm the material’s effectiveness in reducing pre- and post-operative sensitivity in the context of tooth whitening¹ and indirect restoration procedures² are also available, so that users can count on a reliable performance in a wide range of indications.

References

1. Mehta D, Jyothi S, Moogi P, Finger WJ, Sasaki K. Novel treatment of in-office tooth bleaching sensitivity: A randomized, placebo-controlled clinical study. J Esthet Restor Dent. 2018 May;30(3):254-258.
2. Shetty R, Bhat AN, Mehta D, Finger WJ. Effect of a Calcium Phosphate Desensitizer on Pre- and Postcementation Sensitivity of Teeth Prepared for Full-Coverage Restorations: A Randomized, Placebo-Controlled Clinical Study. Int J Prosthodont. 2017 Jan/Feb;30(1):38-42.

Case by Dr. Aleksandra Łyżwińska, DMD

The case presented is regarding a patient with two discoloured composite restorations located in the distal aspect of the maxillary right central incisor and the mesial aspect of the adjacent lateral incisor. A replacement of these restorations was planned due to marginal leakage and for aesthetic reasons. During cavity preparation, a vestibular bevel was created in the enamel of the lateral incisor to provide for a smooth blend-in of the restoration and to improve adhesion. After selective etching of the enamel with phosphoric acid gel, CLEARFIL™ SE BOND 2 was applied. The adhesive contains the original 10-MDP monomer, which establishes a strong bond by adhering to dentin chemically. The restorations were created with CLEARFIL MAJESTY™ ES Flow - Low A2 and CLEARFIL MAJESTY™ ES-2 Classic in the shade A2. Final polishing was accomplished in a four-step procedure with abrasive discs, an aluminum oxide rubber polisher, and the two-disc CLEARFIL™ Twist DIA polishing system.

Fig. 1. Initial clinical situation after rubber dam placement.

Fig. 2. Detailed view of the teeth with a discoloured resin composite restoration visible in the mesial aspect of the lateral incisor.

Fig. 3. Palatal view of the teeth revealing marginal staining of the restoration in the distal aspect of the central incisor.

Fig. 4. Palatal view of the teeth after removal of the restorations and cavity preparation.

Fig. 5. Frontal view of the teeth after removal of the restorations and tooth preparation including beveling of the enamel.

Fig. 6. Upright placement of two sectional contoured matrices designed for the posterior region – palatal view.

Fig. 7. Frontal view of the sectional matrices fixed with a wedge.

Fig. 8. Palatal view of the teeth after selective enamel etching, bonding, and the application and light-curing of CLEARFIL MAJESTY™ ES Flow - Low A2 and CLEARFIL MAJESTY™ ES-2 Classic – A2.

Fig. 9. Frontal view of the situation - a concave “emergence profile” caused by matrix bending.

Fig. 10. Final layer of CLEARFIL MAJESTY™ ES Flow - Low A2 applied to the mesio-labial aspect of the lateral incisor.

Fig. 11. Occlusal view of the final composite layer prior to finishing.

Fig. 12. Polishing with the pre-polisher of the CLEARFIL™ Twist DIA system.

Fig. 13. Polishing with the high-shine polisher of the CLEARFIL™ Twist DIA system.

FINAL SITUATION

Fig. 14. Outcome of the polishing procedure.

Dentist:

DR. ALEKSANDRA ŁYŻWIŃSKA
Warsaw, Poland

Dr. Aleksandra Łyżwińska, DMD, is a passionate aesthetic and adhesive dentist. Driven by Evidence Based Dentistry, her goal includes using modern composite materials and bonding agents in her clinical practise. In addition to her primary job, she worked as a lecturer and an assistant professor at the Department of Conservative Dentistry and Endodontics of Medical University of Warsaw, her alma mater.

By Dr. Jusuf Lukarcanin

Direct resin composite restorations are a great option for diastema closure, shape correction and even an optical alignment of anterior teeth. The treatment approach is conservative with no or only minimal tooth preparation required, and with the right materials, it is possible to obtain beautiful outcomes, which is decisive in the aesthetically demanding anterior region. In this context, one might assume that a wide range of available shades and a meticulous shade selection process are important preconditions for a successful shade match. The following case examples show, however, that great outcomes can also be achieved in a simplified way using CLEARFIL MAJESTY™ ES-2 Universal, a game-changing resin composite with only two shade options for the anterior region.

CLINICAL CASE 1

Fig. 1 Initial situation of a young patient with maxillary and mandibular diastemata to be closed.

Fig. 2 Treatment outcome after direct diastema closure with CLEARFIL MAJESTY™ ES-2 Universal in the shade UL (Universal Light). A precise colour match and a natural gloss are obtained. Apart from the fact that the procedure is simplified be eliminating the need for shade determination and selection, the workflow is the same as with traditional composites.

Fig. 3 Close-up view of the initial and the final situation. A smooth transition from the teeth to the restorations is obtained.

CLINICAL CASE 2

Fig. 1 Female patient with multiple diastemata asking for a minimally-invasive, aesthetic treatment option.

Fig. 2 Treatment outcome after composite veneering with CLEARFIL MAJESTY™ ES-2 Universal in the shade UL (Universal Light).

Fig. 3 The patient’s smile - her teeth have a natural, lighter appearance.

CLINICAL CASE 3

Fig. 1 Young patient with malpositioned maxillary central and lateral incisors.

Fig. 2 Irregularities visible when the patient is smiling. She opted for composite veneering instead of an orthodontic approach.

Fig. 3 Treatment outcome after optical alignment and correction of teeth’s shapes using CLEARFIL MAJESTY™ ES-2 Universal in the shade UL (Universal Light).

„My first reaction to this material was: this is a Game-Changer.“

The results are magical. Smoother and easy handling properties, high-gloss, natural light distribution and the process is simple. Aside from being able to skip the shade selection step, your workflow remains the same as with traditional composites. At first, I might have been a little skeptical about replacing all the different shades of composites we use in office every day. But after a couple of tries I discovered that it indeed works every time, in most cases even without the use of a blocker. Simply ingenious!

Dr. Jusuf Lukarcanin

Dentist:

DR. JUSUF LUKARCANIN

Dr. Jusuf Lukarcanin is a Certified Dental Technician (DCT) and a Doctor of Dental Science (DDS). He studied dentistry at the Ege University Dental Faculty in Izmir, Turkey, where he obtained a Master‘s degree in 2011. In 2017, he received a Ph.D. degree from the Department of Restorative Dentistry of the same university. Between 2012 and 2019, Dr. Lukarcanin was the head doctor and general manager at a private clinic in Izmir. Between 2019 and 2020, he worked at Tinaztepe GALEN Hospital as a Restorative Dentistry specialist, between 2020-2022 he worked at MEDICANA International Hospital Izmir as a Restorative Dentistry specialist. Currently he is an owner of a private clinic for aesthetics and cosmetics in Izmir.

By Peter Schouten, Technical Manager, Kuraray Europe Benelux

The first flowable composites, or flowables, appeared on the dental market in the 1990s. The composition of these materials was entirely based on that of existing packable composites: They contained the same filler particles and resin matrix, but a reduced filler content. Hence, they had a lower viscosity, resulting in better flow characteristics for easy modelling and adaptability to the cavity, but weaker physical and mechanical properties than their packable counterparts. This made them not more than a useful addition to the existing portfolio of resin-based composites: They were widely used as, among others, filling material for Class V lesions and as a liner in large Class I and II cavities.

To broaden the initially limited range of indications, Kuraray Noritake Dental decided to focus on improving the mechanical and physical properties of flowables by developing an entirely new range of products: CLEARFIL MAJESTY™ ES Flow universal flowable composite. Although its predecessor; CLEARFIL MAJESTY™ Flow has higher filler loading and similar mechanical properties, the term universal indicates that the materials are universally applicable. Indeed, the potential indications are vast when compared with the range of indications of a flowable in the past. No matter whether the user wants to apply it as a liner or plans an extensive Class II restoration, CLEARFIL MAJESTY™ ES Flow is an ideal choice.

Three flowability options

As Kuraray Noritake Dental wanted to create a product that performs as desired in every indication, CLEARFIL MAJESTY™ ES Flow is available in three flowability variants. The high flowability material CLEARFIL MAJESTY™ ES Flow High (with green label) was designed for use as a liner, the filling of small imperfections and the restoration of small lesions allowing for micro-invasive preparations. The medium flowability variant CLEARFIL MAJESTY™ ES Flow Low (with blue label) is the most universal of the series and can be used for most indications. The lowest flowability option is CLEARFIL MAJESTY™ ES Flow Super Low (with red label). It may be used in the context of creating larger posterior restorations and for cementing of inlays or onlays.

Appreciated by practitioners

The fact that the product works well in the hands of the dental practitioner was confirmed in the independent publication Dental Advisor: In the issue January-February 2019 (Volume 36, Number 1), CLEARFIL MAJESTY™ ES Flow won Dental Advisor's Top Product Award for the fifth year in a row. In the report, it was described as “Universal Highly-Filled Flowable”, and this is exactly what it is!

CLEARFIL MAJESTY™ ES Flow won Dental Advisor’s Top Product Award for the fifth year in a row.

Unlike the early generation flowables, CLEARFIL MAJESTY™ ES Flow has a high filler content and a flexural strength that is higher than that of most frequently used more paste-like composites.

All three variants are high strength. Compare this with your existing composite.

Given that the universal flowable composite offers so many beneficial properties, dental practitioners might be tempted to replace the packable composite they have been using so far with CLEARFIL MAJESTY™ ES Flow. For the majority of indications, this is indeed possible. Those who do so, will also find that application and modelling directly from the syringe works very well, eliminating the need for a separate instrument.

Unique technologies

What makes the material so unique? It is probably the combination of existing and new technologies that is responsible for superior mechanical properties, a high aesthetic potential and great handling characteristics. Kuraray Noritake’s unique light diffusion technology utilized in the aesthetic composite range CLEARFIL MAJESTY™ ES-2 is also used in CLEARFIL MAJESTY™ ES Flow. Combined with proprietary filler technology, this innovative ingredient is responsible for the fact that restorations made of CLEARFIL MAJESTY™ ES Flow are assimilated within the surrounding tooth structure almost automatically.

The third decisive component is silane technology. The long-chain silane used in CLEARFIL MAJESTY™ ES Flow provides for an optimum wetting capacity of the filler particles. This is a key reason why it is possible to increase the filler percentage to such a high level. After polymerization, the strong bond between the filler and the synthetic resin, brought about by the silane, creates a long-lasting bond. The water absorption is therefore also extremely low, a property any user of composites from Kuraray Noritake may be familiar with.

The unique composition of CLEARFIL MAJESTY™ ES Flow is also responsible for a great polishability and polish retention. Polishing is effortless. Even wiping with alcohol will give a quite nice gloss.

With all these benefits combined in one product, CLEARFIL MAJESTY™ ES Flow offers unparalleled convenience when it comes to creating composite restorations. Kuraray Noritake Dental is proud to have driven technological innovation and applied new developments them in the right way to give the user endless options with a universal flowable composite.

Case by Dr. Cyril Gaillard

In the past few years, the number of patients diagnosed with sleep apnea has increased. Fortunately, we can propose different options of treatments today, which can provide positive clinical results and improve the quality of life of our patients.

This clinical case presents the use of a new CAD-CAM material, KATANA™ AVENCIA™ block, produced using the unique manufacturing method of Kuraray Noritake Dental, which offers remarkable mechanical properties.

The goals of the treatment are:

• Biological and minimally invasive, when it comes to teeth (non-invasive), periodontics, and occlusion (muscular and articular).
• To maintain health on the long-term (ease of hygiene).
• To re-establish an effective function (mastication) without compromising aesthetics.

This article presents the rehabilitation of a patient suffering from sleep apnea, integrating the concept of minimally invasive and adhesive dentistry with most importantly, functional dentistry by identifying precisely the occlusal concept and mandibular position given to the patient.

The forty-year-old patient came to the office for his annual check-up. During initial examination, we discussed his problem of sleep apnea and the fact that he feels uncomfortable with his occlusion.

The extra-oral exam revealed a largely reduced lower face area. We noted the presence of a crown in the place of tooth #46 and amalgams on the molars. The crown had to be removed and the root extracted, one implant would be placed.

The patient told us he did not suffer from muscle spasms nor from articular pain, but conveyed an increasing discomfort during mastication and a constant search for the right position to his mandible.

Based on my diagnosis, it was judged that the treatment with KATANA™ AVENCIA™ is within the scope of indications since the occlusion problem is a minor issue.

TREATMENT PLAN

To create the treatment plan, we always follow the same steps:

• Discussion with the patient to identify his or her wishes and limitations in terms of treatment.
• Occlusal planning, search for the appropriate mandibular position in order to determine the quantity of destroyed dental tissue; this is done by TENS machine.
• Periodontic diagnosis and support teeth.

We proceed in the following manner for the treatment:

• Cleaning of all teeth.
• Complete in-mouth mock-up for the lower arch.
• The mock-up will be left in the mouth in order to validate the new occlusion.
• Use of CAD-CAM technology to create the definitive prostheses, integrating the concept of minimally invasive dentistry. We will use KATANA™ AVENCIA™ block as material for the overlays.

Initial situation with occlusion troubles causing discomfort during mastication.

Once the mock-up had been placed in the mouth, it was necessary to test the new occlusion and adjust if needed. The mock-up was milled in PMMA by Roland DG Corporation milling machine.

The teeth are prepared through the mock-up to be as minimally invasive as possible. The thickness is 1,5 mm for occlusal and 1 mm for buccal surface.

Overlays and crown(s) on implant were designed by 3Shape software (3Shape A/S) and milled by Roland milling machine. The final restorations were created using two digital impressions. On the impression of the preparations, the cervical limits were marked. Next, the software matched the two impressions by subtraction and proposed the shape of the restorations to be milled.

These restorations are the exact copy (morphology) of what the patient wore in his mouth for two months. If the work is done by section, it is easier for the computer to match the impressions.

KATANA™ AVENCIA™ block was milled.

Polishing of the restoration with CLEARFIL™ TWIST DIA.

After milling, the restorations were stained using a 3D staining technique. 3D staining requires a specific sequence to create 3D optical illusions.

Final esthetic results after staining.

A classic bonding procedure was followed with PANAVIA™ V5. To begin, all KATANA™ AVENCIA™ elements were tried one by one for validation and adjustment, then all together to check the contact points.

Rubber dam was placed on the mandible. The intrados of the elements were blasted with alumina power, then we applied K-Etchant gel, rinsed well and dried. A layer of silane was applied (CLEARFIL™ CERAMIC PRIMER PLUS) for 60 seconds* then dried.

Application of K-Etchant gel for 30 seconds on enamel. Surfaces were rinsed, dried, and the adhesive PANAVIA™ V5 Tooth Primer was applied, left for 20 seconds, then dried.

Restorations were bonded one by one with PANAVIA™ V5 Paste. The excess was removed and the final photo-polymerization using glycerin was performed.

A final polishing was performed with CLEARFIL™ TWIST DIA.

To conclude, the occlusion was verified in static position with cuspfossa contact, then laterality, propulsion, and finally mastication.

Final situation. We can observe a good and esthetic integration of the restorations. A long term follow-up should be necessary to confirm the success of the treatment.

FINAL SITUATION

“KATANA™ AVENCIA™ MAKES MY DAILY WORK EASIER… AND MY PATIENTS ARE HAPPY”

Dentist:

DR. CYRIL GAILLARD
DENTAL SURGEON AND CEO OF GAD-CENTER
PRIVATE PRACTICE, BORDEAUX

1998 Graduated from the University of Bordeaux
2000 CES Fixed Prostheses
2002 DU of Implantology, University of Bordeaux
2002 SAPO Implant
2003 Certificate Bone grafting
2006 of Maxillo Faciale Surgical Rehabilitation, Paris VII
CES of Anatomy Physiology
CES of Removable Prostheses

Case by Dr. Vincenzo Picciariello

Innovative single-shade composites are an attractive option at least for posterior restorations, as they allow clinicians to skip laborious steps and save time. Nevertheless, the aesthetic and functional demands are high. The following case example demonstrates how CLEARFIL MAJESTY™ ES-2 Universal performs in the clinical environment and reveals how well the material blends in with surrounding tooth structure.

A 33-year-old female patient came to the clinic with a request to replace amalgam restorations in the upper right quadrant (Fig. 1). The second molar had an occlusal carious lesion, while the amalgam restoration on the first molar showed marginal leakage most likely leading to secondary caries. After the placement of rubber dam (Fig. 2), the existing restorations were removed, revealing secondary caries in the first molar and the second premolar (Fig. 3). The cavities were finished using fine-grained diamond burrs and sonic instruments and subsequently sandblasted with 50-micron aluminium oxide in order to facilitate the adhesive procedures (Fig. 4). In this way, the surface energy, bonding surface area, and surface roughness are increased and the wetting ability of the adhesive is improved for a high-quality bond with the enamel and dentin.

Fig. 1. Pre-operative image.

Fig. 2. Isolation of the working field with rubber dam.

Fig. 3. Secondary caries visible after removal of the amalgam restorations.

Fig. 4. Completed cavity preparation with air-abraded bonding surfaces.

Wooden wedges, sectional matrices and relative separator rings were placed to transform the Class II MOD cavity of the first molar into a Class I cavity by means of the centripetal build-up technique (Fig. 5). On each tooth, selective etching of the enamel was performed with 35% phosphoric acid etching gel (K-ETCHANT Syringe, Kuraray Noritake Dental Inc.), which was removed by thorough rinsing and drying, before applying the two components of CLEARFIL™ SE BOND – the self-etching primer and the light-curing bonding agent. The bond was treated with a gentle stream of air to make a uniform surface and finally, the adhesive layer was light cured for 40 seconds. The procedure was completed with immediate dentin sealing using a flowable composite (CLEARFIL MAJESTY™ ES-FLOW Low in the shade A3) in controlled thicknesses.

The restoration of the cavities was completed using CLEARFIL MAJESTY™ ES-2 Universal (Kuraray Noritake Dental Inc.) in the only available posterior shade Universal. In order to characterize the fissures and enhance the appearance of the occlusal morphology, staining agent in the shade dark-brown was applied. CLEARFIL™ Twist DIA (Kuraray Noritake Dental Inc.) was the polishing system of choice. After polishing, the difference in colour between the restorations and the visibly dehydrated enamel surfaces could be observed (Fig. 6). Upon inspection after 30 days, the restorations showed adequate and satisfactory chromatic integration (Fig. 7).

Fig. 5. Wedges, sectional matrices and rings placed for build-up of the first molar’s proximal walls.

Fig. 6. Image taken immediately after polishing with dehydrated enamel and the rubber dam still in place.

FINAL SITUATION

Fig. 7. Picture of the treatment outcome taken after 30 days.

The treatment of this quadrant demonstrates how CLEARFIL MAJESTY™ ES-2 Universal composite is an integrative innovation to the Kuraray Noritake Dental Inc. line of composites that allows the clinician to simplify the modeling procedures for direct restorations in the posterior regions, obtaining excellent aesthetic and functional results.

Dentist:

DR. VINCENZO PICCIARIELLO

Graduated from the faculty of dentistry and dental prostheses of Bari in 2009; specialized in direct and indirect conservative dentistry. Completed his training in aesthetic adhesive restorative dentistry in Geneva by attending the Anterior Bio-Esthetic Restorations Master Program of Dr. Didier Dietschi. He perfected himself under the guidance of Dr. Salvatore Scolavino and Dr. Gaetano Paolone at WeRestore in Rome. Member of the Italian Academy of Conservative Dentistry. Author of national and international publications.

Speaker at national and international conferences on adhesive dentistry topics. Since 2009, he has been working as a freelancer in Bitonto, dedicating himself mainly to implant and periodontal surgery and to adhesive aesthetic restorative-prosthetic dentistry.

Case by Dr. Daniele Rondoni, RDT

Check out how beautiful zirconia restorations are finalized using CERABIEN™ ZR FC Paste Stain, take a look at the color palette used by Dr. Daniele Rondoni to achieve outstanding aesthetic results.

“CERABIEN™ ZR Paste Stain is a material developed for micro-layering on the full-contour zirconia surface. With it, natural, true-to-life optical effects are created in an efficient way. I apply the pastes in the esthetic areas, while the functional parts of the restorations are only polished.”

Dentist:

DR. DANIELE RONDONI, RDT

Born in Savona in 1961 where he lives and has worked in his own laboratory since 1982 with his collaborators. Graduated from the dental technician school IPSIA “P. Gaslini” in Genoa in 1979. He continued his education by attending relevant workshops for the “Italian dental school“ and broadened his professional experience in Switzerland, Germany and Japan. Since 2011 Kuraray Noritake Dental International Instructor.

Conventional Cementation Vs. Adhesive Luting

Proper luting of indirect restoration is critical in achieving long-term success as it highly influences the retention of the restoration.

With the availability of different types of cements, the decision of choosing the suitable luting agent and method can be confusing for the practitioner. Especially with the wide use of contemporary restorative materials such as new generations of highly translucent zirconia as well as reinforced-composites, it is important to take into consideration that the properties of such materials differ highly from metal or earlier generations of zirconia.

Subsequently, the choice of the luting agent must be appropriate to achieve satisfying results and long-term success. Therefore, the aim of this online seminar is to provide insights for the clinicians on choosing the correct luting agent that can help achieve satisfactory results for the dentist as well as the patients.

Dr Adham Elsayed

• PhD degree in Prosthodontics and Implantology from the University of Kiel, Germany
• Certified Specialist in Prosthodontics, German Society for Prosthetic Dentistry and Biomaterials (DGPro)
• Certified Specialist in Implantology, German Society for Implant Dentistry (DGI)
• Clinical & Scientific Manager DACH, Kuraray Europe GmbH

Fig. 1. Initial situation: caries lesions and insufficient restorations are detected on the occlusal surface of the second molar.

Fig. 2. Situation after placement of rubber dam for moisture control.

Fig. 3. Appearance of the teeth following caries removal and placement of sectional matrix.

Fig. 4. Etch-and-Rinse technique (Enamel for 30 sec. and Dentin for 15 sec.).

Fig. 5. Situation after rinsing. Etch patterns are visible in the enamel.

Fig. 6. Appearance of the teeth following application of CLEARFIL™ Universal Bond Quick.

Fig. 7. Cavity lining with a layer of flowable composite (CLEARFIL MAJESTY™ ES-Flow Low, A2).

Fig. 8. Occlusal view of the final restorations produced with CLEARFIL MAJESTY™ ES-2 Universal (U shade).

Fig. 9. Situation after rubber dam removal and occlusal adjustments.

FINAL SITUATION

Fig. 10. Follow-up after 7 days.

Sometimes, you need it runny so that it flows into every corner or undercut, and sometimes, you need it to stay put where applied or malleable to create a specific shape. It is difficult to cover every flowable composite indication with a single viscosity. That is why Kuraray Noritake Dental Inc. offers CLEARFIL MAJESTY™ ES Flow with three different levels of flowability: High, Low, and Super Low. The level of flowability is selected depending on the indication, and the geometry and size of the cavity. For example, the high-flowability option is best suited as a cavity liner, while the super low flowability variant is preferable in the context of composite veneering.

However, the material has much more to offer, as confirmed by the consultants of the Dental Advisor who have honored the product with an Editors’ Choice and a Top Product Award for the sixth time in a row (Volume 38, Number 01, January-February 2021).

The 29 Dental Advisor consultants tested the medium flowability variant (Low) of CLEARFIL MAJESTY™ ES Flow in their dental practices. They assessed the product’s performance regarding placement/handling, esthetics, viscosity and polishability. All four properties received an “excellent” rating. CLEARFIL MAJESTY™ ES Flow Low shows no running during placement, while it offers a good adaptation to the cavity walls and even flows into narrow areas. Kuraray Noritake Dental Inc.’s Light Diffusion technology provides that the material integrates seamlessly with the surrounding tooth structure and a glossy surface is obtained simply by wiping with a cotton roll soaked in alcohol.

Due to these properties and a convincing overall performance, the product received a 98 percent rating, and all 29 consultants stated that they would recommend CLEARFIL MAJESTY™ ES Flow to a colleague. Since 2015, the product has won the Top Product Award time and again, and with its three viscosities, it is likely to be the product of choice for an even broader range of indications.