Prosedyre for sementering av indirekte restaureringer med PANAVIA™ SA Cement Universal og CLEARFIL™ Universal Bond Quick 2
Workflow for cementation of indirect restorations with PANAVIA SA Cement Universal and CLEARFIL Universal Bond Quick 2.
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Workflow for cementation of indirect restorations with PANAVIA SA Cement Universal and CLEARFIL Universal Bond Quick 2.
Interview with the team at Kuraray Noritake Dental Inc., who developed and brought to life this new universal adhesive.
Streamlining, enhancing and refining adhesive procedures – these are the aims of an 5-person team at Kuraray Noritake Dental Inc. in Japan. Recently, the team has developed a next-generation universal adhesive CLEARFIL™ Universal Bond Quick 2 that offers quick and easy application combined with an optimised bonding performance. To learn more about the goals and achievements of the development project, and the benefits of the product, we had a conversation with them.
From left to right: Ryo Matsuura and Ryota Murayama (R&D Department), Kazutoshi Ikeda (Production Department), Marina Okada and Yamato Nojiri (Planning & Development Department).
Why did you decide to improve CLEARFIL™ Universal Bond Quick?
Universal adhesives like CLEARFIL™ Universal Bond Quick are very well received by dental practitioners all over the world mainly due to their versatility and procedural simplicity. In the clinical setting, however, we have identified room for improvement. For example, it can be difficult to establish thin, uniform and strong bonding layers with the currently available products. Water and solvents in universal adhesives often limit the formation of a strong bond layer. A thin bonding layer and the relatively thick oxygen inhibition layer make this type of bonding agent susceptible to degradation by water sorption from dentinal moisture. Highly viscous bonding agents also complicate the ease of application in small cavities and can easily lead to pooling of the adhesive in critical parts of the cavity. Adhesives with a relatively high viscosity may pool or accumulate along margins, and may form a layer that is too thick and may change the morphology of the abutment tooth, a critical factor potentially affecting the fit of an indirect restoration. Generally, bonding agents with a low film thickness and/or are low-filled or unfilled, in turn have a potentially negative effect on the strength of the bonding layer. At Kuraray Noritake Dental Inc., we wanted to address the aforementioned issues and have developed a universal adhesive that is easy to apply and facilitates the establishing of thin, uniform bonding layers exhibiting high strength.
What are the indications of CLEARFIL™ Universal Bond Quick 2?
The new universal adhesive is indicated for bonding procedures in the context of creating direct restorations with light-cured composite, sealing of a prepared cavity or abutment tooth as a pretreatment for indirect restorations, treatment of exposed root surfaces and hypersensitive teeth, and also the intraoral repair of fractured restorations. Furthermore, the product is a suitable adhesive in post-cementation and core build-up procedures as well as in adhesive cementing of indirect restorations. When used in the context of the cementing of indirect restorations, the bonding to tooth structure of PANAVIA™ SA Cement Universal and of other manufacturers’ self-adhesive resin cements improves, leading to higher bond strengths.
What are the corresponding general benefits of CLEARFIL™ Universal Bond Quick AND CLEARFIL™ Universal Bond Quick 2?
The general benefits of both products are that they may be used with any etching procedure, plus the fact that there is no need to wait for the adhesive to penetrate the tooth structure after application. In addition, both products contain the original MDP monomer and the amide monomer, responsible for the formation of a thin and strong surface coating. Both products exhibit low technique sensitivity and are suitable for a wide range of indications. Finally, the adhesive monomers and fluoride offer extra protection to the underlying dentin.
Monomer image from the brochure
You mentioned the original MDP monomer as one of the essential components of the new adhesive and its predecessor. Is there a difference between this original MDP monomer and other MDP monomers available on the market?
Our MDP monomer is the only MDP monomer that is manufactured using the originally developed synthesis and purification process. Research has shown that the way MDP is manufactured has indeed an impact on the performance of the monomer itself1. While impurities and dimers detected in MDP monomers synthesized elsewhere negatively affected the immediate and aged micro-tensile bond strength in the in-vitro study, our MDP monomer shows high purity and more favourable test results.
Most universal adhesives need to be rubbed into the tooth structure extensively for 10 to 20 seconds. What did you do to eliminate the waiting time independent of the etching procedure, which led to an ultra-quick application procedure?
It is the amide monomer which is mainly responsible for an improved penetration speed into the tooth structure. The hydrophilicity of this monomer is much higher than the hydrophilicity of the HEMA monomer that is typically used. This provides for a better penetration into the moist dentin. The amide monomer’s polymerisation characteristics are better, and, following polymerisation, leads to higher stability in a wet environment due to the formation of a highly cross-linked polymer network. In combination with MDP, an efficient long-term performance will likely be achieved. For optimal outcomes, the adhesive is simply rubbed into the tooth structure as described in the IFU: “Apply BOND with a rubbing motion to the entire cavity wall with the applicator brush. No waiting time is required.”
What are the additional benefits that CLEARFIL™ Universal Bond Quick 2 has to offer?
First of all, we improved the viscosity and film thickness by optimizing the manufacturing method. The thin adhesive layer prevents pooling in the cavity, around abutments and along margins, creating a uniform bonding layer. Simply put, the new adhesive is applied thinly and spreads evenly. At the same time, the product offers high mechanical strength and excellent resistance to water sorption. Its bond strength is high in all etching modes and the new formulation allows for the product to be stored at room temperature.
Please explain the clinical benefit of an improved mechanical strength.
The risk of decreasing the film thickness lies in a possible decrease in the strength of the bonding layer which can lead to reduced bond durability. By introducing a new multifunctional urethane methacrylate monomer, we have been able to increase the strength. The effective advantage of the new bonding agent is that it can easily be used in small, difficult-to-access cavities or in cavities with complex morphology. The result is a thin yet strong adhesive layer that also allows for easy placement of any type of restoration.
How did you manage to improve the storage conditions?
Component stability was not an issue with CLEARFIL™ Universal Bond Quick. However, for a stable viscosity, it needed low-temperature storage. By optimizing the manufacturing method and decreasing the viscosity of CLEARFIL™ Universal Bond Quick 2, storage at room temperature became possible.
Was it difficult to integrate the new components and keep the existing benefits? How did you manage?
Integrating new components and removing others always means that the whole formulation needs to be rebalanced properly. This was particularly challenging for the multifunctional urethane methacrylate monomer we wanted to add. It improves the strength and hardness of the universal adhesive, but may affect adhesion depending on the amount of the compound in the formulation. Consequently, we needed to carefully find optimal balance, which took some time and required thorough testing, but in the end, we succeeded.
At the moment, the immediate dentin sealing technique is popular in indirect restoration procedures. What makes CLEARFIL™ Universal Bond Quick 2 suited for this technique?
Immediate dentin sealing is indeed a popular and useful technique that can result in significantly increased retention, reduced marginal leakage, improved bond strength, and less postoperative sensitivity. Using CLEARFIL™ Universal Bond Quick 2 in this context is beneficial as the procedure is quick, the resulting bonding layer is thin and strong, and the dentin is effectively protected.
Why should a dental practitioner switch to CLEARFIL™ Universal Bond Quick 2?
For users of CLEARFIL™ Universal Bond Quick, switching to CLEARFIL™ Universal Bond Quick 2 is worthwhile, as it offers additional advantages and improved performance while retaining the benefits of its predecessor. For users of other universal adhesives, the major benefit lies in the shortened application time: CLEARFIL™ Universal Bond Quick 2 is the only universal adhesive that can achieve a high bond strength and a high-strength bonding layer without any waiting time. In addition, it is suitable for a wide range of indications including core build-up procedures and cementation.
Thank you very much for these insights!
References
1. Yoshihara K, Nagaoka N, Okihara T, Kuroboshi M, Hayakawa S, Maruo Y, Nishigawa G, De Munck J, Yoshida Y, Van Meerbeek B. Functional monomer impurity affects adhesive performance. Dent Mater. 2015 Dec;31(12):1493-501.
Case by Dr. Julien Molia
Blant mange tannleger er det en utbredt oppfatning at flytende kompositter hovedsakelig egner seg som basemateriale under sterkere pakkbare kompositter og indirekte restaureringer, eller som en midlertidig løsning. Mange antar at bruksområdet er begrenset grunnet svakere mekaniske egenskaper.
Heldigvis stemmer ikke dette lenger: Flere nye generasjoner av flytende kompositter – som CLEARFIL MAJESTY™ ES Flow og CLEARFIL MAJESTY™ ES Flow Universal (begge fra Kuraray Noritake Dental Inc.) – har mekaniske egenskaper som er på nivå med mange pakkbare alternativer. Dette utvider bruksområdene betydelig. For eksempel har CLEARFIL MAJESTY™ ES Flow Universal en høy fyllstoffmengde på 75–78 vektprosent, bøyningsstyrke på over 150 MPa og trykkstyrke på over 370 MPa, ifølge produsenten. Takket være disse egenskapene er den egnet som en varig restaurering, selv i belastede områder som okklusjonsflater i molarområdet.
I tillegg finnes kompositten i to ulike viskositeter – LOW og SUPER LOW – for å tilpasses individuelle preferanser og indikasjoner. Den tilbys i kun to nyanser (universal og universal mørk), noe som gir et enkelt og intuitivt fargevalg, selv i fronten. Dette er muliggjort gjennom en kombinasjon av fargetilpasningsteknologier, inkludert optimalisert lysdiffusjon og emaljelignende translucens.
Det følgende kliniske eksempelelet viser hvordan CLEARFIL MAJESTY™ ES Flow Universal gjør livet mitt enklere i posterior restaureringsprosedyrer.
Pasienten kom for utskifting av to gamle amalgamrestaureringer i underkjevens høyre molarer (tenner 46 og 47 i henhold til FDI-notasjon) (Fig. 1). For å oppnå god tilpasning og enkel utfylling ble det valgt å bruke CLEARFIL MAJESTY™ ES Flow Universal LOW som eneste restaureringsmateriale. Tennenes plassering gjorde fargevalget enkelt – nyansen U (universal) fungerer optimalt i alle posteriore restaureringer.
Amalgamfyllingene ble fjernet, og kariøst vev ble ekskavert med fokus på maksimal bevaring av sunt tannvev (Fig. 2 og 3). En selektiv emaljeetsing ble utført, etterfulgt av adhesivbehandling med CLEARFIL™ Universal Bond Quick 2. Deretter ble CLEARFIL MAJESTY™ ES Flow Universal LOW i nyanse U applisert (Fig. 4). Takket være den innovative sprøyteutformingen ble materialet påført nesten uten luftbobler. I tråd med produsentens retningslinjer ble lagtykkelsen holdt under 2 mm for å sikre full herding (Fig. 5 og 6), noe som er avgjørende for restaureringens langtidsprognose. Hvert lag herdes i 10–20 sekunder, avhengig av herdelampen, før neste lag appliseres. Som vist i Fig. 7, gir den lave viskositeten mulighet for enkel modellering av okklusal morfologi. For mer detaljert utforming kan varianten SUPER LOW være et alternativ. Det tok kun noen sekunder å polere restaureringene til høyglans (Fig. 8).
Fig. 1: To amalgamfyllinger som skal erstattes
Fig. 2: Etter fjerning av eksisterende amalgam .
Fig. 3: Typisk amalgammisfarging synlig i bunn av kavitet
Fig. 4: Fyllingsprosedyre: Applisering av det første laget av flytende kompositt
Fig. 5: Andre molar ferdig fylt, første molar trenger et nytt lag
Fig. 6: Fylling fullført.
Fig. 7: Fin morfologi og god fargetilpasning
Fig. 8: Endelig resultat etter fjerning av kofferdam. Restaureringene smelter naturlig inn i omgivende tannsubstans - med farge og overflateglans.
Spesielt i krevende områder i munnen kan flytende kompositt med balanserte mekaniske egenskaper være et godt alternativ til pakkbare materialer. Egenskaper som avansert fargetilpasning, tilnærmet porefri påføring, enkel adaptering og modellering, samt rask polering, gjør hverdagen enklere for tannlegen. Mange antar at bruken er begrenset på grunn av svakere mekaniske egenskaper.
Dentist:
JULIEN MOLIA
Dr. Julien Molia ble uteksaminert i 2008 med en avhandling om dataassistert implantologi. Han etablerte en allmenn tannlegepraksis i Saint-Jean-de-Luz, hvor han har spesialisert seg på implantatkirurgi og rekonstruksjon av kjeven. I 2017 fullførte han en ny universitetsgrad innen implantologi for å oppdatere og utdype sin kompetanse. Han har også videreutdannet seg innen digital odontologi, ortodontiske miniscrews og mukogingival kirurgi. Med et sterkt engasjement for vevspreservasjon har han fått privat opplæring av Dr. Gil Tirlet og Dr. Jean-Pierre Attal i Paris. Dr. Molia er en av grunnleggerne av det franske forskningsnettverket Southwest BioTeam, en gruppe som fokuserer på klinisk forskning og innovasjon.
For å imøtekomme kravene til moderne tannlegepraksiser forbedrer Kuraray Noritake Dental Inc. kontinuerlig eksisterende materialer og utvikler nye. Som en del av denne forpliktelsen introduserer selskapet CLEARFIL™ Universal Bond Quick 2, den nyeste innovasjonen innen dentale bondingssystemer. Dette adhesivet er utviklet for å optimalisere klinisk arbeidsflyt og gir pålitelig ytelse i et bredt spekter av bruksområder.
Bruken av CLEARFIL™ Universal Bond Quick 2 gir en rekke fordeler, takket være kombinasjonen av Kuraray Noritake Dentals egenutviklede Advanced Rapid Bond Technology. En nyutviklet metode for fyllstoffdispersjon, samt en lett integrasjon med andre viktige produkter som restaureringsmaterialer og selvadhesive resinsementer. Advanced Rapid Bond Technology inneholder tre monomerer: den originale MDP-monomeren, amid-monomeren og Uretan Tetra Metakrylat (UTMA)-monomeren.
Amid-monomeren fremmer rask penetrasjon inn i tannstrukturen ved å utnytte sine hydrofile egenskaper. Dette eliminerer behovet for ventetid etter påføring, sparer tid og minimerer risikoen for kontaminasjon. Denne egenskapen gjør produktet ideelt for situasjoner der fuktighetskontroll er utfordrende. Den nylig tilførte UTMA-monomeren er en nøkkelkomponent i å skape et sterkt bondingslag som motstår kontraksjonskrefter. Samtidig sikrer MDP-monomeren, i kombinasjon med andre velfungerende komponenter, en konsekvent og holdbar binding til både emalje og dentin.
Den nye fillerdispersjonsmetoden gir to betydelige fordeler: den forbedrer produktets flytbarhet uten å redusere fyllstoffinnholdet, noe som muliggjør enkel påføring samtidig som det dannes et tynt, jevnt bondingslag. Dette vil minimere risikoen for opphopning og bidrar til å opprettholde den opprinnelige morfologien til den preparerte tannen
CLEARFIL™ Universal Bond Quick 2 an oppbevares i romtemperatur (maks. 25°C) og trenger ikke å ristes før bruk, noe som gjør den klar til umiddelbar bruk. Den er spesielt egnet for en rekke kliniske prosedyrer, inkludert direkte restaureringsprosedyrer, sementering av indirekte restaureringer med selvadhesive resinsementer og kjerneoppbyggingsprosedyrer. En separat dual-cure aktivator er ikke nødvendig.
For klinikere som ønsker å maksimere effektiviteten uten å kompromittere behandlingskvaliteten, anbefales det sterkt å kombinere dette adhesivet med andre høykvalitetsmaterialer fra Kuraray Noritake Dental Inc. sin universelle portefølje. Disse produktene, som består av færre komponenter og krever færre prosedyrer, forenkler arbeidsflyten og baner vei for eksepsjonelle kliniske resultater.
Mer informasjon om CLEARFIL™ Universal Bond Quick 2 og den universelle produktserien er tilgjengelig på nett på www.kuraraynoritake.eu.
Case by Kostia Vyshamirski, DT
Virtually every patient in need of restorative treatment desires functional restorations with an aesthetic appearance. However, the individual expectations and needs may be very different depending on the clinical situation (state of the natural tooth structure, parafunctional behaviour, periodontal health etc.), the patient’s financial resources and personal preferences. A versatile material combination fulfilling many different needs and desires is KATANA™ Zirconia YML finished using micro-layering with the new CERABIEN™ MiLai (both Kuraray Noritake Dental Inc.).
This system supports low invasive preparations due to a favourable minimum wall thickness of the merely monolithic multi-layered zirconium oxide prosthesis and a minimal thickness of the porcelain layer in the aesthetic zone. Moreover, the high strength zirconium oxide prosthesis combined with only a very thin layer of porcelains makes this technique extremely useful in patients with parafunctional habits like bruxism. Last but not least, consisting of a carefully compiled selection of internal stains and porcelain shades, CERABIEN™ MiLai supports the creation of individual 3D shade effects that mimic those of natural teeth even when space is limited. The following case example reveals how this is possible.
The patient presented with concerns related to both function and appearance. During the diagnostic phase, it was determined that increasing the vertical dimension of occlusion (VDO) and creating a wax-up in the new jaw position would be necessary to improve both the occlusion and the aesthetic appearance of the smile.
Fig. 1. Intraoral scan of the maxillary teeth revealing severe tooth wear.
Fig. 2. Intraoral scan of both jaws confirming the need for an increase of the VDO.
Fig. 3. Intraoral scan: Occlusal view of the maxillary teeth.
Following the approval of the wax-up, the treatment plan was created. It consisted of restoring the four anterior incisors with zirconia crowns and performing direct composite restorations on the posterior and lower teeth. To conserve as much of the healthy tooth structure as possible, the space created was aligned to the required wall thickness of the planned restoration (framework + micro-layer of porcelain in the vestibular areas only). Following an aesthetic analysis, the crowns were designed with a minimal vestibular cutback. This was due to the patient’s functional problems, which would increase the chipping risk in case of using a more heavy cutback design with a thicker, more conventional porcelain layer. KATANA™ Zirconia YML offers exceptional aesthetics, requiring only a 0.3 mm reduction for the porcelain to achieve natural results. Therefore, it was the logical material choice for this specific case.
Fig. 4. Minimally invasive preparations for the crowns.
Fig. 5. Occlusal view of the preparations.
Fig. 6. Aesthetic analysis – a crucial step for achieving the desired new smile.
Fig. 7. Frontal view of the crowns in their final cutback design.
Fig. 8. Lateral view of the crowns in the CAD software.
Immediately after milling, the zirconia surface was treated with effect liquids. This kind of pre-sintered characterization helps enhance the characteristics of zirconia restorations. In the presented case, orange stain was applied to the cervical area, while a blue stain was used at the incisal edge. In addition, a white opaque liquid was applied to the inner surface of the central zirconia crowns to block out any discolouration from the underlying tooth structure. Following final sintering, the vestibular layer of porcelain was built up with CERABIEN™ MiLai using a combination of internal stains and porcelain micro-layering. After morphological adjustments and surface polishing, the restorations were completed by applying CERABIEN™ ZR FC Paste Stain and Glaze. Final polishing was then performed to enhance the natural appearance of the surfaces.
Fig. 9. Effect liquids applied to the cervical and incisal areas of the crowns.
Fig. 10. Treatment of the central incisor crowns’ inner surfaces.
Fig. 11. KATANA™ Zirconia YML framework after sintering.
Fig. 12. CERABIEN™ MiLai Internal Stains and Porcelains.
Fig. 13. Prepared vestibular surfaces ready for application of the internal stains.
Fig. 14. Application of 0.2-0.3 mm layers of CERABIEN™ MiLai porcelain: CCV2 for the cervical area, LT1 – Creamy Enamel for the main body and luster, LTX at the incisal edge.
Fig. 15. Frontal view of the final restorations on the model.
Fig. 16. Lateral view of the final restorations on the model.
Fig. 17. Polished and glazed palatal surfaces of the crowns.
The finalized restorations showcase great details, crafted with CERABIEN™ MiLai internal stains and porcelains. The result are natural-looking restorations. An additional benefit of using zirconia as a restorative material is its excellent compatibility, which is evident in the healthy gingival conditions.
Fig. 18. Restorations in place.
Fig. 19. Natural-looking restorations in the patient’s mouth.
Dental Technician:
KOSTIA VYSHAMIRSKI
DT Kostia Vyshamirski, Riga, Latvia
After earning his Dental Technician Certificate from the Medical College in Minsk, Belarus, in 2014, Kostia began his career as a dental technician, focusing on aesthetic clinical cases that integrate the latest digital and manual technologies. Moving to Riga, Latvia, in 2015 greatly expanded his professional opportunities.
With over a decade of experience, Kanstantsin Vyshamirski now conducts courses, lectures, and seminars worldwide. He is a member of the DTG (Dental Technician Guild), a professional group of dental technicians based in the USA, and an invited guest of the AAED (American Academy of Esthetic Dentistry), an exclusive, invitation-only organization.
Operating his own lab in Riga, Latvia, Kanstantsin specializes in aesthetic prosthetic porcelain work and is an experienced, passionate user of KATANA™ Zirconia and Noritake porcelains.
A tooth with crack lines, a characteristic round shape, age-related changes, or medication-induced discoloration — there’s no one-size-fits-all solution when it comes to all-ceramic anterior restorations, even when the porcelain system and production technique are defined.
To support technicians who wish to simplify their layering workflow using the micro-layering technique and CERABIEN™ MiLai — whether just getting started or looking to refine their process — we’ve collaborated with DT Dumitru Leahu to create a Chroma Map Catalogue featuring seven typical anterior restoration scenarios.
Each case example includes a detailed screenshot of the framework design, chroma maps outlining the planned steps, images of internal staining and micro-layering procedures, and the final restoration on the model. You’ll also find essential information about the selected framework material, target shade, and other relevant details.
We invite you to use the CERABIEN™ MiLai Catalogue as a step-by-step guide to success or simply as inspiration for individual cases. It offers a fast track to understanding the material’s optical properties and will make planning your next micro-layering case more intuitive. No need to start from scratch — instead, adapt what’s already there and gradually develop your own maps and techniques.
Interested in the CERABIEN™ MiLai Chroma Map Catalogue?
Download it here!
I moderne odontologi er effektivitet og pålitelighet nøkkelfaktorer for mange klinikker. CLEARFIL™ Universal Bond Quick 2 tilbyr en brukervennlig, høytytende bondeløsning som gir eksepsjonelle resultater. Med sin Advanced Rapid Bond Technology muliggjør denne adhesiven en rask og enkel applisering, samtidig som den eliminerer unødvendige steg og reduserer teknisk sensitivitet.
CLEARFIL™ Universal Bond Quick 2 er et avansert dentalt adhesiv utviklet for å effektivisere restaureringsprosedyrer. Det er kompatibelt med valgfri etsningsteknikk og gir sterk adhesjon til både emalje og dentin, og sikrer et sterkt og jevnt bindelag. Dets allsidighet gjør det egnet for både direkte og indirekte restaureringer, samt oppbygging av kjerne og reparasjoner intraoralt.
CLEARFIL™ Universal Bond Quick 2 er ideell for enhver tannklinikk som ønsker et pålitelig og brukervennlig adhesiv. Enten man utfører rutinemessige direkte restaureringer eller ere indirekte prosedyrer, gir dette adhesivet konsekvent ytelse og en forenklet arbeids yt.
Dette bindemiddelet er utviklet for en rekke kliniske anvendelser:
Nøkkelen til den eksepsjonelle ytelsen ligger i den proprietære Advanced Rapid Bond Technology, som består av tre høyytelsesingredienser:
Sammen utgjør disse monomerene grunnlaget for CLEARFIL™ Universal Bond Quick 2, og gir et raskt, pålitelig og allsidig adhesiv for alle dine restaureringsbehov.
CLEARFIL™ Universal Bond Quick 2 øker effektiviteten uten å gå på kompromiss med kvaliteten. Den Advanced Rapid Bond Technology integrerer MDP-, Amid- og Uretan Tetra Metakrylat (UTMA)-monomerer for å skape et sterkt og jevnt bindelag. Dette gir jevn fordeling og fremragende adhesjon til både emalje og dentin. Den lavviskøse formelen danner en tynn, jevn lm, noe som reduserer risikoen for opphopning og øker forutsigbarheten.
Ytterligere fordeler inkluderer:
Påføringen er enkel og effektiv, og kan tilpasses ulike kliniske situasjoner. Adhesivet kan brukes i:
Det finnes både i aske og i enhetsdose, slik at det kan tilpasses ulike behov i praksisen og sikrer enkel bruk etter behov.
Som den nyeste innovasjonen innen dental binding, gir CLEARFIL™ Universal Bond Quick 2 effektivitet, pålitelighet og allsidighet. Ved å eliminere ventetid, omfattende gnissing og behovet for påføring av ere lag, forenkler dette adhesivet prosedyrer samtidig som det skaper sterke og langvarige restaureringer. Med sin enestående ytelse og forenklede arbeids yt er det virkelig «alt-i-ett»-bindemiddelet for moderne tannpraksiser.
Hos Kuraray Noritake Dental Inc. forstår vi kravene i moderne tannpraksiser. Å balansere komplekse prosedyrer, tett timeplan og pasientomsorg er ingen enkel oppgave. Derfor har vi brukt år på å forbedre våre materialer – slik at du kan fokusere på det som betyr mest: dine pasienter. Våre universelle produkter forenkler arbeids yten din, og gir deg høykvalitets materialer og verktøy som fungerer CLEARFIL MAJESTY™ ES-2 Universal sømløst med din ekspertise. CLEARFIL™ Universal Bond Quick 2 utgjør bokstavelig talt forbindelsen mellom ere universelle resinbaserte produkter i vår portefølje. I tillegg er det ikke nødvendig med en separat dobbeltherdende aktivator når det brukes sammen med andre produsenters selvadherende sementer.