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High-quality dental zirconia is crucial in prosthodontic treatments to ensure patient satisfaction and long-term success. The use of high-quality zirconia helps in achieving perfectly fitting restorations that are both aesthetically pleasing and durable, minimizing the need for remakes and extra appointments. Low-quality zirconia, however, can lead to various issues such as poor optical properties, improper fit, and inferior biocompatibility, which may go undetected until they cause clinical problems like gingival recession or early restoration failure. Therefore, selecting high-quality zirconia with the right composition, followed by correct processing, is essential for optimal outcomes in dental restorations.

THE DEVELOPMENT OF DENTAL ZIRCONIA

In the late 1990s, the first CAD/CAM-fabricated Zirconia coping was launched as an alternative to the non-aesthetic metal substructure, providing a strong and more aesthetic framework for porcelain-fused restorations. More recent developments in zirconium oxide have led to a shift from full-baked to monolithic use. This has largely overcome mechanical complications such as chipping and delamination and at the same time avoiding the need for the preparation of much of the tooth structure. Leading to prosthetic restorations that retain as much of the structure as possible.

Dental zirconia has traditionally been manufactured mainly from the tetragonal zirconia crystals with a minor proportion of approximately 3 mol% yttria stabilizer (3Y-TZP); this type is extremely strong but has low translucency.¹ By increasing the amount of yttria added to zirconia to around 5 mol%, the translucency is significantly improved because of the presence of a higher amount of zirconia crystals in the cubic form. This zirconia material is often referred at as 5Y-partially stabilized zirconia (5Y-PSZ). However, this increase in translucency comes at the cost of a decrease in mechanical strength.² The introduction of multi-layered zirconia by Kuraray Noritake Dental Inc. marked a significant advancement in zirconia technology, paving the way for highly aesthetic monolithic restorations. The development of a more aesthetic zirconia resulted in a steep decline of metal-ceramic usage in favour of ceramic prostheses. Nevertheless, there are still concerns about the quality of zirconium oxide prostheses. Not only about adhesiveness, but also about fit and processing. Several clinical reports show outcomes with high success rates up to 97% over more than 15 years.² However, there are also reports showing catastrophic failures of zirconia dental restorations. Let’s look at a very important root cause of these failures; the processing procedure.

ALTHOUGH ALL ZIRCONIA BLANKS MAY LOOK SIMILAR, QUALITY AND PROPERTIES CAN DIFFER WIDELY AS THEY ARE AFFECTED BY:

✓ The quality of the raw materials

✓ Raw material processing

✓ Blank pressing

✓ Pre-sintering

OVERVIEW OF POTENTIAL PROBLEMS AND CLINICAL CONSEQUENCES FOR PATIENTS

ROOT CAUSES OF ZIRCONIA FAILURES

Failures in zirconia restorations can often be traced back to the processing procedures used before the materials reach dental clinics. Most dental manufacturers source their zirconia powder from third-party suppliers, giving them limited control over the quality of the material they receive. Zirconia milling blank manufacturers typically press the raw powders, into disks around 100 mm in diameter, which are then pre-sintered to add mechanical stability. The exact formulations of these blanks are often proprietary and not disclosed. Variations during the disc pressing process can introduce air voids and impurities, negatively impacting the quality of the final restorations.² Dental laboratories further process these blanks by milling them into final shapes based on the 3D profiles provided and then sinter them at temperatures above 1,400°C to achieve the desired final phase. Each blank is designed with an enlargement factor to account for shrinkage during sintering. However, detailed processing procedures, such as milling and finishing, are often typically unavailable. As a result, the exact chemical composition, microstructure, and processing of zirconia materials for dental applications varies significantly depending on the manufacturer and laboratory involved. These variations make the production of zirconia restorations a complex and often unpredictable process.

Kuraray Noritake Dental Inc. is one of the few manufacturers handling the entire dental zirconia production process, including raw material processing, in-house. This end-to-end control allows us to ensure exceptional product quality across all materials. A core principle of Kuraray Noritake is the of a higher amount of zirconia crystals in the cubic form. This zirconia material is often referred at as 5Y-partially stabilized zirconia (5Y-PSZ). However, this increase in translucency comes at the cost of a decrease in mechanical strength.² The introduction of multi-layered zirconia by Kuraray Noritake Dental Inc. marked a significant advancement in zirconia technology, paving the way for highly aesthetic monolithic restorations. The development of a more aesthetic zirconia resulted in a steep decline of metal-ceramic usage in favour of ceramic prostheses. Nevertheless, there are still concerns about the quality of zirconium oxide prostheses. Not only about adhesiveness, but also about fit and processing. Several clinical reports show outcomes with high success rates up to 97% over more than 15 years.² However, there are also reports showing catastrophic failures of zirconia dental restorations. Let’s look at a very important root cause of these failures; the processing procedure. seamless integration of quality performance and ease of use, backed by a strong commitment to providing the right materials and support. As the producer of KATANA™ Zirconia, Kuraray Noritake’s meticulous oversight at every stage of production guarantees consistent quality, enabling us to confidently stand behind the excellence of our products.

KATANA™ PRODUCTION

All our zirconia offerings begin their journey to the dental lab in our Japanese facility where raw zirconia ore is processed to a high quality raw powder. Several delicate treatments are done as next steps, including the addition of several fine-tuned essential components like stabilisers and binders. Kuraray Noritake Dental Inc. benefits from in-house production of the raw materials required for dental zirconia. This provides the perfect base on which to use our multi-layering technology and add any other elements needed to create superior quality and purity of the formulation as well as a precise alignment of the desired properties.

From powder to blank pressing, Kuraray Noritake Dental Inc. uses a unique and highly meticulous pressing process that provides for absolute uniform pressing distributions. Every detail is carefully calculated, managed, and controlled. This phase of the process takes several days, underscoring our goal to achieve the most aesthetic product. The results are uniform mechanical and optical properties, outstanding margin stability, high surface quality and a very controlled sintering deformation. By removing the variables for the dental lab, KATANA™ Zirconia provides a reliable material that will give you the same result, every single time.

In the final stage of production, as our KATANA™ Zirconia blanks are prepared for packaging, each disc undergoes a meticulous manual quality check. This last, hands-on inspection ensures that every KATANA™ Zirconia disc meets the highest standards of excellence that we promise. By giving each disc this personal  attention, we guarantee that the quality and performance of our products consistently exceed expectations, reflecting our unwavering commitment to perfection in every detail.

Kuraray Noritake Dental Inc’s state-of-the-art production facilities enable us to create highly stable pre-sintered blanks with precisely the right rigidity to withstand all kinds of milling. This stability makes KATANA™ Zirconia a product that can be fully used without braking in situations where a large part of the disc already has been milled. Something that frequently occurs with lower quality products that are less strong in green-state. This highly stable quality also makes it possible to shorten the sinter time on KATANA™ Zirconia discs up to 54 minutes for single tooth restorations and bridges with up to three units.

NATURAL COLOUR GRADIENT

Kuraray Noritake is well aware of the importance of varying levels of chroma and translucency in various parts of a natural tooth. Our aim has been to mimic this effect even without the use of porcelain layering. In areas where the dentin core is revealed, a tooth is highly chromatic and rather opaque. In contrast, those parts of a tooth mainly composed of enamel – such as the incisal edge - are highly translucent and have a low chroma. Our patented KATANA™ Zirconia multi-layered technology has been developed to precisely imitate this gradient in chroma and translucency and shows a virtually seamless transition between layers, resulting in a tooth-like appearance without the need for porcelain layering. The four types of multi-layered KATANA™ Zirconia (UTML, STML, YML* and HTML PLUS) have a four-layer colour grading structure. The optical outcome is revealed immediately after sintering.

THE LATEST DEVELOPMENT IN ZIRCONIA

Our commitment to quality performance and ease of use is at the heart of everything we do. In line with these core values, we have pushed the boundaries of dental zirconia technology with our latest innovation: KATANA™ Zirconia YML for flawless aesthetics combined with high strength. In this revolutionary design we developed a multi-layered zirconia with additional flexural-strength and smooth translucency gradation; KATANA™ Zirconia YML.

Furthermore, all KATANA™ Zirconia YML discs are designed using ratios rather than fixed measurements of different layers in the multi-layered structure, this means that regardless of the disc’s thickness, there is always a consistent ratio of 35% of raw material that constitutes the translucent enamel zone. Hence, discs with an increased height, which are typically used to produce larger restorations, will always offer sufficient space in the enamel zone, while smaller discs are optimized for smaller restorations.

THE DESIGN CHOICES MADE ON KATANA™ ZIRCONIA YML GREATLY ENHANCES THE ADVANTAGES FOR THE LAB TECHNICIAN

✓ The ratio design offers design flexibility due to strategic layering.

✓ The accurate reflection of colour and translucency reduce the need for extensive finishing.

✓ Stable CTE throughout the disc allowing to produce high precision full arch restorations.

✓ Uniform, void free and high green-state stability for higher nesting flexibility thus higher output.

✓ Relatively high hardness in the green state, for easy green-state modification and fine tuning without the risk of fracturing or chipping.

✓ The hardness also allows for milling thinner restorations including sharp margins, thereby improving marginal fit.

✓ The part of a prosthesis from the body layer of KATANA™ Zirconia YML can be adjusted thinner than that of other high translucency zirconia, resulting in higher translucency in the body part.

MARGINAL STABILITY AND ENHANCED FITTING ACCURACY

KATANA™ Zirconia YML shows sharp margins and less chipping , thereby leading to better marginal fit. Thinner restorations show that this good result in sharp margin supports the use of KATANA™ Zirconia YML.

Even if the restoration margins have been milled to a very thin profile, they still show smooth margins without any chipping.

EVERYTHING THE LAB NEEDS

Kuraray Noritake offers four different types of multi-layered dental zirconia to cover every indication as well as a single-layer HT option to produce frameworks and long-span bridges. In the below chart you can view the range of recommended applications for all KATANA™ Zirconia Multi-layer discs.

CONCLUSION

The choice of dental zirconia significantly impacts the success of dental restorations, translating directly into daily practice for the lab technician. High-quality zirconia, such as that produced by Kuraray Noritake Dental Inc., ensures less cracking and chipping during the manufacturing process, reducing the likelihood of costly redoes due to fit or colour deviations. Superior quality of the zirconia powder, like those in KATANA™ Zirconia, allows for speed sintering, accelerating production without compromising the integrity of the restorations. Additionally, the advanced multi-layered zirconia designs, like Kuraray Noritake’s, reduce the need for extensive porcelain layering to achieve aesthetic results, streamlining the process, and enhancing efficiency.

Kuraray Noritake’s stringent quality control, with its end-to-end in-house production, guarantees consistent and reliable zirconia products. The all-rounder KATANA™ Zirconia YML, designed using precise ratios rather than fixed measurements, offers greater flexibility in design and nesting, ensuring consistent quality across varying restoration sizes. By selecting high-quality zirconia with meticulous quality control, dental labs can achieve optimal outcomes in both performance and aesthetics, ultimately benefiting both technicians, dentists, and patients.

REFERENCES

1. Yarahmadi M., Roa J.J., Zhang J., Cabezas L., Ortiz-Membrado L., Llanes L., Fargas G.; Micromechanical properties of Yttria-doped zirconia ceramics. Journal of the European Ceramic Society, Volume 43, Issue 7, July 2023, Pages 2884-2893.
2. Liao, Y., PhDa, Gruber, M. BSEa ; Lukic H., BSEa; McLees J., CDTb ; Chen S., PhDc ; Boghosian A., DDSd ; Megremis S., MS, PhDa; Survey of the mechanical and physical behaviors of yttria-stabilized zirconia from multiple dental laboratories. Journal Reprint Line (2023) 2, 100018

HOW TO OPTIMIZE ALL-CERAMIC RESTORATION BOTH AESTHETIC AND MECHANICAL?

A homogeneous porcelain structure, a strong bond between framework and veneering layer and a natural play of colours: All those characteristics of a high-quality all-ceramic restoration are not only strongly dependent on manual skills of the dental technician, but also on ideal firing conditions.

Only with a well maintained and properly functioning furnace and the right protocols, it is possible to obtain consistently great results in terms of aesthetics and function.

This is true for all kinds of all-ceramic restorations consisting of a framework and a veneering layer: It applies to full layering with a classical anatomical framework design and a relatively thick layer of porcelain, as well as to various cut-back designs finished using the modern micro-layering technique. A material that belongs to the latter category of porcelains and is becoming increasingly popular among dental technicians worldwide is CERABIEN™ MiLai (Kuraray Noritake Dental Inc.). The set of low-fusing porcelains and internal stains has been specifically developed for micro-layering, and works well with different variants of lithium disilicate and zirconia.

While the firing parameters provided by manufacturers like Kuraray Noritake Dental serve as reliable and thoroughly tested guidelines, experienced technicians often explore beyond these standards to achieve the highest possible aesthetic and functional outcomes.

This is precisely what MDT Nondas Vlachopoulos has done with CERABIEN MiLai. A distinguished expert in porcelain layering, he uses this material in his own dental laboratory “AestheticLab” in Athens and during his trainings. Drawing on his deep understanding of ceramic behaviour and extensive experience with a variety of furnaces, he has developed a refined protocol tailored to his lab conditions and artistic goals.

CERABIEN MiLai Baking Schedule by MDT Nondas Vlachopoulos.

His adjustments — such as overbaking the wash layer for structural homogeneity, adding vacuum during internal staining to avoid opacity, or fine-tuning temperatures depending on the ceramic zone (tissue vs. enamel) — are all examples of how small changes can lead to noticeable improvements in both aesthetics and function. Such expert refinements are only possible due to the exceptional flexibility of CERABIEN MiLai, enabled by its unique synthetic feldspar matrix. This advanced material composition offers excellent thermal stability and responsiveness, making it ideal for both standard use and high-level customization. Several leading technicians, including Alek Aronin, have independently followed similar approaches — confirming that Nondas’ schedule reflects a broader best practice among top users.

The above baking schedule has been validated on the furnaces Nondas Vlachopoulos uses in his laboratory on a daily basis – AUSTROMAT™ 624 (Dekema) and checked also in Programat® P510 (Ivoclar Vivadent). He truly recommends using this baking schedule independent of the ambient conditions and the furnace used: “As a hands-on course instructor at the International Dental Exhibition and Conference (IDEX) Istanbul 2025 on May 9, I used a local furnace for the first time. With the aid of my protocols, baking CERABIEN MiLai restorations in this type of furnace the outcome was as if have been fired my laboratory.”

According to Nondas Vlachopoulos, getting started with the new schedule is easy: “Just follow the IFU of your materials and equipment, enter the parameters and that’s it.” He recommends to conduct a trial bake first, before moving on to real patient cases.

For more information on how to maximize the potential of your furnace and material, have a look at our firing guide!

Dentist:

NONDAS VLACHOPOULOS

Nondas Vlachopoulos was born in Toronto, Canada, and graduated from the School of Dental Technology in 1985. He earned a BSc (Hons) from the Technological Educational Institution of Athens in 1989 and founded AestheticLab in Athens in 1990. An expert in aesthetic all-ceramic and implant restorations, Nondas is an international member of the American Academy of Cosmetic Dentistry, an editorial reviewer for the Journal of the AACD, and a member of the Hellenic Academy of Esthetic Dentistry. In 2024, he received the Kenneth D. Rudd Award from the American Prosthodontic Society.

He collaborates with the Department of Prosthodontics at the Eastman Institute for Oral Health (University of Rochester, USA),  and has worked with the Dental School of the National and Kapodistrian University of Athens. Since 2015, he contributes to the postgraduate MSc program in Dental Biomaterials.

Nondas is a global lecturer and hands-on educator, presenting in the USA, South America, Europe, Asia, Australia, and the Middle East. He has published in both Greek and international dental journals and serves as an opinion leader for Noritake Dental and MPF Brush Co. in Greece.

Interview with Takehiro Kameya
Manager of the Technology Division of Kuraray Noritake Dental Inc.

Hur märkte ni behovet av en flytande universalkomposit?

Universalkompositer av pastatyp har blivit allt populärare över hela världen. Detta faktum ledde oss till antagandet att det också finns en efterfrågan på en flytande variant. Användarna tjänar på förenklade arbetssätt och färre nyanser, vilket är positivt ur lagerhållningshänseende. Därför introducerade vi den flytande universalkompositen i Japan, där den redan har en betydande marknadsandel. Användare har testat den i många olika sammanhang och responsen har varit strålande bra. Eftersom produkten mottogs så väl i Japan, kontaktade vi vårt team i Europa och det beslutades att lansera produkten även på den europeiska marknaden. Sedan arbetade vi med marknadsföringen under en väldigt kort period om cirka ett år.

Finns det verkligen några fler vinster i att använda flytande universalkomposit jämfört med universalkomposit av pastatyp?

Ja, att använda modern flytande komposit medför flera fördelar. Det beror på att den senaste generationen f lytande kompositer - i jämförelse med tidigare varianter - ger tillräcklig mekanisk styrka för att kunna användas för vanliga ersättningar. Bland fördelarna av att arbeta med flytande komposit ingår dess kapacitet att flyta in i de minsta av skrymslen i en - ibland komplicerad - kavitet. Det garanterar enkla, snabba och täta fyllningar.

Vilka är skillnaderna mellan CLEARFIL MAJESTY™ ES Flow och CLERAFIL MAJESTY™ ES Flow Universal?

CLEARFIL MAJESTY™ ES Flow Universal har samma specifika egenskaper som CLEARFIL MAJESTY™ ES Flow;  smidig dosering, hantering och formbarhet, den är extremt enkel och snabb att putsa, har beständig ytglans och utmärkta mekaniska egenskaper. Tack vare produkternas mekaniska egenskaper kan de användas som liners, men också för vanliga direktfyllningar. Skillnaden ligger i färgkonceptet. CLEARFIL MAJESTY™ ES Flow Universal introducerar ett universalsystem för färg, som matchar en lång rad tandfärger med hjälp av betydligt färre nyanser.

Beskriv färgkonceptet för CLEARFIL MAJESTY™ ES Flow Universal. Hur många nyanser finns att tillgå och hur väljer man rätt?

CLEARFIL MAJEST™ ES Flow Universal finns i två nyanser: Universal (U) och Universal Dark (UD). U är ett utmärkt val vid posteriora ersättningar- oavsett vilken färg man siktar på. I de anteriora och cervikala områdena (Klass III, IV, V) passar U bäst för tänder med färgen A1 till A3 (inklusive B1, B2, C1, C2, D2, D3 och D4), medan UD lämpar sig bäst för A3,5 och A4 (inklusive B3, B4, C3 och C4).

Färgmatchning för anteriora och posteriora ersättningar.

Varför har ni tagit fram ytterligare en färg för det anteriora området?

Kompositer av universaltyp måste fånga upp färgen hos omgivande tandvävnad för att perfekt matcha ett stort antal tandfärger. I det posteriora området finns oftast en större mängd tandsubstans kvar. Det gör att materialet enklare fångar upp tandfärgen där, till skillnad från i det anteriora området, där ljuset enklare passerar rakt igenom materialet och på så sätt endast reflekterar kompositens egen färg. Det kan göra färgmatchningen sämre. CLEARFIL MAJESTY™ ES Flow Universal U är perfekt komponerad för att matcha i det posteriora området, men har vissa begränsningar när det kommer till färgmatchning med mörkare tänder i det anteriora området. Därför beslutade vi oss för att ta fram ytterligare en nyans, specifikt avsedd för sådana fall. Med U och UD matchar CLEARFIL MAJESTY™ ES Flow Universal både ljusa och mörka färger fantastisk bra och uppfyller därmed behovet av exakt färgmatchning - särskilt i det anteriora området.

Att ta fram en komposit med bara två nyanser som ska täcka in så många tandfärger låter som en utmaning. Hur har ni utvärderar huruvida de tillgängliga nyanserna är tillräckliga i den kliniska vardagen?

Det har verkligen varit ganska utmanande att utveckla U-nyansen, som matchar ett bredare spektra av färger för tänder i både den anteriora och posteriora området än vad U-nyansen av CLEARFIL MAESTY™ ES-2 Universal kan. För att utvärdera och finjustera de nyanser vi utvecklat har vi upprepade gånger utfört fyllningstest med hjälp av ett stort CLEARFIL MAJESTY™ ES Flow Universal – Utmärkta mekaniska egenskaper Low Böjhållfasthet 151 MPa Tryckhållfasthet 373 MPa Fyllnadsgrad 75 wt/% / 59 vol% Radiopacitet 140% AI antal experimentella nyanser i både artificiella tänder och i extraherade tänder med olika färg. Dessutom utvärderades det slutgiltliga urvalet visuellt av tandläkare som använt kompositen i sin kliniska verksamhet.

Vilka är de största utmaningarna med att ta fram och välja rätt nyans i kliniska sammanhang?

Den största nackdelen med klassisk färgtagning är att den förlänger behandlingstiden. För både tandläkare och patient är det angeläget att förkorta tiden i behandlingsstolen eftersom det minskar kostnaden och ökar patientkomforten. En verkligt stor nackdel ur tids- och bekvämlighetshänseende är när färgen blir fel på grund av misstag vid färgtagningen: då måste ersättningen justeras intraoralt, eller i värsta fall, helt göras om.

CLEARFIL MAJESTY™ ES Flow Universal finns tillgänglig i två viskositeter - Low och Super Low. Varför och i vilka olika situationer används de?

Vi bestämde oss för att ta fram två olika flytbarheter med olika tixotropa egenskaper för att möta olika användares preferenser. Det är i huvudsak inga skillnader mellan Low och Super Low, men vi uppmuntrar användarna att använda kompositer med olika tixotropa egenskaper beroende på vad man föredrar och med hänsyn tagen till varje enskilt fall. Super Low är till exempel perfekt för att skapa ocklusalytor på posteriora tänder. Low är mycket användbar för lining och för cervikala fyllningar och på approximala ytor.

CLEARFIL MAJESTY™ ES Flow Universal – Great mechanical properties.

Hur kommer det sig att CLEARFIL MAJESTY™ ES Flow  Universal smälter in så fint bland omgivande tandvävnad - vilka teknologier ligger bakom?

Vår patenterade Light Diffussion Technology är mycket uppskattad och används även i den här produkten. Vi har skapat den optimala ljusspridningen med utgångspunkt i observationen att en stor spridning av av infallande ljus resulterar i ljusare färg medan en liten spridning av ljuset gör att materialet fångar upp mörkare färger i munhålan och gör fyllningen mörkare.  Vi har också fokuserat på att få till rätt kroma: Konceptet för universalfärg bygger på materialets kapacitet att smälta in och fånga upp färgen hos omgivande tandvävnad. Därför har vi skapat kroma i harmoni med en lång rad tandfärger. Slutligen har materialets translucens anpassats med hjälp av submikrona fillers ock kiselkluster. Utvärdering med hjälp av tunga namn i branschen har hjälpt oss att hitta den korrekta graden av translucens.

Hur gör man i fall där stödvävnaden är missfärgad - behöver man maskera med blocker eller opak?

Behovet av maskering avgörs av hur missfärgad tanden är. De ljusspridande egenskaperna hos CLEARFIL MAJESTY™ ES Fow Universal gör att det normalt inte f inns behov av att maskera underliggande tandvävnad för att erhålla rätt färg. I fall med kraftig missfärgning kan det dock vara hjälpsamt att fylla kavitetens botten med CLEARFIL MAJESTY™ ES Flow A2D eller A3D, alternativt att använda CLEARFIL™ ST Opaquer

Hur har ni gjort för att materialet inte ska bilda blåsor under appliceringen?

Vi har använt samma förpackningsdesign som hos CLEARFIL MAJESTY™ ES Flow för att blåsor inte ska uppstå. Den innovativa designen minimerar avståndet mellan sprutspetsen och sprutan.

När ska man använda CLEARFIL MAJESTY™ ES Flow respektive CLEARFIL MAJESTY™ ES Flow Universal?

Universalvarianten kan användas för lining och fyllning enligt användarinstruktion medan CLEARFIL MAJESTY™ ES Flow rekommenderas i de fall där hela tanden ska behandlas och när man önskar en helt annan tandfärg. Direktframställda fasader är ett perfekt exempel. I sådana fall är det gynnsamt att använda olika färger och grader av opacitet.

Hur ser framtiden ut för flytande kompositer?

I takt med att information om klinisk prestanda och fysikaliska egenskaper sprids kommer förtroendet för f lytande komposit att öka även i Europa och leda till ökad användning. Dessutom förväntas en ökad efterfrågan, på grund av utvecklingen av fyllningsmetoder som använder f lytbara kompositer i kombination med formar eller matriser.

TAKEHIRO KAMEYA

CLEARFIL™ Universal Bond Quick 2

Effektivitet och hållbarhet är nyckelbegrepp för de flesta som är verksamma inom dagens tandvård. CLEARFIL™ Universal Bond Quick 2 är en lösning som är effektiv, har hög prestanda och som ger exceptionellt bra resultat. Med sin Advanced Rapid Technology tillåter den här adhesiven snabb och enkel applicering eftersom alla onödiga moment eliminerats och teknikkänsligheten reducerats.

Vad är CLEARFIL™ Universal Bond Quick 2?

CLEARFIL™ Universal Bond Quick 2 är en avancerad adhesiv för dentalt bruk som designats för smidig användning. Produkten är kompatibel med den etsteknik som du föredrar, den ger stark vidhäftning till emalj och dentin och garanterar ett starkt och uniformt bindningsskikt. Produktens mångsidighet gör den användbar för både direkta och indirekta ersättningar liksom för kärnuppbyggnad och intraoral reparation av protetik.

I Vilka Sammanhang Kan Man Använda Den Här Bondingen?

CLEARFIL™ Universal Bond Quick 2 är perfekt för tandläkare som söker efter en pålitlig och lättanvänd adhesiv. Oavsett om det är vanliga direktfyllningar eller olika indirekta behandlingar som ska göras, levererar den här adhesiven alltid jämna resultat och en förenklad arbetsgång.

När kan man använda CLEARFIL™ Universal Bond Quick 2?

Den här bondingen är gjord för att kunna användas vid en lång rad indikationer:

• Fyllningar med ljushärdande komposit
• Som försegling av kavitet eller preparerad tand vid proteteisk behandling
• För att behandla och skydda exponerade rotytor
• Behandling av ilningar i tänderna
• Inraoral reparation av protetik
• Cementering av pelare och kärnuppbyggnad
• Vid cementering av protetiska konstruktioner

Vad gör CLEARFIL™ Universal Bond Quick 2 så bra?

Nyckeln till den exeptionella prestandan är Advanced Rapid Bond Technology, innehållande tre högpresterande beståndsdelar:

• Original MDP Monomer: En monomer som tagits fram av KURARAY CO. , LTD och som ger oöverträffat stark, stabil och hållbar bindning till hydroxylapatit och en lång rad protetiska material - inklusive zirkonia.
• Amidmonomer: En höggradigt hydrofil monomer som tillåter snabb penetration av tandstruktur och som eliminerar väntetiden efter applikation. Under polymeriseringen etablerar monomeren ett stabilt och hydrofobt, korslänkat nätverk som bidrar till stark och hållbar bindning.
• Uretantetrametakrylatmonomer (UTMA): En monomer med flera funktioner som stärker bindningen i sig, minskar graden av polymerisationskrympning och bidrar till ett tunt och jämnt adhesivskikt.

Tillsammans utgör de här tre monomererna grunden för CLEARFIL™ Universal Bond Quick 2 och ger en snabb, pålitlig adhesiv som kan användas i alla dina restorativa behandlingar.

Varför ska du välja CLEARFIL™ Universal Bond Quick 2?

CLEARFIL™ Universal Bond Quick 2 gör arbetet effektivare utan att kompromissa med kvaliteten. Advanced Rapid Technology, som innehåller MDP-, Amid och Uretantetrametakrylat (UTMA)monomerer, ger ett starkt och jämnt bindningsskikt och utmärkt vidhäftning till både emalj och dentin. Den lågviskösa formulan minskar risken för ojämheter och ger en tunn och jämn film som ökar förutsägbarheten i behandlingen.

Fler fördelar:

• Snabb och enkel applikation
• Jämn och hållbar bindning
• Kan användas tillsammans med många olika restorativa tekniker.
• Minimerad risk för ojämn tjocklek och kontamination
• Kompatibelt med självadhesiva resincement
• Praktisk förvaring i rumstemperatur

Hur använder du CLEARFIL™ Universal Bond Quick 2?

Applikationen är enkel och effektiv och passar i många kliniska situationer. Adhesiven kan användas vid:

• Självets - för ett modernt, snabbt och effektivt förfarande
• Selektiv etsning - för starkare emaljbindning
• Totaletsning - vid konventionella behandlingar

It is available in both bottle and unit-dose options, catering to different practice needs and ensuring easy, on-demand use.

Den Ultimata Lösningen för Bonding: CLEARFIL™ Universal Bond Quick 2

Är den senaste uppfinningen inom dental bonding och garanterar effektivitet, pålitlighet och mångsidighet. Adhesiven förenklar ditt arbete och är garanten för starka och hållbara bindningar i ett enda skikt -utan väntetid och överdrivet gnuggande. Exceptionell prestanda och enkelt handhavande gör att den här produkten gör skäl för beteckningen universaladhesiv.

Hjärtat i universalsortimentet

Våra universalprodukter förenklar ditt arbete, erbjuder högkvalitativa material och verktyg som fungerar smidigt tillsammans med dina egna fackkunskaper. CLEARFIL™ Universal Bond Quick 2 är bokstavligen länken mellan många av våra resinbaserade universalprodukter. Dessutom behövs ingen separat aktivator för dualhärdning ens när du använder produkten tillsammans med självadherande cement från andra tillverkare.

TEETHMATE™ DESENSITIZER RECOGNIZED AS TOP PRODUCT YET AGAIN

Dental Advisor has recognized TEETHMATE™ DESENSITIZER as a Top Product in the category of Hygiene – Desensitizer yet again. This year’s recognition – the eleventh in a row (2015 – 2025) – was announced in the January/February 2025 issue of the publication. TEETHMATE™ DESENSITIZER allows an effective non-invasive approach to the treatment of hypersensitivity – a painful condition that generally occurs when dentinal tubules are exposed – when used as directed by dental professionals.

HOW IT WORKS

TEETHMATE™ DESENSITIZER is designed to crystalize hydroxyapatite (HAp), a mineral that is naturally found in enamel and dentin, and is the human body’s strongest material. When applied to exposed, mechanically treated, or freshly prepared dentin, the calcium phosphate-based mixture blocks the exposed tubules and provides immediate pain relief. During setting, HAp is formed, providing for long-term prevention of hypersensitivity. Further, when used in the context of restorative treatment, TEETHMATE™ DESENSITIZER does not have a negative effect on the bond strength of subsequently utilized dental adhesives or cements.

BENEFITS IN A NUTSHELL

TEETHMATE™ DESENSITIZER is a versatile solution providing hypersensitivity relief independent of the cause. It is perfectly suited for

• Treatment of dentin exposed by toothbrush abrasion, gingival recession, periodontal disease and/or acid erosion.
• Treatment of dentin after mechanical tooth cleaning, scaling and/or root planing.
• Treatment of the tooth surface before and after bleaching.
• Treatment of prepared dentin for fillings and/or prosthetic restorations.

The use of the product is also beneficial as it is

• Easy to mix and apply.
• Proven to be effective.
• Tissue-friendly and highly biocompatible.

OUTSTANDING CLINICAL PERFORMANCE RATING: 96 PERCENT

In a clinical evaluation, the Dental Advisor consultants found TEETHMATE™ DESENSITIZER effective in providing hypersensitivity relief immediately following and for up to six months after application. The study evaluated 27 patients diagnosed with gingival recession-related hypersensitivity, which was diagnosed using thermal testing with cold air. For the initial assessment, patients were asked to evaluate their level and frequency of hypersensitivity per tooth on a five-point scale. They were questioned about their level of sensitivity immediately after TEETHMATE™ DESENSITIZER was applied, according to the instructions for use, and again 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.

Among the consultants’ comments were

• “TEETHMATE DESENSITIZER is easy to apply and seems to provide consistent relief.”
• "At six months, the majority of patients continue to experience marked improvement from their preoperative sensitivity or no sensitivity at all."

As a result, the product received a clinical performance rating of 96 percent.

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.

For more information, visit Dental Advisor at: www.dentaladvisor.com

Interview with Dr. Ludivine Facon

Individual prophylaxis, early defect detection and treatment, minimally invasive restorative techniques: In her joint dental practice in Anstaing, France, Dr. Ludivine Facon does everything in  her power to keep her patients’ teeth healthy for their lifetime. When we met her at the International Dental Show in Cologne, where she was a speaker for Kuraray Noritake Dental Inc., we asked her to share information about her treatment philosophy and how flowable injection fits into her overall approach.

Your treatment philosophy seems to be minimally invasive. Would you please tell us a bit more about it?

Ever since I started treating patients, my priority has always been to preserve the dental tissues and to be as minimally invasive as possible when restoration is required. My interest in prevention started with my thesis in 2000, which focused on oral health prevention in Quebec, Canada, a country where prophylactic care is an integral part of dental treatment. I have always been highly interested in individual prophylaxis, which naturally led me to focus on minimally invasive treatments. My goal is to stay as low as possible on the therapeutic gradient, always thinking about the long-term benefits for the patient.

What are the benefits of this approach for your practice?

Integrating prophylaxis for every patient into my practice allows me to work with excellent surface conditions for bonding. The oral environment is sanitized before applying conservative restorations, and carious lesion removal is kept to a minimum.

When defects – be it a carious lesion or severe tooth wear – are present, I use the following instruments and materials that allow for truly minimally invasive interventions:

• Rondoflex 50-micron sandblaster to roughen the surface,
• Micro diamond burs to remove what is necessary,
• Layered composites for single-tooth restorations,
• Injected composites when multiple teeth are involved.

Case predestined for composite injection, as multiple teeth in the maxilla need to be treated (smile makeover).

What dental materials do you use for your restorative procedures?

I am a hands-on dentist, and in my daily practice, I strictly follow surface preparation and bonding protocols recommended for CLEARFIL™ Universal Bond Quick 2 (Kuraray Noritake Dental Inc.). In addition, I use high-quality composites from Kuraray Noritake Dental Inc. For layering, CLEARFIL MAJESTY™ ES-2 Premium Enamel and Dentin are my got-to solution, while I use CLEARFIL MAJESTY™ ES Flow Low for injection.

What are the benefits of a conservative approach for your patients?

Patients appreciate the fact that my treatment approach is as conservative as possible while still allowing for easy reintervention if necessary, preserving as much healthy dental tissue as possible. Another significant advantage is the moderate cost, which makes the treatment more accessible.

How does composite injection fit into this philosophy?

This technique allows for an easy reconstruction of multiple teeth by transferring a wax-up designed in the lab into the mouth via an injection of modern flowable composite into a transparent silicone index. Patients like this technique because it is aesthetic, reliable, reproducible and minimally invasive. A major advantage is that it allows for touch-ups and repairs, making it a reassuring solution. In some cases, no tooth preparation is needed at all—we simply add material, making the whole treatment truly non-invasive.

Why do you think this technique is promising?

It is a trendy and promising technique because:

• It is non-invasive --> preserves tissues --> aligns with minimally invasive dentistry.
• It is predictable --> due to the index, the technique is reproducible.
• It is easier than traditional layering --> saves chair time and improves patient comfort.
• It is cost-effective --> a cheaper alternative to ceramic veneers.
• It allows for repairs at any time, making it a reassuring option.

How did you proceed before knowing this technique?

In the anterior region, I used traditional composite layering with a wax-up and a palatal silicone index. It allowed me to rebuild the palatal wall and provide for precise incisal edge placement. In the posterior region, I used inlays, onlays, or overlays made of lab-processed reinforced composite or lithium disilicate.

Transparent silicone index with injection hole used to inject the flowable composite and restore the tooth to its planned shape.

What made you start using the new technique?

There has been an explosion in demand for smile enhancements, especially among young adults. The composite injection technique is an appealing alternative for reshaping smiles in young patients with intact teeth but unsatisfactory size or shape. It is less invasive than veneers, which have gained popularity due to social media trends, but often require significant tooth preparation.

How did you proceed in the beginning?

I first discovered the technique in a specialized journal in 2019, then trained myself using online tutorials. Of course, there were some trial-and-error moments, but it is a very accessible technique—even for beginners. To achieve optimal results, I believe that proper case selection and treatment planning are key. One of the most important preconditions for aesthetic outcomes is that the patient’s teeth have a simple shade structure. If the shade structure of the teeth is complex or the required restoration is large, it is better to layer the dentin before injecting the enamel. Moreover, it is essential to produce two models in the wax-up phase, not just one: An “intermediate wax-up model” with every other tooth featuring the wax-up, while the remaining teeth remain unmodified. The second is a “full wax-up model” with all teeth reshaped.

Considering these aspects, it is possible to obtain great outcomes quite quickly. The learning curve is steep, however – as with every new technique to be implemented – you need to step out of your comfort zone.

Apart from CLEARFIL™ Universal Bond Quick 2 and CLEARFIL MAJESTY™ ES Flow Low you already mentioned, what instruments and materials do you use?

For treatment planning including the wax-up, I use digital technology via Smilecloud, but a traditional wax-up works just as well. The production of the silicone index is the most delicate part when doing it in-house. I recommend using EXACLEAR (GC), the only truly effective transparent silicone currently available. Adjacent teeth are isolated with PTFE tape. Finishing instruments that have proven their worth are:

• Scalpel Blade No. 12,
• 3M™ Sof-Lex™ Contouring and Polishing Discs (Solventum),
• Red-ring fine diamond burs,
• TWIST™ DIA for Composite polishers (Kuraray Noritake Dental Inc.).

Intermediate wax-up model: One tooth with wax-up followed by one tooth without.

Full wax-up model.

Do you believe that the quality of the outcome is affected by the composite material you use?

Absolutely! New high-filled flowable composites, like CLEARFIL MAJESTY™ ES Flow Low, offer excellent mechanical properties and polishability, making them very promising.

Highly aesthetic treatment outcome after injection of CLEARFIL MAJESTY™ ES Flow Low.

What material characteristics impact overall quality?

First of all, the optical properties or shade matching ability of the material are crucial. I like the fact that I can select from a variety of shades when using CLEARFIL MAJESTY™ ES Flow. Once the right shade is selected and the thickness of the injected layer does not exceed 1 mm, the optical properties of the restorations may be expected to be exceptional.

Moreover, we need a material with great flow properties (fluid, but not too runny), which is virtually void-free. I prefer using low viscosity flowable composites like CLEARFIL MAJESTY™ ES Flow Low (two other flowabilities – HIGH and SUPER LOW – are also available). The physical properties (mechanical strength) and polishability plus polish retention are also important. They are usually excellent with premium flowable composites.

What are your most important clinical tips and tricks?

For beginners:

• Press firmly on the cervical area of the silicone index to reduce excess material upon removal.
• Finish the proximal area thoroughly before moving to the next injection step. This way, you provide for perfect key positioning for the following teeth.

If you follow the protocol, the technique is very beginner friendly!

What is your opinion about the emerging hybrid "layering & injection" technique?

This hybrid technique complicates the original injection technique, which is meant to simplify composite restorations. However, it is very useful in cases where aesthetic complexity requires layering. For maximum mimicry with this technique, I would love to have injectable composites in an enamel shade at my disposal.

Would you please share your final thoughts with us?

Take your time planning! Observe, document, take photos, use digital tools! Less is more.

Dr. Facon, thank you very much!

Dentist:

LUDIVINE FACON

Dr. Ludivine Facon graduated from the University of Lille, where she developed a solid foundation in dentistry. Passionate about periodontology and dental aesthetics, Dr. Facon pursued specialized training to refine her skills in these fields. In 2007, she completed clinical periodontology training at the Charon Clinic, followed by individual dental prophylaxis training with Michel Blique in 2008. From 2013 to 2014, she attended the long cycle program at the Académie du Sourire in Aix-en-Provence, enhancing her expertise in dental aesthetics. Dr. Facon continued to build on her knowledge with international training, including at the International Institute of Periodontology in Montreal in 2015, and a veneer training course at the GAD Center in Bordeaux the same year. In 2016, she further advanced in mucogingival surgery at the Académie de Parodontologie in Aix-en-Provence. Always keeping up with the latest developments, she participated in the CIDAE training in Brussels in 2022. More recently, in 2024, Dr. Facon completed a course in composite layering and injection, led by Guillaume Piskorski, the French specialist in injected composite technique, in Lille. With extensive expertise, Dr. Facon is also an educator in direct aesthetic composites, having taught at the University of Lille in 2020, 2022, 2023, and 2024.

In part two of this veneer workflow, Roberto Rossi completes the restoration by applying CERABIEN™ MiLai lusters to the pre-stained and sintered KATANA™ Zirconia YML. Watch as he enhances surface texture, gloss, and lifelike detail through precise finishing techniques.

With just a few simple steps, Roberto creates depth, dynamic light effects, and natural contours that rival real enamel. The process is intuitive and efficient, delivering a high-end finish—culminating in a final self-glazing fire for a polished, natural result.

An intelligent solution for dental technicians seeking efficiency without compromising on aesthetics.

In the first part of this aesthetic veneer workflow, dental technician Roberto Rossi demonstrates how to apply internal stains to KATANA™ Zirconia YML. This crucial step enhances the restoration by adding depth, translucency, and natural character from within.

After refining the anatomy and surface texture, Roberto skillfully blends and applies selected shades such as A+, Fluoro, and Incisal Blue. These shades create depth, opalescence, and inner vitality that radiate through the final restoration.

A must-watch for dental technicians looking to elevate their zirconia restorations with advanced, yet straightforward, internal staining techniques.

Workflow for sealing a prepared abutment tooth (for indirect restorations and CLEARFIL Universal Bond Quick 2.