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Adper ? Prompt ? Self-Etch Adhesive - PowerPoint PPT Presentation


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An Alternative “No-Rinse” Sealant Placement Technique: 3M ESPE Adper  Prompt  Self-Etch Adhesive and 3M ESPE Clinpro  Sealant: This technique uses a self-etching dental adhesive to bond the sealant to the tooth. Adper  Prompt  Self-Etch Adhesive. Indications For Use:

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slide1

An Alternative “No-Rinse” Sealant Placement Technique:3M ESPE Adper Prompt Self-Etch Adhesive and 3M ESPE Clinpro Sealant: This technique uses a self-etching dental adhesive to bond the sealant to the tooth.

slide2

Adper Prompt Self-Etch Adhesive

  • Indications For Use:
  • Bonding light-cured composite
  • and compomer materials to
  • dentin and enamel
  • Desensitization of exposed root
  • surfaces
  • Bonding of light-cure resin
  • based pit and fissure sealants

Unidose L-Pop

delivery system

slide3

Adper Prompt Self-Etch Adhesive and Clinpro Sealant

American Journal of Dentistry 2003 Aug:16(4):249-51, Feigal RJ, Quelhas I.

“Clinical trial of a self-etching adhesive for sealant application”

  • “From the standpoint of time savings, lowered complexity of treatment, and decreased challenge of patient management, the self-etching adhesive method of sealant application has a significant advantage over the traditional method”.
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Adper Prompt Self-Etch Adhesive and Clinpro SealantClinical Technique

  • Thoroughly clean the teeth to remove plaque and debris from the enamel surfaces and fissures
  • Do not use any cleaning medium that may contain fluoride or oils as it may affect the adhesion value.
  • Rinse thoroughly with water and dry
  • Isolate the tooth (e.g.with cotton rolls)
  • Dry the surface to be sealed
  • Activate the L-Pop
slide5

Adper Prompt Self-Etch Adhesive: L-Pop Activation

  • Squeeze the material from the red reservoir into the yellow (middle) reservoir
  • The middle reservoir will expand indicating proper transfer of fluid
slide6

Fold back the red reservoir until it meets the flat face

of the yellow reservoir

  • Keep the red reservoir tightly squeezed while bending the package to prevent the material from flowing back
  • Squeeze the liquid from the yellow reservoir into the blue

reservoir

slide7

Apply a churning or spinning motion to the applicator for five seconds to mix the adhesive and fully coat the applicator tip

slide8

A lightly yellow-tinted applicator tip indicates proper

activation. If a yellow color is not obtained unfold the

“L-Pop”, reactivate, and apply a spinning motion to the

applicator for 5 seconds to mix the adhesive.

slide9

Adper Prompt Self-Etch Adhesive

Tip must be yellowindicating proper activation

Clear tip indicates improper activation

slide10

Apply adhesive onto the surface to be sealed; scrub for 15 seconds applying moderate finger pressure. Do not shorten this time.

  • Proper bonding will not occur if the solution is simply applied and dispersed.
slide11

Use a gentle stream of air tothoroughly dry the adhesive to a thin film (approximately 10 seconds)

  • If the stream of air is too forceful, the adhesive will be blown off the tooth
  • The surface will appear glossy, but not moist
  • The tooth surface will not appear frosty as in the “traditional” technique
slide13

Light-cure the sealant and adhesive together with a halogen, LED or plasma light for the amount of time specified to cure the sealant

slide15

Adper Prompt Self-Etch Adhesive and Clinpro SealantKey Technique Tips:

  • Activated L-Pop must be a deep golden yellow
  • The L-Pop can be activated up to 10 minutes before the procedure
      • Saves time to activate before bringing patient back to operatory
  • Adhesive must be scrubbed on the surface for a minimum of 15 seconds
slide16

Key Technique Tips (continued)

  • Gentle, but thorough, drying step is critical
    • Purpose: evaporate the solvent (water)
    • Dry an inch or so away from the tooth surface
    • Adhesive will have a “waving” motion the first 10 seconds of drying
    • When “the wave” stops…water is evaporated
    • Tooth will not have a “frosty” appearance
  • Co-cure adhesive and sealant together for 20 seconds
slide17

Benefits of Technique:

  • No rinsing involved (means no bitter taste, which can increase salivary flow and affect isolation)
  • Adper Prompt pH low (.8) and will etch an uncut enamel surface
    • Few other SE adhesives have this ability
  • Sealant is actually being bonded to the tooth (same concept as bonding a composite)
slide18

Benefits of Technique:

  • Less microleakage compared to the traditional technique
    • Means less chance of recurrent decay/better retention
  • Decreased challenge of patient management
  • Saves time compared to the traditional technique