Please activate JavaScript!
Please install Adobe Flash Player, click here for download
ePaper created 2016-04-15, 10:04:05 | version 1.38.0
industry Ortho Tribune U.S. Edition | AAO PREVIEW 20166 AD Easing chairside stress with the All Surface Kit At the AAO The All Surface Kit is available at the AAO for an exclusive price of $245. To learn more, visit booth No. 929. By Reliance Orthodontics Staff O ne of Reliance’s flagship products, Assure®, has been the answer for so many difficult bonding situations for the past 15 years. Assure has cre- ated a foundation as the go-to primer for everyday enamel bonding thanks to its variable reducing properties, according to Reliance Orthodontics. Recently, Assure Plus was introduced to bond to micro-etched porcelain without the use of hydrofluoric acid and zirconia. As you may know, Assure and Assure Plus bond to wet or dry healthy enamel. Fur- thermore, they bond to wet or dry atypi- cal surfaces (hypocalcified, aprismatic, Fig. 1a: Medium diamond roughening. Photos/Provided by Reliance Orthodontics Fig. 1b: Sandblasted (50 micron aluminum oxide). fluorosced, primary dentition and even dentin/cementum) without additional primers. If you experience an enamel side bond failure (the composite pad debonds clean off the enamel), immediately contamina- tion is blamed. If you are not using Assure or Assure Plus, this may not be the case. The enamel could have been aprismatic; no other primer will bond to this diffi- cult surface. The use of Assure or Assure Plus on the initial bonding appointment would eliminate this atypical variable. As the demographics of orthodontic patients shift to include an increasingly larger number of adults, artificial sub- strate preparation becomes a major topic of discussion for clinicians. It is no secret that the foundation of artificial substrate bonding lies in a good mechanical prepa- ration. Traditional methods using a diamond bur, greenstone or disc to roughen metal or porcelain surfaces does not always produce adequate mechanical retention; however, microetching with aluminum oxide does. The SEM pictures (Figs. 1a, 1b) clearly illustrate the stark mechani- cal differences between utilizing a rotary instrument and an intraoral microetcher to prepare non-enamel surfaces. Reliance now offers a kit that will re- duce your inventory and produce maxi- mum strength for chairside bonding, regardless of the substrate involved — enamel or non-enamel. The ASK (All Surface Kit) only includes three compo- nents: 6cc Assure Plus*, All Surface Bond- ing Resin, 8 cc Porcelain Conditioner and an Etchmaster microetcher with 10 tips. The Etchmaster is a small sleek design that allows easy access to the posterior and very little clean up when used with high-speed evacuation. Simply unscrew your handpiece from a high- or low- speed air line, attach the Etchmaster sandblaster, insert the preloaded tips (filled with 50 micron aluminum oxide) and begin sandblasting. Clinicians now can eliminate all other artificial surface primers as well as nu- merous different protocols, according to Reliance Orthodontics. With the All Surface Kit, all non-enamel substrates are handled with only two protocols: 1) Porcelain: Sandblast, rinse and dry. Apply one coat of porcelain conditioner. Wait one minute. Apply Assure Plus. Dry and light cure. 2) Composite, zrconia, gold, amalgam, stainless steel, acrylic, temporary, Pontic teeth: Sandblast, rinse and dry. Apply As- sure Plus. Dry and light cure. Reduce inventory, reduce failures, re- duce costs and simplify procedures with Reliance Orthodontics. * Assure Plus Unidose 50 pack can be substituted for an additional $10.