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industry Ortho Tribune U.S. Edition | AAO REVIEW 2016 6 Easing chairside stress with the All Surface Kit 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, 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 contami- nation is blamed. If you are not using As- sure or Assure Plus, this may not be the case. The enamel could have been apris- matic; no other primer will bond to this difficult surface, according to the com- pany. The use of Assure or Assure Plus on the initial bonding appointment would eliminate this atypical variable. Fig. 1a: Medium diamond roughening. Photos/Provided by Reliance Orthodontics 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. Fig. 1b: Sandblasted (50 micron aluminum oxide). 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 mechanical differences between utilizing a rotary in- strument and an intraoral microetcher to prepare non-enamel surfaces. Reliancenowoffersakitthatwillreduce your inventory and produce maximum strength for chairside bonding, regard- less of the substrate involved — enamel or non-enamel. The ASK (All Surface Kit) includes only three components: 6 cc Assure Plus* All Surface Bonding Resin, 8 cc Porcelain Conditioner and an Etch- master 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 sandblast- er, insert the preloaded tips (filled with 50 micron aluminum oxide) and begin sandblasting. AD