Ivoclar Vivadent AdheSE v.3 - Manual (Page 2)

Side effects
Components of AdheSE may cause a sensitizing reaction in
patients with a hypersensitivity to any of the material’s
ingredients. In these cases, the material should not be used.
Interactions
Substances containing eugenol/clove oil inhibit the
polymerization of AdheSE and AdheSE DC.
Application
A: Direct restorations – light-curing materials
(composites, compomers, eg Tetric EvoCeram,
Heliomolar, Compoglass)
If purely light-curing composites are used, AdheSE Bond
must be light cured prior to the placement of a restorative.
In this case, AdheSE is used without the DC Activator.
1. A dry operating field must be ensured. Ideally, a rubber
dam should be used.
2. Apply an adequate amount of AdheSE Primer with a
brush. All the cavity surfaces, beginning at the enamel,
should be adequately wetted. If necessary, fresh primer
should be applied. Once the cavity surfaces have been
completely coated, the primer must be brushed into the
entire surface for another 15 s. The total reaction time
should not be shorter than 30 s.
3. Disperse excess AdheSE Primer with a strong stream of
air until the mobile liquid film is no longer visible.
4. Apply AdheSE Bond, beginning at the dentin.
5. Disperse AdheSE Bond with a very weak stream of air.
Avoid pooling! Care should be taken not to blow away
the bonding agent. All the prepared surfaces must be
adequately coated with AdheSE Bond.
Note: AdheSE Bond does not contain a solvent that has
to be evaporated!
6. Polymerize AdheSE Bond for 10 s using a LED or
halogen curing light with a light intensity of more than
500 mW/cm
2 (eg bluephase in the LOP mode).
If other than halogen lights (eg plasma arc or laser
polymerization units) are used, the recommendations of
the manufacturer of the device used must be followed
to obtain fully polymerized results. The light-curing time
depends on the intensity and the wavelength range of
the light emitted by the different curing units.
Note: Light-curing times of less than 5 s are not
recommended.
7. The restorative material must be applied according to
the instructions of the manufacturer.
B: Indirect restorations / Posts:
1. Prepare the surface of the restorations according to
the instructions of the manufacturer. The following
conditioning steps apply to IPS Empress restorations
after they have been tried in: Etch the inner surface of
the restoration with IPS Ceramic Etching Gel (5% hydro-
fluoric acid) for 60 s (IPS e.max CAD/Press for 20 s).
Rinse thoroughly with water and dry with an air syringe.
Silanize the inner surfaces with Monobond Plus for 60 s
and dry with an air syringe.
Do not touch the surfaces once they have been silanized!
Note: Do not apply activated AdheSE Bond to the inner
restoration surfaces!
2. A dry operating field must be ensured. Ideally, a rubber
dam should be used.
3. Apply an adequate amount of AdheSE Primer with a
brush. All the cavity surfaces, beginning at the enamel,
should be adequately wetted. If necessary, fresh primer
should be applied. Apply to all prepared surfaces for
30 s.
4. Disperse excess AdheSE Primer with a strong stream of
air until the mobile liquid film is no longer visible.
Remove excess from root canals with paper points.
5. Mix equal amounts of AdheSE Bond and AdheSE DC
Activator. The two components must be mixed
thoroughly.
6. Apply the activated AdheSE Bond to all prepared surfaces.
7. Remove excess material in such a way that the activated
AdheSE Bond completely covers the enamel and dentin
without pooling. This can be achieved by
a) applying a weak stream of air
b) holding a strong suction device over the cavity
c) drying root canals with paper points.
When indirect restorations or posts are placed in conjunction
with dual-curing cement, activated AdheSE Bond must not
be light cured, as a cured bond layer may compromise the
fit of the restoration. If purely light-curing composites are
used for cementation, the activated AdheSE Bond must be
light cured prior to the placement of the restoration.