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MPa a new single bottle adhesive from Clinicians Choice

A new aid in bonding is described here by Tony Beale

Figure 1: An amalgam restorationprepared tooth

Which generation is best?
The question as to Which generation of bonding adhesive is best? continues to create much debate among clinicians, with most dental professionals expressing their own preferences, and with each having their own favourite product. Each generation of these materials probably has its own advantages, but whatever the pros and cons there is a universal criteria that must be met if a successful restoration is to be achieved, and the factors influencing success or failure can be defined as follows: 1. Successful etching capability. 2. The prevention of post-operative sensitivity. 3. Ease of use. 4. Consistent application. 5. Prevention of microleakage 6. High bond strength.

Figure 2: Etch for 15 seconds

Figure 3: Rinse thoroughly for five seconds, lightly air dry and apply G5 (optional)
Clinically, although somewhat more convenient and quicker to use, some selfetching systems can result in a poor enamel etch/bond, and stained margins have been observed with premature microleakage. It is therefore recommended that a properly etched, enamel or dentine surface be created by the use of a 37% phosphoric acid etch material. This will ensure that a more effective result will be achieved. A properly etched enamel or dentine surface will allow for the proper penetration of the MPa resin and will consistently result in a strong bond.

Figure 4: Apply MPa for 10 seconds

utilises scientifically advanced and clinically proven chemistry. The resultant product, called MPa (Maximum Performance adhesive), addresses each of the above points. Previous 4th and 5th generation systems have required the application of three, four or even five coats of primer (this is why lowbond strengths or sensitivity can result) and a nano-filled 7.5% second resin. MPa is a single bottle system and only requires a single coat application. MPa has natural resins and its slightly higher film thickness ensures that only a single coat is needed to address virtually all bonding situations. It succeeds in sealing the dentine tubules resulting in a sensitivity-free and totally sealed restoration.

As if to reinforce the effectiveness of MPa, Walter et al, states that the dentine bond strength of MPa direct was higher than that of four other systems, with the difference being statistically significant for three of these. In addition, MPa Direct was very effective for bonding self-cure composite resins when the adhesives oxygen inhibited layer was removed with alcohol.1

Use of G5 desensitiser
The Clinicians Choice company also produces G5, an all purpose desensitising agent that can be used after acid etching. This material has been proven over the long term, and it effectively coagulates the plasma proteins within the dentinal tubules, thus helping to create a dry seal. When used in conjunction with MPa, G5 will shut down the intra-tubular liquid flow, thereby helping prevent post-operative discomfort. G5 also helps to stabilise the bond long term. MPa and G5 can be used in combination, as shown in Figures 1-6.

Total etch vs self-etch

Most operators agree that the total etching will create higher adhesive strength to MPa a single bottle resin enamel, and in testing with total etch The Clinicians Choice company of Canada techniques it was found MPa did achieve has introduced a one-bottle adhesive that this, and that this also helped prevent can be defined as etch and rinse, and it microleakage in the long term.

1. Walter, R, Swift, E.J, Ritter, A.V. et al. Dentine Bonding of a new etch-and-bond adhesive using self and light-cured composites, American Journal of Dentistry, 2009.

Figure 5: Air thin and evaporate MPa solvent, 10 seconds

Figure 6: Light cure for 10 seconds

Figure 7: Clinicians Choice MPa single bottle adhesive

MPa Direct and G5 Desensitiser are both available from Optident Ltd, International Development Centre, Valley Drive, Ilkley, LS29 8AL. Call 01943 605050, email or visit