Espertise

magazine

3 M E S P E N O R D I C D E N TA L C O N F E R E N C E I N S T O C K H O L M
In the beginning of February 2013 3M ESPE held a Nordic scientific conference
in Stockholm. The focus was on adhesive dentistry covering three innovations
with the potential of making dentistry even less invasive and more adhesive. In
order to provide insight into this area of restorative dentistry, dental experts from
all Nordic countries were invited to a conference to share scientific findings,
details of product development and displaying expert opinions about chemical
composition and clinical use.

NORDIC EDITION 2013

Espertise

magazine

Nordic experts conference

in Stockholm February 6th 2013
2

Physical interaction of etch-and-rinse, self-etch, and self-adhesive cements

29 opinion leaders, primarily from the Universities, from Sweden, Norway,

with root dentin: preliminary results Ana Raquel Benetti, Denmark

Finland, Iceland and Denmark participated in the conference.

The conference was led by chairman Dr. Odont. Torgils Laegreid, Norway. Lec-

The products in scope from 3M ESPE were Scotchbond Universal Adhesive -

tures were about adhesion:

one bonding agent for all bonding purposes with one technique, and the corre-

How to bond to every surface - the chemistry of an universal adhesive

sponding adhesive resin cement RelyX Ultimate Cement as well as Lava

Dr. Christoph Thalacker, 3M ESPE

Ultimate CAD/CAM restorative, an indirect Resin Nano Ceramic material to be

Adhesion anno 2013 - Both for direct and indirect use Prof. Bart van Meerbeek,

cemented adhesively with the materials above.

University of Leuven, Belgium

There was an interactive discussion after each session. The participants found

Adhesive Composite Overlays on vital and devital teeth Prof. Ivo Krejci, Univer-

the presented topics very interesting and contributed to fruitful exchange of

sity of Geneva, Switzerland

knowledge.

Three short poster presentations by younger scientists from Nordic:

3M ESPE finds it important to have a good dialogue with opinion leaders. The

Longevity of posterior restorations and reasons for failure Simen Vidnes-

purpose of conferences like this is to bring 3M ESPEs researchers, international

scientists and local opinion leaders together for sharing different points of view on

Kopperud, Norway

relevant topics, as well as to establish and maintain a good relationship.

Brief notes on fracture load of Lava Ultimate onlays and their adhesive

cementation with Scotchbond Universal & RelyX Ultimate combination Lippo Lassila, Finland
1. Bonding to enamel - Selective

2. Bonding to dentin - It is preferable to use mild but vigorous self etching with Scotchbond Universal. The collagen

enamel

inside the thin hybrid layer will remain hydroxyapatite rich and resistant against enzymatic MMP degradation.

etch.

Micromechanical

retention through preceding selective enamel etch with phosphoric

acid & additional self-etch simulta-

Interfacial Analysis of Scotchbond Universal.

Self-Etch Mode on Dentin

neously on dentin using Scotchbond

Universal.

HYBRID LAYER

(composite)

ADHESIVE

Interfacial Analysis of Scotchbond Universal.

Total-Etch Mode on Dentin

Image Highlights:
Cured film thickness
approximately 5-10
microns
Hybrid layer approx.
1 micron

ADHESIVE
Vitrebond
copolymer
B
HY

DENTIN

Image Highlights:
Cured film thickness
approximately 5-10
microns

R ID

YE
LA

DENTIN

Hybrid layer 5 microns

Vitrebond Copolymer
forms a unique interface

Dr Bart Van Meerbeek, Catholic University of Leuven

Dr Bart Van Meerbeek, Catholic University of Leuven

3. High degree of conversion of Scotchbond Universal is reached after thorough evaporation of the solvent,
immediately followed by light curing.
Enamel etch pattern of phosphoric
acid (5000x)

Degree of Conversion of Scotchbond Universal

at the Dentin Interface
Adhesive

Substrate

Bottom of adhesive layer (5000x)

Water placed on uncured

adhesive illustrates a
hydrophilic nature before
curing

Degree of conversion

Scotchbond
Universal Adhesive

Smear-layer
(self-etch)

85 5%

Scotchbond
Universal Adhesive

Etched-dentin

83 b4%

Prime&Bond NT

Etched-dentin

66 a 13%

Approximating a One-Step Hydrophobic Overcoat

A high degree of conversion is beneficial to maintain the integrity of

the adhesive layer, increase strength, increase hydrophobicity and
reduce permeability.

Water placed on cured

adhesive illustrates a
hydrophobic nature
after curing

Espertise

magazine

New adhesive chemistry and new techniques are hot

topics with many questions
Dental composites are bonded into the cavities via chemical bonding of the

bond Universal as for fresh RelyX Ceramic Primer/Adper Scotchbond 1 XT. Only

dental adhesive to calcium hydroxyapatite and additionally micro-mechanical

cohesive failures in the glass ceramic were observed.

interlocking of the cured adhesive is taking place.

Nuclear Magnetic Resonance Spectroscopy

Why selective enamel etching?

Comparison of two NMR active nuclei. Spectra of 1H NMR and 13C NMR are

It's useful to etch all bonding surfaces on enamel with phosphoric acid.

showing that free silane species are present in fresh and aged Scotchbond

Retentive roughness on enamel is created with 15 sec. phosphoric acid etching

Universal and RelyX Ceramic Primer. Content of free silanes in Scotchbond Uni-

(pH < 1) followed by copious water rinsing. If "total etch" is used on dentin, the

versal samples are at least on the same level as in RelyX Ceramic Primer.

collagen is exposed up to several micrometers deep, and the dentin tubuli are

This is recently shown in a study presented at the IADR 2013.

opened during water rinsing. This can compromise the long term durability of
the dentin bonding and increase the occurrence of postoperative sensitivity.

Abstract 631
C. Thalacker, A.S. Eckert, H. Loll, D.D. Kruger, R. Guggenberger, 3M ESPE

Why 10-MDP and wet environment?

Dental Products, 3M Deutschland GmbH, 82229

The safest and most reliable treatment on dentin is the self-etching adhesive
with moderate acidity (pH = 2.7) like Scotchbond Universal. The treatment of
the bonding surface for 20 sec. is mandatory in penetrating and partly dissol

Bonding Mechanism of a Universal Adhesive to Glass Ceramic.

Click for the link

calcium hydroxyapatite.

Why the bonding surface must be first wet

and at the end very dry?

Chemical bonding to calcium hydroxyapatite both on enamel and dentin are

While proper bonding to the tooth as a hydrophilic substrate requires a hydro-

generated with functional monomers. The reactive acidic monomers in Scotch-

philic adhesive formulation, the cured adhesive must be hydrophobic for longe

bond Universal are 10-MDP and Vitrebond copolymer. Acids require the

vity of the restoration to maintain its esthetics.

presence of water to be reactive and the bonding milieu on tooth structure is

Scotchbond Universal achieves a switch from hydrophilic in the uncured state

hydrophilic.

to hydrophobic in the cured state by the following features:

ving the "smear layer" and still preserving the collagen intact and covered with

the water / ethanol based solvent system enables evaporation of excess

Why Vitrebond copolymer?

moisture during the air drying step

It increases robustness of the adhesive by optimizing bond strength especially

to the dentin also for extreme conditions (eg. overdried, etched dentin).

the powerful photoinitiator system enables a degree of conversion of over

80% at the dentin interface and creates a very dense polymer network
this can be shown by placing a drop of water on uncured and cured Scotch-

Why 10-MDP and dry environment?

bond Universal (inhibition layer removed): significant increase in contact

Bonding to artificial surfaces on dentition such as old composite, metals and

glass ceramics require hydrophobic conditions. Thus evaporation of water after

angle for cured Scotchbond Universal

anymore. The phosphate group of 10-MDP molecule in the adhesive can now

Why the combination of Scotchbond

Universal and RelyX Ultimate cement is a
dual cure system?

form strong chemical, covalent bonds to metal oxides like zirconia.

Dual cure activator for Scotchbond Universal adhesive is integrated into the

the previous bonding stage must be efficient and thorough. Air blowing into the
cavity must continue, until the surface of the adhesive layer does not move

RelyX Ultimate adhesive cement.

Why Silane and dry environment?

The dark cure initator system of RelyX Ultimate is powerful enough to fully cure

The silane incorporated in the Scotchbond Universal adhesive mixture is

proven to function as efficiently as the separate silane RCP (RelyX Ceramic

Primer) layered together with a conventional dental adhesive Adper Scotchbond 1 XT. The shear bond strength to hydrofluoric acid (HF) treated glass
ceramic surface was the same statistically for fresh and 24 month aged Scotch-

the combination of Scotchbond Universal and RelyX Ultimate.

Espertise

magazine

Interview with Dr. Simen E. Vidnes-Kopperud

Nordic opinion leader conference in Stockholm February 6th 2013

One of the younger participants, PhD Student Simen Vidnes-Kopperud from Oslo, made a poster
presentation during the event about Longevity of posterior restorations and reasons for failure.
After the event we asked him a few questions related to the conference:
1.

Q: I understand this was the first time you joined an event like this. What is your opinion about this
kind of conference arranged by a company from the dental industry?
A: It is a good chance to learn more about an interesting field. Also, it is an opportunity to meet other
researchers within my field of research.

2.

Q: The first speaker was one of 3M ESPEs own scientists. What do you think about using one of our
own researchers introducing to the audience 3M ESPEs new adhesive system Scotchbond Universal?
A: First of all, Dr. Thalacker was a very good speaker and presented complex information in an understandable manner. Combined with the more impartial lecture by Bart van Meerbeek, I found it unproblematic that the developer presented 3M ESPE's newest product.

3.

Q: What would you say in your opinion is more important? To stay with a well proven multi-step adhesive system or change to a new, less technique sensitive one, based on a combination of well known

Dr. Simen E. Vidnes-Kopperud

and new developed chemistry and with new properties?

A: Until long-term studies are available, I prefer staying with a well proven multi-step adhesive system.
But developments of new adhesive systems are very welcome and if we can achieve the same bond
strength with a less technique sensitive system, it will definitely enhance general dentistry.
4.

Q: Professor Bart van Meerbeek was the next speaker, and you also heard him recently in Norway.
Which topic / topics in his presentation were more interesting for you?
A: It was interesting to see the difference in dentin bond between total-etch products and self-etch
products.

5.

Q: Can you please explain why you find that more interesting?
A: 2-step etch&rinse-approach is quite common in Norway. It is interesting to see that a mild selfetch-approach seems to have some better bond qualities.

6.

Q: Before you heard Bart van Meerbeek in Norway in January, were you aware of that micromechanical retention to etched tooth surface no longer is the only important retention for an adhesive to the
tooth?
A: Binding to HAp was new to me.

7.

Q: What is your opinion about studies looking at the possibility of delaying or avoiding the debonding
prosess by treating the tooth surface with e. g. chlorhexidine or other medias?
A: As far as I have seen, this has not been successful yet.

8.

Q: Exept for the lectures, did you have another outcome of this event?
A: I made some new contacts within my field of research.

Hvamveien 6
2013 Skjetten, Norway
Telefon: +47 06384
E-mail: www.3MESPE.no/kontakt
Internet: www.3MESPE.no

3M, ESPE, Espertise, Lava, Scotchbond, RelyX and Vitrebond are trademarks of 3M Company or 3M Deutschland
GmbH.
Used under license in Canada.
2013, 3M. All rights reserved.