Universal Dentin Adhesives

The recent launch of Ivoclar’s Adhese Universal adds to the growing category of materials known as “Universal Adhesives”.  In general when I hear the word universal I assume it is a product that can be used for all possible applications and with a single set of instructions. I have learned over the years not to assume in dentistry what the word universal applies and make sure I understand the specifics. This new group of materials is no different. There are multiple manufacturers with “Universal Adhesives” on the market, and each one has a different set of procedures it includes with different recommended directions. So with that what are the advantages of using a “Universal Adhesive”?

• Streamlined purchasing & inventory control with fewer products
• Predictable procedure set-up with one product

With this in mind there are several pieces of information you need to have about your particular “Universal Adhesive” to use it optimally.

• Are there different directions for Total Etch, Self Etch & Selective Etch
• Is it Compatible with dual cure products if light cured first?
• Can you add a dual cure catalyst to convert it to dual cure?
• What are the manufacturer handling recommendation? refrigeration, shaking?
• Is an additional primer recommended when bonding to restorative material?

These new category of materials is showing great results in testing, and does streamline part but not all of the process when doing adhesive dentistry. We have several years of good data behind these products and my guess is we will see additional companies come out with “Universal Adhesives”.