Bond Saver D and Superb- By Thomas W. Mitchell, DDS, FAGD

Introduction: 

Here's 2 occlusal composites with Clean and Boost, Bond Saver D, Superb, Titan Flowable and Exquisite

Thomas W. Mitchell, DDS, FAGD
We're doing occlusal composites on #18 and #19.
Thomas W. Mitchell, DDS, FAGD
This is #18 after Clean and Boost, rinsed and dried. I think you can see how "frosted" the enamel appears.
Thomas W. Mitchell, DDS, FAGD
Bond Saver D on the prep and left to dwell for a few seconds. Then I remove the puddles, but don't dry it, it must remain visibly wet.
Thomas W. Mitchell, DDS, FAGD
Then "slobber on" 2 coats of Superb, air thin that and since this was fairly deep I co-cured white opaque Titan Flowable with the Valo light on Xtra Power (3200mW/cm2).
Thomas W. Mitchell, DDS, FAGD
First Exquisite layer against the lingual cusps. This prep was fairly deep so I decided not to bulk fill it.
Thomas W. Mitchell, DDS, FAGD
The second layer of Exquisite against the buccal cusps.
Thomas W. Mitchell, DDS, FAGD
Then started #19. This is after Clean and Boost, rinsed and dried.
Thomas W. Mitchell, DDS, FAGD
Bond Saver D, then Superb and A2 Titan Flowable all co-cured.
Thomas W. Mitchell, DDS, FAGD
Then I bulk filled #19 with Exquisite and cured for 3 secs with the Valo light on Xtra Power (3200mW/cm2).
Thomas W. Mitchell, DDS, FAGD
I'm always able to get the occlusion more accurately when I layer composite, as I did on #18, than when I bulk fill, as on 19.
Thomas W. Mitchell, DDS, FAGD
After adjusting occlusion I re-sealed #19 with Superb. I didn't touch #18 so I just re-cured it.

Conclusion: 

I'm using Bond Saver D with Superb, applying it after etching to a dry surface, and before placing Superb. With the Surpass universal adhesive. I'm placing Bond Saver D after Clean and Boost, rinse and dry, and before Surpass 2. (I've replaced Surpass 1 with Clean and Boost to do the etching). As I understand it, Bond Saver D is re-wetting the surface and protecting the collagen fibers from proteinases.

Case by: 

Thomas W. Mitchell, DDS, FAGD

Email: 

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