Adper  Prompt  Self-Etch Adhesive

1. An Alternative “No-Rinse” Sealant Placement Technique:3M ESPE Adper Prompt Self-Etch Adhesive and 3M ESPE Clinpro Sealant: This technique uses a self-etching dental adhesive to bond the sealant to the tooth.

2. Adper Prompt Self-Etch Adhesive • Indications For Use: • Bonding light-cured composite • and compomer materials to • dentin and enamel • Desensitization of exposed root • surfaces • Bonding of light-cure resin • based pit and fissure sealants Unidose L-Pop delivery system

3. Adper Prompt Self-Etch Adhesive and Clinpro Sealant American Journal of Dentistry 2003 Aug:16(4):249-51, Feigal RJ, Quelhas I. “Clinical trial of a self-etching adhesive for sealant application” • “From the standpoint of time savings, lowered complexity of treatment, and decreased challenge of patient management, the self-etching adhesive method of sealant application has a significant advantage over the traditional method”.

4. Adper Prompt Self-Etch Adhesive and Clinpro SealantClinical Technique • Thoroughly clean the teeth to remove plaque and debris from the enamel surfaces and fissures • Do not use any cleaning medium that may contain fluoride or oils as it may affect the adhesion value. • Rinse thoroughly with water and dry • Isolate the tooth (e.g.with cotton rolls) • Dry the surface to be sealed • Activate the L-Pop

5. Adper Prompt Self-Etch Adhesive: L-Pop Activation • Squeeze the material from the red reservoir into the yellow (middle) reservoir • The middle reservoir will expand indicating proper transfer of fluid

6. Fold back the red reservoir until it meets the flat face of the yellow reservoir • Keep the red reservoir tightly squeezed while bending the package to prevent the material from flowing back • Squeeze the liquid from the yellow reservoir into the blue reservoir

7. Apply a churning or spinning motion to the applicator for five seconds to mix the adhesive and fully coat the applicator tip

8. A lightly yellow-tinted applicator tip indicates proper activation. If a yellow color is not obtained unfold the “L-Pop”, reactivate, and apply a spinning motion to the applicator for 5 seconds to mix the adhesive.

9. Adper Prompt Self-Etch Adhesive Tip must be yellowindicating proper activation Clear tip indicates improper activation

10. Apply adhesive onto the surface to be sealed; scrub for 15 seconds applying moderate finger pressure. Do not shorten this time. • Proper bonding will not occur if the solution is simply applied and dispersed.

11. Use a gentle stream of air tothoroughly dry the adhesive to a thin film (approximately 10 seconds) • If the stream of air is too forceful, the adhesive will be blown off the tooth • The surface will appear glossy, but not moist • The tooth surface will not appear frosty as in the “traditional” technique

12. Apply a light-cured sealant

13. Light-cure the sealant and adhesive together with a halogen, LED or plasma light for the amount of time specified to cure the sealant

14. Check sealant coverage and wipe clean

15. Adper Prompt Self-Etch Adhesive and Clinpro SealantKey Technique Tips: • Activated L-Pop must be a deep golden yellow • The L-Pop can be activated up to 10 minutes before the procedure • Saves time to activate before bringing patient back to operatory • Adhesive must be scrubbed on the surface for a minimum of 15 seconds

16. Key Technique Tips (continued) • Gentle, but thorough, drying step is critical • Purpose: evaporate the solvent (water) • Dry an inch or so away from the tooth surface • Adhesive will have a “waving” motion the first 10 seconds of drying • When “the wave” stops…water is evaporated • Tooth will not have a “frosty” appearance • Co-cure adhesive and sealant together for 20 seconds

17. Benefits of Technique: • No rinsing involved (means no bitter taste, which can increase salivary flow and affect isolation) • Adper Prompt pH low (.8) and will etch an uncut enamel surface • Few other SE adhesives have this ability • Sealant is actually being bonded to the tooth (same concept as bonding a composite)

18. Benefits of Technique: • Less microleakage compared to the traditional technique • Means less chance of recurrent decay/better retention • Decreased challenge of patient management • Saves time compared to the traditional technique