EN

INSTRUCTIONSDATA AND REFERENCESQUESTIONS AND ANSWERS
IMPORTANT:READ ALL INSTRUCTIONS THOROUGHLY BEFORE USE.
KEEP THIS LEAFLET AND REFER TO IT PERIODICALLY.

Related Products of Super-Bond(sold separately)

Dental Adhesive Resin Cement

Porcelain Liner M

FOR DENTIST USE ONLY

Super-Bond

Adhesive primer for porcelain

V-PRIMER

Adhesive primer for precious metal alloys

Super-Bond SEP

Water Soluble release agent

Accessories for Super-Bond(sold separately)
Dispensing Dish (Ceramic)
Dispensing Stand
Dispensing Cups 40 pieces
Sponge (L • S)
Measuring Spoon (Standard) for the standard mix ratio
Measuring Spoon (Small) for 75% of the standard mix ratio
Measuring Spoon (Large) for 120% of the standard mix ratio
Brush Handle (Straight)
Brush Handle (Bent)
Brush Tips (Blue • Bulk-mix)
Brush Tips (Green • S • Brush-dip)
Brush Tips (Pink • L • Brush-dip)
Brush Tips (Purple • LL • Brush-dip)
Needle Tips (23G) 50 pieces and Needle Caps (Red) 2 pieces
Needle Tips (23G) 50 pieces and Needle Caps (Green) 2 pieces

Date of issue: 2020-08-06
J026E/1CTable of Contents
Instructions

CAUTION
1.
What is Super-Bond?
2.
Contents of Super-Bond kits
3.
Precautions
3–1. Safety
3–2. Precautions on Catalyst V
3–3. Storage
3–4. To Get the Best Results with Super-Bond
4.
How to use Super-Bond
Surface Preparation
BULK-MIX TECHNIQUE
BRUSH-DIP TECHNIQUE
5.
Examples of Clinical Applications

Data and References

Table 1
Table 2
Table 3Fig. 1
Fig. 2
Table 4
Table 5
Table 6
Table 7
Table 8
Table 9Fig. 3
Table 10
Table 11
Table 12
Table 13Super-Bond Series
List of Major Components
Physical Properties of Polymerized Super-Bond
Impact Fracture Energy of Adhesives
Durability of Bond to Precious Metals using V-PRIMER
Water Sorption and Solubility in Water of Various Luting Cements
Bond Strength to Tooth Substance
Bond Strength to Metals
Bond Strength to Porcelain using Porcelain Liner M
Effect of Polymer/Monomer on Working Time and Curing Time in Bulk-mix Technique
Polymer Types and their Curing Times in Brush-dip Technique
Effect of Temperature on Working TimeRadiopacity using Polymer (Bulk-mix Radiopaque)
Interaction of Porcelain Liner M and V-PRIMER
Effect of Heat Treatment Condition of Porcelain Liner M Coated Surface on Bond Strength
Effect of Dentin Treatment with Sodium Hypochlorite

Questions and Answers

Question 1
Question 2
Question 3
Question 4
Question 5
Question 6
Question 7
Question 8
Question 9
Question 10
Question 11
Question 12
Question 13
Question 14
Question 15
Question 16
Question 17

What is the adhesive monomer, "4-META"?
Is the mechanical strength of Super-Bond lower than other adhesive resins?
Does water absorption reduce Super-Bond's mechanical strength?
What is the "TBB" Catalyst?
How do I apply "Enamel Etchant Gel" and "Dentin Etchant Gel" to the enamel surface?
Why is the "Dentin Etchant Gel" used for treating dentin?
How do I treat a tooth surface that consists of both dentin and enamel?
What is the purpose of treating dentin with sodium hypochlorite? How should it be used?
How do I protect the surface of the prosthesis where I don't want the adhesive to bond?
How much working time does Super-Bond allow?
What is the difference between the Bulk-mix Polymer powders and the normal Polymer powders?
Can I use Dispensing Cups and Dispensing Stand at the temperature above 25˚C?
How long does the activated liquid remain active?
Do I have to pre-wet the surfaces being cemented with the activated liquid?
What are the different types of Polymer powders for? And how do I use them?
How can I remove excess resin?
What are the different types of Brush Tips for? And how do I use them?

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1

CAUTION

qAvoid contact
Avoid contact with soft tissue, skin or eyes. A rubber dam is recommended for intraoral use. Dentist should
use rubber or PVC dental gloves. Contaminated skin or mucosa should be wiped off immediately with alcoholand then thoroughly rinsed with running water, otherwise symptoms such as swelling may show. If
Super-Bond enters the eye, immediately rinse thoroughly with running water. The patient should be examinedby an ophthalmologist. When the cured adhesive contacts soft tissue, polish the adhesive surface.
wBe careful of acidity
As the Enamel Etchant Gel and Dentin Etchant Gel are acid, avoid contact with soft tissue, skin or eyes, anddo not allow patients to swallow them while applying and washing them with water.
eBe careful of flammability
Catalyst V and Monomer are flammable. Do not store where they may be exposed to open flame.
rClean spilled Catalyst V immediately with wet towels
The Catalyst V reacts with oxygen. If absorbed by a flammable material, it may raise the temperature enoughto cause smoldering. If the Catalyst V is spilled, wipe it up immediately with a WET(not dry) disposable towel.
Then rinse the towel to kill the catalyst thoroughly in running water.

1.What is Super-Bond?
Super-Bond is a self-cure dental adhesive resin cement based on MMA. It contains a high performancebonding monomer, "4-META"*1, and a catalyst, "TBB"*2. It shows excellent bond strength to tooth (enameland dentin), metal*3, porcelain*4 and dental resins.
For three decades it has been used extensively in a wide range of dental applications. During this long
period it has earned an excellent reputation for pulpal safety.
Super-Bond is widely known for its formation of a sound hybrid layer (resin impregnated layer) in bothenamel and dentin. This layer reinforces the tooth surface against recurrent caries and prevents the postoperative hypersensitivity.
*1 See Table 2 and Question 1.
*2 See Table 2 and Question 4.
*3 Use V-PRIMER concurrently for precious metal alloys.
*4 Use Porcelain Liner M concurrently for porcelain.

Brush-dip kit
qQuick Monomer ------------------------------------------ 10mL

uBrush Handle (Bent) ------------------------------------------ 1

wCatalyst V ------------------------------------------------- 0.7mL

iBrush Tips (Pink • L • Brush-dip) ------------------------- 10

ePolymer (Brush-dip Clear)--------------------------------- 3g

oBrush Tips (Purple • LL • Brush-dip) -------------------- 10

rEnamel Etchant Gel--------------------------------------- 3mL!0Needle Tips (23G) --------------------------------------------- 5

tDispensing Stand ---------------------------------------------- 1!1Needle Cap (Red) -------------------------------------------- 1

yDispensing Cups--------------------------------------------- 20
Attached documents:
Instructions / Pictorial Instruction Card

2.Contents of Super-Bond kits

C&B kitqQuick Monomer ------------------------------------------ 10mL
wCatalyst V ------------------------------------------------- 0.7mL
ePolymer (Brush-dip Clear)--------------------------------- 3grPolymer (Bulk-mix Radiopaque) ------------------------- 5g
tEnamel Etchant Gel--------------------------------------- 3mL
yDentin Etchant Gel ---------------------------------------- 3mL
uDispensing Stand ---------------------------------------------- 1
iDispensing Cups--------------------------------------------- 20

2

Attached documents:
Instructions / Pictorial Instruction Cards

oMeasuring Spoon (Standard) ------------------------------- 1!0Brush Handle (Bent) ------------------------------------------ 1!1Brush Tips (Blue • Bulk-mix) ------------------------------- 10!2Brush Tips (Pink • L • Brush-dip) -------------------------- 10!3Brush Tips (Purple • LL • Brush-dip) ---------------------- 10!4Needle Tips (23G) ------------------------------------------ 5x2!5Needle Cap (Red) -------------------------------------------- 1!6Needle Cap (Green) ------------------------------------------ 1

Bulk-mix kit
qQuick Monomer ------------------------------------------ 10mL

uDispensing Cups--------------------------------------------- 20

wCatalyst V ------------------------------------------------- 0.7mL

iMeasuring Spoon (Standard) ------------------------------- 1

ePolymer (Bulk-mix Esthetic)------------------------------- 3g

oBrush Handle (Bent) ------------------------------------------ 1

rPolymer (Bulk-mix Radiopaque) ------------------------- 5g!0Brush Tips (Blue • Bulk-mix) --------------------------- 10×2

tDentin Etchant Gel ---------------------------------------- 3mL!1Needle Tips (23G) --------------------------------------------- 5

yDispensing Stand ---------------------------------------------- 1!2Needle Cap (Green) ------------------------------------------ 1

Attached documents:
Instructions / Pictorial Instruction Card

3

3.Precautions

Read all instructions thoroughly before use.
3-1 Safety

Please keep the following precautions for safe use.
(Regarding Catalyst V, read 3-2 additionally.)
1 Applications
Use Super-Bond only for the applications recommended in this publication.
2 Past history of sensitivity
Super-Bond should not be used by clinicians or on patients who are methacrylic monomersensitive.
3 Symptomatic irritation
Cease using Super-Bond immediately, if signs of irritation such as rashes appear, and see aphysician.
4 Avoid contact
Avoid contact with soft tissue, skin or eyes. A rubber dam is recommended for intraoral use.
Dentist should use rubber or PVC dental gloves. Contaminated skin or mucosa should be
wiped off immediately with alcohol and then thoroughly rinsed with running water, otherwise
symptoms such as swelling may appear. If Super-Bond enters the eye, immediately rinse
thoroughly with running water. The patient should be examined by an ophthalmologist. Whenthe cured adhesive contacts soft tissue, polish the adhesive surface.
5 Be careful of acidity
As the Enamel Etchant Gel and Dentin Etchant Gel are acid, avoid contact with soft tissue,
skin or eyes, and do not allow patients swallow them during application or rinsing.
6 Pulp protection
If the preparation approaches the pulp, apply a protective base.
7 Give care to flammability
Catalyst V and Monomer are flammable. Do not store where they may be exposed to open flame.

3-2 Precautions on Catalyst V

Catalyst V reacts with air and water to generate heat and lose activity. Please abideby the following.
1 Storage conditions

Avoid high temperature, high humidity and direct sunlight. The Catalyst should NOT be
refrigerated. (The repeated temperature changes may shorten the Catalyst's shelf-life by causing
the syringe to aspirate air.)*After a long storage, the first drop of the Catalyst may be inactive, though the rest of thematerial remains active.
*The syringe is made of glass, therefore it must be handled with care to prevent shock, dropping,and other physical damage.

2 Cap closure

The cap simply slides on and off. Recap the syringe immediately after each use. Air (oxygenand humidity) deactivates the Catalyst. Do not leave the cap off during the bonding procedure.

3 Screwing

If the Catalyst does not come out of the syringe because of the tight screw, do not try too
hard to trun it. The content may splash as the syringe breaks.

3-3 Storage

Please take the following precautions to maintain the quality.
1 Storage conditions
As in the case of the Catalyst V, store the Monomer, Polymer, Enamel Etchant Gel and Dentin
Etchant Gel in a cool, dark location. High temperature, high humidity and direct sunlight will
shorten their shelf-life.
2 Volatility
Monomer is highly volatile. Recap the bottle immediately.
3 Contamination
Do not mix the bottle caps.
4 Dispensing Cups and Brush Tips disposal
Both Dispensing Cups and Brush Tips are for one-time use. Dispose of them after use.

3-4 To Get the Best Results with Super-Bond
1 Create and maintain a clean surface
Oil, blood, saliva and biofilm will lower the bond strength. Clean the tooth and prosthesis
thoroughly before cementing. After cleaning, take care to avoid re-contamination.
2 Dry the surfaces and prevent moisture contamination
After cleaning, dry the surface adequately. A rubber dam is highly recommended, as it will
reduce the chance of contamination by saliva, humid breath or blood.
3 Avoid eugenol-containing bases and cements
Eugenol is a polymerization inhibitor. Therefore, eugenol-contained bases and cements should
not be used with resin cements. To avoid cross-contamination, reserve a mixing dish exclusively
for Super-Bond. Do not use the same mixing dish for other adhesives.
4 Time constraints
Super-Bond's working and setting times are very different from those of traditional cements.
Follow the instructions carefully to get the best results.
5 Do not re-use Polymer
After using Super-Bond in the Brush-dip technique, dispose of any excess Polymer left in the
mixing dish. Do not return it into the container, as it has become contaminated with the
Monomer.
6 Prosthesis Design
To avoid stress concentration which encourages debonding regardless of the actual bondstrength, design a prosthesis, such as wings of a bonded bridge, without thin unsupported area,
which may flex during mastication.
As in any dental treatment, the patient's individual constitution and the unique requirementsof clinical case at hand must be considered before selecting materials and conditions foruse.

4 After use

Unscrew the male-screw two turns counter-clockwise after each use to relieve pressure on
the Catalyst. (Pressure buildup can cause leakage of the Catalyst or a crack of the syringe.)

5 Clean spilled Catalyst immediately with wet towels

The Catalyst reacts with oxygen. If absorbed by a flammable material, it may raise thetemperature enough to cause smoldering. If the Catalyst is spilled, wipe it up immediately
with a WET(not dry) disposable towel. Then rinse the towel to kill the Catalyst thoroughly
in running water.

6 Cleaning of the tip of the syringe

Wipe the tip of the syringe with a dry gauze after each use to prevent residue buildup. Thenrinse the gauze with water to kill any remaining activity. Buildup of the residue may preventthe cap from seating properly.

45

4 How to use Super-Bond
Super-Bond can be used either with the Bulk-mix technique or the Brush-dip technique.
Choose the appropriate technique by referring to the table below.

Comparison of Techniques

Outline oftechniqueComparisonof the twotechniques

Bulk-mix technique

Brush-dip technique

Polymer powder is mixed directly to theactivated liquid*.

The powder/liquid ball is formed at the tip of abrush by dipping the tip first into the activatedliquid* and then touching the Polymer powder.

Use the powder/liquid mixture immediately.

The activated liquid must be used up within 5
minutes.

Applicable to comparatively wide area.

Applicable to comparatively narrow area only.

As the powder/liquid ratio is lower than thatof Brush-dip technique, the working time iscomparatively long but the curing is slow.

As the powder/liquid ratio is higher than that of
Bulk-mix technique, the working time of mixed ballis comparatively short and the curing is fast.

*Mixture of 4 drops of Monomer and 1 drop of Catalyst V

Surface Preparation

Porcelain Surface
Cleaning

Washing and drying

Application of Porcelain Liner M

Heat treatment

Metal Surface
Cleaning

Sandblasting

Protection of adjacent surfaces

Application of V-PRIMER

It is essential that all surfaces to be bonded with Super-Bond should be properly prepared. Preparation
varies depending on the nature of the materials.

Tooth Surface
Moisture control

Cleaning

Isolation by rubber dam or cotton roll is recommended.
*Remove scales beforehandRemove contaminants and stains using a polishingbrush and oil-free, fluoride-free pumice. Rinse
thoroughly and dry.

Surface treatment

Washing and drying

Apply the appropriate Etchant directly from thesyringe.

Treatment time
Etchant
DentinEnamel6

Dentin Etchant Gel
5-10 sec
30-60 sec

Enamel Etchant Gel
30 secRinse thoroughly with water and dry.

Do not use Enamel Etchant Gel on dentin.
Alternately, enamel may be prepared with Dentin Etchant Gelfor 30-60 seconds.
(See Questions 5-7.)

7

4 How to use Super-Bond
Operation Steps (Contd.)

BULK-MIX TECHNIQUE

Preparation of Dispensing Stand

Place the Dispensing Cups

Preparation of the Activated Liquid

Dispensing the Monomer

Dispensing the Catalyst V

Mixing the Polymer

Application of the Adhesive

Seating the Restoration

Post Treatment

Insert the restoration immediately. After confirming that it
is completely seated, hold in
position until the cement sets.

Remove the excess cement.
To facilitate this, protect beforehand unbonded surface
properly and remove the excess resin timely.
(See Question 16.)

*The curing time varies withtemperature and the type ofPolymer. (See Table 8.)

Hold the Monomer bottle
vertical, and dispense theproper number of drops intoa Dispensing Cup.

Hold the Catalyst V syringe
vertical, and turn the screw todispense the proper numberof drops to the Monomer. Stirlightly with a brush. This
mixture is called "activatedliquid"(See Question 13.)

Using the supplied measuring
spoon, add the Polymer powder
to the activated liquid. Stir lightly
with a brush.
(See Question 15.)

Immediately after mixing, usea brush to apply the cement
to the surface being bonded.
(See Question 14.)

Key points to achieve good seating

Work quickly, and seat the restoration before the mixture begins to gel.

Mixing ratio

Monomer

Catalyst V

4 drops
8 drops

1 The recommended temperature while using Super-Bond is below 25˚C.

Polymer

1 drop1 small cup of Measuring Spoon

2 drops

1 Iarge cup of Measuring Spoon

2 Mix Super-Bond at the last moment before bonding.
3 If the temperature exceeds 25˚C, use the pre-cooled ceramic Dispensing Dish.

BRUSH-DIP TECHNIQUE
Dispensing the Polymer

Preparation of the Activated Liquid

Dispensing the Monomer

Dispensing the Catalyst V

Application of the Activated Liquid
Brush the liquid onto thesurface to be bonded.
(See Question 14.)

Dipping the brush

Brush-dip Procedure
Forming the ball*The activated liquid decomposes gradually and loses
activity.
Use it within 5 min. after preparation.

Dispense the appropriate
amount of Polymer powder
into a Dispensing Cup.

Mixing ratio

Monomer

4 drops
8 drops

8

Hold the Monomer bottle
vertical and dispense theappropriate number of drops
into another Dispensing Cup.

Hold the Catalyst V syringe
vertical, and turn the screw todispense the proper numberof drops into the Monomer.
Stir lightly with a brush. This
mixture is called "activatedliquid"(See Question 13.)

Dip the Brush Tip (forBrush-dip) into the activatedliquid.
*When you repeat the procedure,
clean up the brush with gauze
before you dip it.

Touch the brush to thePolymer powder in the
Dispensing Cup.
A small ball of powder will bepicked up on the wet tip of thebrush.

Applying the ball
Brush the powderball onto the prewet surface being
bonded. As soon
as it touches thesurface, the powder
will spread out tocreate a creamy,
homogeneous layer.
If necessary, repeat
the procedure until
the entire surface iscovered with thecement.

Seating the Restoration

Post Treatment

Insert the restoration
immediately. Afterconfirming that it iscompletely seated,hold in position until
the cement sets.

Remove the excess
cement.
To facilitate this,protect any adjacentsurfaces you will not
be bonding, andremove the excess
resin before it sets.
(See Question 16.)

Catalyst V
1 drop2 drops9

Data and References
Fig. 1 : Impact Fracture Energy of Adhesives

Dental adhesive resin cement

Method of use

Bulk-mix technique and Brush-dip technique

Characteristics(1)Self-curing dental adhesive cement basedon MMA,"4-META" (bonding monomer) and"TBB" (polymerization catalyst).
(2)Excellent bond strength to dentin, enamel,
metal, porcelain and resins for dental use.
(3)Super-Bond forms "Hybrid layer" withdentin. This layer produces q protection
against recurrent caries and w isolation of
the pulp from outer stimuli.

V-PRIMER

Product nameMain use
Method of use
Characteristics

Porcelain Liner M

Adhesive primer for precious metal alloys

Adhesive primer for porcelain(1)One component adhesive primer for precious metal alloys.
(2)Based on "VTD", a derivative of triazine dithiol.
(3)A single coat of V-PRIMER improves remarkably the durability of Super-Bond to
precious metal alloys.
This primer eliminates the need for otherbond-enhancing steps, such as heat treatment
or tin plating.

(1)Two-component adhesive primer for porcelain.
(2)Application of Porcelain Liner M improves
remarkably the bond strength of Super-Bond
to porcelain and its durability.

Single liquid application

Components

Major Constituents

0.7mL TBB, Hydrocarbon
10mL MMA, 4-META

Quick Monomer* 10mL
Polymer
Clear
3g
Esthetic
3g
Opaque Ivory
3g
Opaque Pink
3g
Bulk-mix Clear
3g
Bulk-mix Esthetic
3g
Bulk-mix Radiopaque 5g
Brush-dip Clear
3g
Enamel Etchant Gel 3mL
Red Activator
5mL
Dentin Etchant Gel 3mL
Green Activator
5mL

MMA, 4-META

Application of the mixture of two liquids

In the Kit
In all kits
Optional

In all kits

Optional
PMMA
Optional
PMMA, pigments
Optional
PMMA, pigments
Optional
PMMA, pigments
Optional
PMMA
PMMA, pigments
Bulk-mix
PMMA, radiopaque pigments C&B, Bulk-mix
PMMA
C&B, Brush-dip
C&B, Brush-dip
Phosphoric acidOptional
C&B,
Bulk-mix
Citric acid, FeCl3
Optional*Super-Bond Quick Monomer is a monomer with curing time faster thanSuper-Bond Monomer. Other features, such as working time and bondstrength, are essentially the same as Super-Bond Monomer.

Items
Compression Strength[Elastic deformation limit]
Flexural Strength[Elastic deformation limit]

ValuesMeasured based on

84MPa

JIS T6602

67MPa

ISO4049

1000

600
400

Fig. 2 : Durability of Bond to Precious Metals
using V-PRIMER

200

A

B

C

31µg/mm

JIS T6514

Film Thickness
Standard Polymer/Monomer
ratio Polymer reduced to 2/3of the above

20-30µm
15-20µm

3

12µg/mm3

JIS T6602
JIS T6602

Water Sorption Solubility in Water(µg/mm3)(µg/mm3)

EC (Zinc phosphate cement)
HC (Carboxylate cement)
FB (Glass ionomer cement)
BR (Resin cement)
ID (Resin cement)
PT (Resin cement)
Super-Bond

419.3
309.3
211.6
24.2
31.5
32.2
31.2

41.3
33.8
34.4
14.2
9.5
17.8
12.1

Table 5 : Bond Strength to Tooth Substance

DentinSurface Treatment
Enamel Etchant Gel
Dentin Etchant Gel
Dentin Etchant Gel

Bond
Strength
(MPa)
15
13
17

Table 6 : Bond Strength to Metals

MetalGold alloy Type IV

Bond
Surface Treatment Strength
after Sandblasting(MPa)
V-PRIMER
400˚C, 5min.
Tin-plating

V-PRIMER
Gold/Silver/Palladium alloy 400˚C, 5min.
Tin-plating
Nickel-Chromium
Cobalt-Chromium
Hardened amalgam

10

F

30

V-PRIMER
Tin plating
Heat treatment
None

20
10

20,00050,000100,000

Thermal cycle (Times)

Table 4 : Water Sorption and Solubility in Water of
Various Luting Cements

EnamelWater Absorption

11

E

0
(MPa)

ISO10477

ISO4049

2

D

Adhesives
B : Phosphate ester contained
A : Adhesive wax
E : Carboxylate
C,D : 4-META contained
F : Ionic polymer(Adhered material is Crystalline Glass of Calcium Phosphate)*quoted from the Quintessence Vol.4, No.2, 1985

JIS Z2243

18X10 MPa

Solubility

1200

Tooth
Substance

Modulus of Flexural Elasticity
Brinell Hardness

1400

CementTable 3 : Physical Properties of Polymerized Super-Bond

Table 2 : List of Major Components

Components
Catalyst V
Monomer

Impact fracture energy ( x103

Main use

dyne • cm )Super-Bond

Product nameBond strength

Table 1 : Super-Bond Series

-

28
25
23
28
24
22
30
31
10

Table 7 : Bond Strength to Porcelainusing Porcelain Liner M
1. Bond Strength between VITA Porcelain(ground with #600 Emery paper) and Stainless Steel *1
Thermal Cycle (Times)(4˚C-60˚C)

Bond Strength *3 (MPa)
1,000

5,000

10,000Porcelain Liner M,
Super-Bond

20

19

13

A bonding agent forporcelain (Imported)

20

12

4

Super-Bond
without
Porcelain Liner M

8

-

-

2. Bond Strength between VITA Porcelain(glazed surface)and Stainless Steel *2
Thermal Cycle (Times)(4˚C-60˚C)

Bond Strength *3 (MPa)
1,000

5,000

10,000Porcelain Liner M,
Super-Bond

20

19

9

A bonding agent forporcelain(Imported)

20

5

3

3. Bond Strength between Ceramic Bracket and Acrylic Block
Thermal Cycle (Times)(4˚C-60˚C)

Porcelain Liner M,
Super-Bond

Bond Strength *3 (MPa)
1,000

5,000

10,00020

1110Notes: *1 Bonding of VITA(559)#600 to SUS304(Sandblasted)*2 Bonding of the glazed surface of VITA(559) to
SUS304(Sandblasted)*3 Tensile bond strength after completion of thermal cycle

11Data and References
Table 8 : Effect of Polymer/Monomer on Working Time and Curing Time in Bulk-mix Technique

Polymer

Working Time (23˚C)*1(sec.)Monomer

Clear
Bulk-mix
Esthetic
Type
Radiopaque

Quick
Monomer

Working Time (16˚C)*1(sec.)MonomerCuring Time (37˚C)*2(min.)Monomer

Quick
Monomer

120

13

8

150

14

9

70

12.5

6

110

13.5

8

Clear

NormalType

QuickMonomer

Esthetic

Opaque Ivory
Opaque Pink

*1 Available time before threading starts (namely, in slurry or sol state) at 23℃/16℃*2 Time to wait before occlusion

Brush-dip
Clear
Type

Quick
Monomer

10

5

Clear
NormalType

Esthetic

Opaque Ivory

180
120

*1 Radiopacity of Aluminium is regarded as 100%
(Test Method is based on ISO 4049)

Table 11 : Interaction of Porcelain Liner M and V-PRIMER

Primary
Coating

Bond
Strength(MPa)*

Secondary
Coating

V-PRIMER

Porcelain Liner M

25

V-PRIMER

V-PRIMER

Porcelain Liner M

Porcelain Liner M

V-PRIMER

Porcelain Liner M

24
25
22
12
16

Porcelain Liner M*Composite resin is bonded with Super-Bond after coating of the Primer(s) and bond strength is measured after 1,000 times of thermal cycles

Table 12 : Effect of Heat Treatment Condition of
Porcelain Liner M Coated Surface on Bond Strength

Heating Condition

Treatment Bond
Time
Strength(min.)(MPa)

Not heat treatedFig. 3 : Effect of Temperature on Working Time

400

Bulk-mix Clear/Esthetic
Bulk-mix Radiopaque
Clear/Esthetic
Opaque Ivory/Opaque Pink

350
Working Time (sec.)

210

DentinV-PRIMER

7

Opaque Pink

1

EnamelPorcelain

5

11Super-Bond using
Polymer Bulk-mix RadiopaqueGold/Silver/Palladium
alloy

Curing Time (37˚C)(min.)Monomer

Ratio to Standard
Radiopacity*1
Polymer/Monomer Ratio(%)

Material

Base
Material

Table 9 : Polymer Types and their Curing Times in Brush-dip Technique

PolymerTable 10 : Radiopacity using Polymer (Bulk-mix Radiopaque)

300
250

Heat treated with a dental
blower (120-130˚C)
Heat treated with a blow
dryer (70-80˚C)

13
1
2
1
3

19
20
17
21

Table 13 : Effect of Dentin Treatment
with Sodium Hypochlorite (10% solution)

Treatment Time with Sodium
Hypochlorite (sec.)

Bond
Strength(MPa)*1

0

17

15

16

30

13

60

6

*1: The dentin surface is treated with sodium hypochlorite and then with
the Dentin Etchant Gel, and bonded with Super-Bond

200
150
100
50
0

12

16˚C

23˚C

25˚C

27˚C

30˚C

13

QUESTIONS and ANSWERS
Question 1 : What is the adhesive monomer, "4-META" ?

Question 6 : Why is the "Dentin Etchant Gel" used for treating dentin?

Answer : "4-META" is an abbreviation of "4-methacryloxyethyl trimellitate anhydride." It has the structure shown below.
4-META is a derivative of MMA and is polymerized with MMA into a co-polymer. It contributes to the excellent
bonding property of Super-Bond.

Answer : Super-Bond bonds to dentin through the formation of a resin-impregnated layer.
For the best resin penetration, the surface smear layer should be removed without excessive modification of theunderlying dentin.
The "Dentin Etchant Gel" is ideal for treating dentin because it dissolves less hydroxyapatite, and minimizes
damage to dentinal collagen. Treatment for 5-10 seconds with the "Dentin Etchant Gel" is adequate.
"Enamel Etchant Gel", on the other hand, tends to excessively decalcify the dentinal hydroxyapatite and denature
the remaining collagen. This is not conducive to formation of a stable resin-impregnated layer, so bond strength
deteriorates.

Question 2 : Is the mechanical strength of Super-Bond lower than other adhesive resins?
Answer : Since the composition of Super-Bond is different from that of composite resin type adhesive with high load ofinorganic fillers, it shows lower compressive strength and hardness, but less brittleness.
It permits a tougher, more flexible bonding layer that can disperse stress and help the prosthesis endure impact
and torsion without loosening or fracturing. In fact, Super-Bond's unique flexibility due to its nature is an
important factor contributing to its superb clinical reputation.

Question 3 : Does water absorption reduce Super-Bond's mechanical strength?
Answer : Some reports emphasize the water absorbency of Super-Bond and suggest that this may affect its durability.
Because it consists almost exclusively of PMMA, which contains a hydrophilic group but is basically a watertightresin. Water sorption and water solubility values of Super-Bond are as low as those of other resin cements.
These values are almost negligible, if compared with inorganic cements such as zinc phosphate cements,
carboxylate cements or glass ionomer cements. (See Table 4.)
According to a clinical report, Super-Bond exposed at the crown margin has been maintained for more than 10
years without color change. After a full decade in the mouth, the cement exhibited excellent margin seal with
only minor surface abrasion.
When applied under normal seating conditions, Super-Bond prevents recurrent caries and post-operative
sensitivity often observed with conventional cements and generally ascribed to cement washout. Crowns
cemented with Super-Bond enjoy an excellent clinical prognosis.

Question 4 : What is the "TBB" Catalyst?
Answer : Super-Bond's "TBB" catalyst is crucial to the adhesive's remarkable performance.
Pure TBB (tri-n-butylborane), an organic boron component, is so reactive that it can be hazardous to use in aclinical situation. So to allow safe handling, the excessive reactivity has been reduced in the Catalyst V throughpartial oxidation and addition of diluents.
This modification does not reduce its effectiveness as a catalyst. The Catalyst reacts with oxygen in the air andwater, and oxidizes into a peroxide. The peroxide further decomposes, forming radicals which initiate thepolymerization of the MMA.
The key to the clinical success with TBB is that the reaction proceeds in the presence of oxygen and water (bothof which are present in the tooth surface.) However, care should be taken when dispensing the catalyst, as
unnecessary contact with air will cause gradual decomposition and degradation.

Question 5 : How do I apply “Enamel Etchant Gel” and “Dentin Etchant Gel” to the enamel surface?
Answer : When enamel is treated with acid, it becomes decalcified. An irregular scale-like surface composed ofdemineralized enamel rods is formed.
Super-Bond's excellent wetting properties and superb penetration into the interprismatic surface combine toform a tenacious enamel bond.
The phosphoric acid in the "Enamel Etchant Gel" is a stronger decalcifier than the citric acid in the "Dentin Etchant Gel".
So we recommend the following selection criteria.
"Enamel Etchant Gel": For enamel surfaces without tooth reduction. The "Enamel Etchant Gel" is particularly
appropriate if the enamel has been treated with fluoride.
For enamel surfaces with shallow tooth reduction which has not exposed the dentin.
"Dentin Etchant Gel": For tooth surfaces in which both enamel and dentin are exposed.

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Question 7 : How do I treat a tooth surface that consists of both dentin and enamel?
Answer : If the areas involved are small, it may be virtually impossible to properly apply the two different etchants for two
different periods to their respective surfaces.
In these cases we recommend applying "Dentin Etchant Gel" for 10 to 30 seconds, depending on the relative
size of the enamel and dentin surfaces (the more enamel involved, the longer the application.)
When enamel surrounds a cavity where the preparation breaks the DEJ, first apply "Dentin Etchant Gel" to theenamel. After 30 seconds, apply "Dentin Etchant Gel" to the dentin and allow it to remain for just 5 seconds.
Then rinse the tooth with water.

Question 8 : What is the purpose of treating dentin with sodium hypochlorite (NaOCI)? How should it be used?
Answer : a.To increase bond strength?
For some resin cements sodium hypochlorite is recommended to improve the bond strength to dentin. This is
NOT true with Super-Bond. In fact, if sodium hypochlorite is used after treating the dentin with the"Dentin Etchant Gel", the bond strength will be significantly reduced. Sodium hypochlorite should NOT be
used after the dentin has been prepared with the Dentin Etchant Gel.
b.For endodontics
A diluted aq. solution of sodium hypochlorite (below 10%) is often used during endodontic therapy to dissolveorganic materials, to decontaminate surfaces, or to stanch bleeding.
When using Super-Bond on surfaces treated with sodium hypochlorite, (or acidic electrolyzed water), thefollowing care should be taken to avoid compromising Super-Bond's exceptional bond strength.
1.Do NOT apply sodium hypochlorite after acid etching. Do NOT use sodium hypochlorite higher than 10% concentration.
Sodium hypochlorite will dissolve the collagen exposed by acid treatment. Therefore, the Dentin Etchant Gel
should be applied AFTER treatment with sodium hypochlorite.
2.Limit the treatment time with sodium hypochlorite to less than 30 seconds.
Short-term treatment does not significantly affect the bond. Prolonged treatment with sodium hypochlorite, however,will significantly decrease the bond strength:<Super-Bond bonded to dentin after treatment with 10% solution of sodium hypochlorite for various time periods>
Treatment time with sodium hypochlorite Seconds 0 15 30 60
Tensile Bond StrengthMPa
17 16 13 6
3. If NaOCl treatment time exceeds 30 seconds, neutralize the surface with a reducing agent before etching.
Method 1:
Apply Saforide RCTM, containing 38mg/mL diamine silver fluoride ( Ag(NH3)2F ), for a length of time 1/2nd as longas the surface was treated with sodium hypochlorite. Rinse with water and dry. Treat with the Dentin Etchant
Gel for 10 seconds. Rinse and dry. Then apply Super-Bond according to the ordinary procedures.
<The surface was treated for 60 seconds with a 10% solution of sodium hypochlorite, neutralized with Saforide RC , andthen bonded with Super-Bond.>
Treatment time with Saforide RCTM Seconds 30 60 Caution: Saforide RC may darken tooth surfaces.
TM

Tensile Bond StrengthMPa

8

13 *Saforide RCTM is a product of Bee-brand Medico-dental.

15

QUESTIONS and ANSWERS
Method 2:
Prepare a 10% aq. solution of ascorbic acid (or its Na or K salt). Apply the solution for a length of time 1/3rd
as long as the surface was treated with sodium hypochlorite. Dry the surface. Treat with the Dentin Etchant
Gel for 10 seconds, rinse and dry. Then apply Super-Bond according to the ordinary procedures.
Treatment time with NaOCl
Treatment time with ascorbic acidTensile Bond Strength

Seconds
Seconds
MPa

180
30 60
7
16

300
50 100
6
17

Question 13 : How long does the activated liquid remain active?
Answer : In contact with air, the "Catalyst" gradually decomposes and degrades.
Therefore, it is important to use the activated liquid (the mixture of Monomer and Catalyst V) as soon as
possible after mixing. For the Bulk-mix technique, you should complete all the preparations for bonding before
you begin preparing the activated liquid, then use it immediately.
For the Brush-dip technique, use the activated liquid within 5 minutes at the latest.

4. Hydrogen peroxide (H2O2)
In alternate irrigation, a hydrogen peroxide solution is sometimes used in connection with a sodium hypochlorite solution.
Hydrogen peroxide damages the dentin structure, thus compromises the bond strength, if treated for an extended
period beyond 30 seconds. Consequently, the use of a hydrogen peroxide solution should be limited to 30 seconds.
5. Acidic electrolyzed water
When used on dentin, acidic electrolyzed water reduces the bond strength of Super-Bond much like sodium
hypochlorite (though the strength reduction is less severe.) To achieve normal bonds after the tooth surface has beentreated with acidic electrolyzed water, apply the Dentin Etchant Gel for 30 seconds (instead of the normal 10
seconds). Rinse and dry. Then apply Super-Bond according to the ordinary procedures.

Question 9 : How do I protect the surface of the prosthesis where I don't want the adhesive to bond?
Answer : Before cementing an inlay, onlay, crown or bridge with Super-Bond, all exterior surfaces should be polished andthe interior surfaces sandblasted. Unfortunately, once it's allowed to cure, Super-Bond will adhere tenaciously
even to the highly polished exterior surfaces. Once it has completely polymerized, removing the excess with ahand scaler is extremely difficult.
To facilitate cleanup, the exterior surfaces may be coated with a separator including Super-Bond SEP by
Sun Medical.

Question 10 : How much working time does Super-Bond allow?
Answer : If you use Super-Bond in the Bulk-mix technique, the slurry-like cement gradually increases its viscosity andbegins threading.
Super-Bond must be used before threading begins. Otherwise, the operation becomes quite difficult. The
increase in film thickness may prevent seating of the prosthesis. (See Table 8, Fig. 3 and Question 11.)
*Unlike conventional cement, it is not necessary to spatulate Super-Bond. When using it for the first time, you
may feel the mixture is too thin. Be assured that Super-Bond should be used in this state.
*Super-Bond undergoes the following stages from mixing to curing. For proper seating of the prosthesis, try tofinish the bonding operation before the mixture has reached stage 3 (mild threading).
1. Slurry stage: The mixture is very thin, as when gypsum powder is mixed with a copious amount of water andthe powder particles are still visible.
2. Sol stage: The powder particles are no longer visible, but the mixture still retains high fluidity and has notstarted threading.
3. Mild threading: The mixture becomes sticky and forms thin threads.

Question 11 : What is the difference between the Bulk-mix Polymer powders and the normal Polymer powders?
Answer : Because of its particle size, Bulk-mix Polymer powders do not require chilling of Dispensing Stand andDispensing Cups as long as the temperature is below 25℃. On the other hand, the normal Polymer powders
require a cooled ceramic Dispensing Dish. The curing reaction of Super-Bond is influenced by temperature: The
higher the temperature, the more quickly Super-Bond cures. In a cooled Dispensing Dish, the curing reaction
proceeds slowly, the working time is extended, and the bonding operation becomes easier. (See Fig. 3.)

Question 12 : Can I use Dispensing Cups and Dispensing Stand at the temperature above 25˚C?
Answer : Dispensing Cups and Dispensing Stand are made of plastic and can not be chilled in a refrigerator. Instead, use
the ceramic Dispensing Dish, which is sold separately, for cooling.

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Question 14 : Do I have to pre-wet the surfaces being cemented with the activated liquid?
Answer : Brushing the activated liquid onto the surfaces to be bonded before cementing will assure intimate resin contact.
In the Brush-dip technique, the ball has a comparatively high Polymer/Monomer ratio, so pre-wetting the surface
with the activated liquid is essential to assure maximum cement adaptation and to create the highest possible
bond strength.
In the Bulk-mix technique, application of the activated liquid is not necessary, so long as you seat the prosthesis
while the cement is in the slurry state. In this case, the mixture is fluid enough to assure maximum adaptation.
On the other hand, advanced-application of the activated liquid on the dentin surface is recommended torestrain the outflow of exudate from the surface of the prepared dentin and to prevent bacterial entry into thedentin tubules.

Question 15 : What are the different types of Polymer powders for? And how do I use them?
Answer : Eight different Polymers are available for Super-Bond, including those sold separately. They can be divided into
3 basic classes, the normal type, Bulk-mix Polymer and Brush-dip Polymer. Refer to the following list to select thebest Polymer for your application. (See Tables 2, 8 and 9 and Fig.3.)
1. Clear, Brush-dip Clear and Bulk-mix Clear
Fine PMMA powder without pigment. When cured, its medium translucency and inconspicuous shade is ideal
for temporary splinting of loose teeth, creation of temporary prostheses using a resin tooth or extracted tooth,or direct bonding of orthodontic brackets with the Brush-dip Clear. When the normal Clear polymer is used in
the Bulk-mix technique, the working time before threading is rather short. Here, the Bulk-mix Clear ispreferable, because it allows more working time.
2. Esthetic and Bulk-mix Esthetic
Tooth-colored Clear powder. When cured, its color is ivory with some translucency and little opacity. It is used
for prostheses that require an esthetic appearance. Curing time and workability are the same as Clear powder
and Bulk-mix Clear powder respectively.
3. Opaque Ivory
Opacity is produced by specially prepared pigments. The powder creates an extremely opaque cement film thatis highly effective in masking metal surfaces. It is recommended for use when metal show-through might affectaesthetics (as when cementing inlay or adhesion bridges), or when repairing fractured prostheses with exposed
metal. Its working time is slightly longer than Clear powder. The Opaque Ivory powder is widely used forroutine cementation. Due to its opacity, any excess cement is extremely visible, which facilitates removing it.
4. Opaque Pink
Pale pink color is added to Opaque Ivory. This powder was originally intended for repairing denture bases, but
it can be used for the same purposes as the Opaque Ivory. Some dentists prefer it to the Opaque Ivory as its
pink color reflected on the surrounding teeth produces a more natural shade. Its handling and setting properties
are similar to those of the Opaque Ivory.
5. Bulk-mix RadiopaqueThis powder contains highly radiopaque filler. When it is used under the standard Polymer/Monomer ratio, thecured adhesive shows radiopacity equivalent to enamel. It creates a natural tooth-color and allows a longer
working time for easier handling. However, it cures slightly more slowly than the Clear powder. For fastercuring, increase the Polymer ratio to Monomer.

17

QUESTIONS and ANSWERS
Question 16 : How can I remove excess resin?
Answer : When the object is seated, excess resin is expressed around the margins. If the excess resin is allowed to cure,it will bond to the surface of the prosthesis, and clean-up and polishing will be extremely difficult.
The following describes how to remove the excess resin:
qBefore cementing apply as much protection as possible to surfaces that should not be bonded. (See Question 9.)*Apply a separating agent on metal surfaces, wrap with "Parafilm," place retraction cord under the gingival
margin, etc.
wUse the Opaque Polymer, as the excess resin will be more visible.
eUse a cotton pledget or a brush soaked with alcohol to remove as much excess resin as possible immediately
after the prosthesis is seated (before threading begins). Resin extruded onto the interdental papilla should be
removed immediately using floss, etc.
Resin spilled onto the gingiva should also be removed before it hardens.
rUsing hand scalers, scrap off the residue after the threading stage is completed but before the cement iscompletely cured.
*Wait a while till the threading stage is completed.
*If you attempt to scrape off the excess during the threading stage, you may feel that you are removing all thecement, but a thin layer will remain bonded to the surface.
tIf the surface was coated with a separating agent, even cured resin can be easily peeled off using hand
instruments.
yAny remaining resin will be easily discovered by re-examination on the following day.

Question 17 : What are the different types of Brush Tips for? And how do I use them?
Answer : The Brush Tip Blue is a blunt-cut type and suitable for transportation of a large amount of the slurry in Bulk-mix
technique. The Brush Tips Green (S), Pink (L) and Purple (LL) have pinpointed tips and are suitable forBrush-dip technique. The Brush Tips Pink (L) and Purple (LL) are longer than Brush Tip Green (S) while thebristles of Brush Tip Purple (LL) are thicker than the others. Refills of the respective types are available.
Dispose of them after use.

18

19

5 Examples of Clinical Applications
CLINICAL APPLICATIONS using the BULK-MIX TECHNIQUE
Cementing of inlays,onlays and crowns

Salvaging fractured teeth

Bonded partial onlay crownOcclusion reconstruction using bonded onlay

Bonding fragments directly to the post

Extraction,cementation,and replantation

Cementing of posts and cores

Bonded prefabricated posts with adhesive amalgam core

Bonded cast post-and-core

Cementing of bridges
Anterior bonded bridge with crowns and retentive wings

Cementing of periodontal splints

after 9 years and 8 months

Adhesive splint made of mesh plate

Cast metal lingual splint

Bonded segmented bridge

after 7 years

after 13 years and 5 months

CLINICAL APPLICATIONS using the BRUSH-DIP TECHNIQUE
Temporary periodontal splinting of mobile teeth
By proximal bonding

Temporary prosthesis using a resin tooth or an extracted toothResin tooth

20

Resin tooth

Orthodontic treatment
Adhesion of metal bracket

Adhesion of porcelain and plastic bracket

Adhesion of retainer

Repair of fractured crown

Extracted tooth21