ALL-BOND 2®
Universal Dental Adhesive

GENERAL INFORMATION

ALL-BOND 2* is an unsurpassed 4th generation dentin/enamel adhesive resin system. It employs a true dual-cure, hydrophilic primer that micromechanically bonds to dentin with shear bond strengths of 30 MPa or better. ALL-BOND 2 effectively bonds to all dental surfaces including precious and non-precious casting alloys, and amalgam. ALL-BOND 2 is a unique bonding system that is different from other systems currently on the market. Careful reading of the instructions that follow will assure success.

Apply UNI-ETCH* (32% H3PO4) on freshly instrumented enamel and dentin for 15 seconds. Rinse thoroughly. Use the air syringe for 1 or 2 seconds to remove excess surface water but DO NOT DESICCATE. ALL-BOND 2 requires MOIST dentin and enamel, free from saliva contamination.

Dispense and mix equal amounts of Primer A and B in the mixing well. IMMEDIATELY replace caps on primer bottles. Apply five consecutive coats of primer to the entire preparation including enamel. DO NOT DRY BETWEEN COATS. After ALL-BOND 2 primers have been applied, carefully but THOROUGHLY evaporate the solvents with the air syringe. Dry all surfaces for 5-6 seconds with an air syringe to ensure thorough solvent and displaced water removal. ALL properly primed surfaces will appear glossy. If surface is not glossy, repeat mixed primer application.

HINT: To control drops and avoid wasting primers:
1. Hold the bottle in an upright position and squeeze gently.
2. While squeezing, invert the bottle and continue to squeeze one or two drops as needed.
3. Gently releasing the grip on the inverted bottle will force the primer back into the bottle. Replace cap immediately after use.

For direct composite restorations, apply a thin layer of D/E RESIN* (DENTIN/ENAMEL BONDING RESIN) over the primed surfaces, light cure for 20 seconds at 500mW/cm². Equal numbers of drops of PRE-BOND* and DENTIN/ENAMEL BONDING RESIN can be used as a dual-cure bonding agent that will self-cure or light cure. PRE-BOND can also be used to overcome the accelerating effect of set primers on self and dual-cure composite systems. Place and finish selected composite. To significantly decrease wear of composites, seal the margins and surface with BISCO’s FORTIFY* Composite Surface Sealant immediately following the final finishing step.

INDICATIONS FOR USE

1. Composite Restoration (Dentin/Enamel Etch)
2. Composite Restoration (Enamel Etch ONLY)
3. Directed Shrinkage Composite Restoration
4. Composite Surface Sealing
5. Porcelain/Acrylic Repair
6. Porcelain Cementation (Inlay, Onlay, Crown)
7. Composite Cementation (Inlay, Onlay, Crown)
8. Porcelain Veneer Cementation
9. Bonding to Existing Composite
10. Bonding to Metal/Amalgam
11. Adhesive Amalgam Restorations
12. Bonding Fresh Amalgam to Existing Amalgam
13. Desensitizing Tooth (Root) Surface
14. Shallow Class V
15. Post Cementation Using ALL-BOND 2
16. Core (Composite) Build-Up to Post
17. Metal Crown/Maryland Bridge Cementation
18. Metal to Metal (Implant) Cementation


COMPOSITE RESTORATION (Dentin/Enamel Etch):

1. Prepare cavity and clean surface with pumice.

2. Etch enamel and dentin using All-Etch (10% H3PO4) for 15 seconds with agitation on enamel, or Uni-Etch (32% H3PO4) for 15 seconds without agitation (timing is important). Rinse thoroughly. Remove excess water with a brief burst of air. DO NOT DESICCATE. ALL-BOND 2 prefers moist dentin/enamel.

3. Mix Primers A and B. Apply 5 consecutive coats to enamel and dentin. DO NO DRY BETWEEN COATS. After primer application is complete, dry all surface for 5-6 seconds with an air syringe to insure thorough solvent and displaced water removal. Properly primed surface will appear glossy when coverage is sufficient.

4. Brush a thin layer of D/E RESIN over enamel and dentin. Light cure for 20 seconds.

5. Proceed with composite layering and finishing.

*Additional coats are beneficial. Apply all mixed primer.


COMPOSITE RESTORATION (Enamel Etch ONLY):

1. Clean cavity and clean surface with pumice.

2. Etch enamel with Uni-Etch (32% H3PO4) for 15 seconds (timing is important). Rinse thoroughly. Remove excess water with a brief burst of air. DO NOT DESICCATE ALL-BOND 2 prefers moist dentin/enamel.

3. Mix Primers A and B. Apply 5 consecutive coats to enamel and dentin. DO NOT DRY BETWEEN COATS. After primer application is complete, dry all surfaces for 5-6 seconds with an air syringe to ensure thorough solvent and displaced water removal. Properly primed surface will appear glossy when coverage is sufficient.

4. Brush a thin layer of D/E resin over enamel and dentin. Light cure for 20 seconds.

5. Proceed with composite layering and finishing.

*Additional coats are beneficial. Apply all mixed primer.


DIRECTED SHRINKAGE COMPOSITE RESTORATION:

*Also needed: BISFIL 2B or BISFIL II

1. Clean cavity and clean surface with pumice.

2. Etch enamel and dentin using UNI-ETCH (32% H3PO4) on enamel for 15 seconds. (timing is important). Rinse thoroughly. Remove excess water with a brief burst of air. DO NOT DESICCATE. ALL-BOND 2 prefers moist dentin/enamel.

3. Mix PRIMERS A and B. Apply 5 consecutive coats to enamel and dentin. DO NOT DRY BETWEEN COATS. After primer application is complete, dry all surfaces for 5-6 seconds with an air syringe to ensure through solvent and displaced water removal. Properly primed surface will appear glossy when coverage is sufficient. Light cure for 20 seconds.

4. Mix an equal volume or D/E RESIN and PRE-BOND RESIN on a mixing pad and brush onto entire cavity surface. Lightly air thin to avoid pooling.

5. Mix an equal portion of base and catalyst of BISFIL 2B or BISFIL II. Syringe BISFIL 2B or condense BISFIL II into the cavity preparation to the level of the DEJ.

6. Prior to the initial set of BISFIL composites, place a thin of light-cured composite (such as ÆLITE AESTHETIC ENAMEL or ÆLITE ALL-PURPOSE BODY), slightly wider than cavity preparation and lightly condense.

7. Following set of directed shrinkage composite, firmly condense light cured composite, remove excess and light cure for 40 seconds.

8. Proceed with conventional finishing and polishing.

NOTE: Contact with adjacent tooth should be established with a light cure composite.


COMPOSITE SURFACE SEALING:

Also needed: FORTIFY or FORTIFY PLUS

1. Rinse tooth and restoration with copious amounts of water to remove all debris.

2. Etch the surface of the composite restoration and approximately 1-2 mm of enamel beyond the tooth/composite margin with UNI-ETCH (32% H3PO4) for 15 seconds. Rinse and dry thoroughly.

3. Apply a thin layer of FORTIFY to etched enamel and composite surface with a disposable brush tip. Air thin.

4. Light cure for 20 seconds.

5. Check occlusion.

NOTE: This procedure is to be done after final polishing and finishing. FORTIFY may also be used to seal margins of inlay/onlay and amalgam restorations.


PORCELAIN/ACRYLIC REPAIR:

Also needed: Sandblaster

1. Place rubber dam.

2. Bevel margin with diamond bur.

3. Sandblast* metal and porcelain. For optimum bonding, etch with Porcelain Etchant** (9.5% hydrofluoric acid) for 60-90 seconds. Rinse and dry.

4. Apply PORCELAIN PRIMER (Silane) to porcelain surface for 1-2 minutes. Air dry. Mix PRIMERS A & B and apply 2 coats to metal and porcelain. Air dry for 5-6 seconds with air syringe.

5. Mix BISCO DUAL CURE OPAQUER base and catalyst and apply a thin layer to metal. Light cure for 30 seconds to prevent slumping.

6. Apply a thin layer of D/E RESIN to porcelain and opaqued metal. Light cure for 20 seconds.

7. Proceed with composite layering and finishing. Microfill composites are not recommended.

NOTE: Some settling of D/C OPAQUER may occur. Shake well prior to dispensing.

*If a sandblaster is not available, abrade with a medium diamond bur and clean surface with pumice.
a)If acrylic is present, treat the same as porcelain. Omit PORCELAIN PRIMER.
b)If metal is not present, omit metal opaquer step.

**If hydrofluoric acid is not available, apply UNI-ETCH (32% H3PO4) for 5-10 seconds to cleanse and acidify the porcelain surface.


PORCELAIN CEMENTATION (Inlay, Onlay, Crown):

Also needed: DUO-LINK

1. Remove temporary, pumice the preparation and try in the restoration.

2. Etch enamel and dentin using UNI-ETCH (32% H3PO4) on enamel for 15 seconds (timing is important). Rinse thoroughly. Remove excess water with a brief burst of air. DO NOT DESICCATE ALL-BOND 2 prefers moist dentin/enamel.

3. Mix PRIMERS A and B. Apply 5 consecutive coats to enamel and dentin. DO NOT DRY BETWEEN COATS. After primer application is complete, dry all surfaces for 5-6 seconds with an air syringe to ensure thorough solvent and displaced water removal. Properly primed surface will appear glossy when coverage is sufficient. Light cure for 20 seconds.

4. Apply a layer of PRE-BOND RESIN immediately prior to cementation. Air thin. Do not light cure.

PORCELAIN SURFACE PREPARATION

1. Sandblast for 1-2 seconds and acid cleanse with UNI-ETCH (32% H3PO4) or etch for 60-90 seconds minutes with PORCELAIN ETCHANT (9.5% hydrofluoric acid). Rinse and dry.

2. Apply PORCELAIN PRIMER (silane) for 30 seconds and dry

3. Apply a thin layer of D/E RESIN. DO NOT LIGHT CURE

CEMENTATION

1. Mix equal amounts of DUO-LINK Base and Catalyst and place inside of crown.

2. Seat restoration with gentle passive pressure.

3. Remove excess adhesive paste immediately.

4. Light cure for 40 seconds.

*DUO-LINK is Bisco's Dual-Cured Resin Luting Cement.


COMPOSITE CEMENTATION (Inlay, Onlay, Crown):

Also needed: Sandblaster, DUO-LINK

1. Remove temporary, pumice the preparation and try in the restoration.

2. Etch enamel and dentin using UNI-ETCH (32% H3PO4) on enamel for 15 seconds (timing is important). Rinse thoroughly. Remove excess water with a brief burst of air. DO NOT DESICCATE. ALL-BOND 2 prefers moist dentin/enamel.

3. Mix PRIMERS A and B. Apply 5 consecutive coats to enamel and dentin. DO NOT DRY BETWEEN COATS. After primer application is complete, dry all surfaces for 5-6 seconds with an air syringe to ensure thorough solvent and displaced water removal. Properly primed surface will appear glossy when coverage is sufficient. Light cure 20 seconds.

4. Apply thin layer of PRE-BOND RESIN immediately prior to cementation. Air thin. DO NOT LIGHT CURE.

COMPOSITE SURFACE PREPARATION

1. Sandblast for 1-2 seconds. Rinse and dry.

2. Apply 2 coats of mixed primers A & B. Air dry for 5 seconds, followed by an air thinned layer of ALL-BOND 2 Pre-Bond Resin. DO NOT LIGHT CURE. Follow these steps immediately prior to cementation.


CEMENTATION

1. Mix equal amount of DUO-LINK Base and Catalyst and place inside of crown.

2. Seat restoration with gentle and passive pressure.

3. Remove excess paste from margins immediately.

4. Light cure for 40 seconds per surface.


BONDING TO EXISTING COMPOSITE:

Also needed: Sandblaster

1. Pumice tooth preparation.

2. Remove layer of old composite and bevel fractured margin.

3. Sandblast composite surface.

4. Apply UNI-ETCH (32% H3PO4) on composite and enamel (if present) for 15 seconds. Rinse thoroughly. Dry for 5-6 seconds.

5. Mix PRIMERS A & B. Apply two consecutive coats. DO NOT DRY IN BETWEEN COATS.

6. Apply a thin layer of D/E RESIN. Light Cure for 20 seconds.

7. Proceed with composite layering and finishing.


BONDING TO METAL/AMALGAM:

Also needed: Sandblaster

1. Sandblast metal surface. Rinse thoroughly. Dry for 5-6 seconds.

2. Etch enamel, if present, using UNI-ETCH (32% H3PO4) for 15 seconds. Rinse thoroughly. Remove excess moisture with a brief burst of air.

3. Mix PRIMERS A & B. Apply two coats to entire preparation. Dry for 5-6 seconds with an air syringe to ensure thorough solvent removal.

4. Mix OPAQUER and apply a thin layer to primed metal/amalgam surface. Light cure 30 seconds to prevent slumping.

5. Brush a thin layer of D/E RESIN over enamel and opaqued metal/amalgam surface. Light cure for 20 seconds.

6. Proceed with composite layering and finishing.

NOTE: Some settling of Bisco DUAL-CURE OPAQUER may occur. Shake well prior to dispensing.


ADHESIVE AMALGAM RESTORATION:

Also needed: RESINOMER

1. Cavity cavity and clean surface with pumice.

2. Etch enamel and dentin using UNI-ETCH (32% H3PO4) on enamel for 15 seconds (timing is important). Rinse thoroughly. Remove excess water with a brief burst of air. DO NOT DESICCATE. ALL-BOND 2 prefers moist dentin/enamel.

3. Mix PRIMERS A and B. Apply 5 consecutive coats to enamel and dentin. DO NOT DRY BETWEEN COATS. After primer application is complete, dry all surfaces for 5-6 seconds with an air syringe to ensure thorough solvent and displaced water removal. Properly primed surface will appear glossy when coverage is sufficient. Light cure to 20 seconds.

4. Mix an equal volume of D/E RESIN and PRE-BOND RESIN on a mixing pad and brush a thin layer onto entire cavity surface. Lightly air thin to avoid pooling.
Note: A mixture of the base and catalyst of RESINOMER can be substituted for D/E RESIN and PRE-BOND RESIN. Research has shown higher bond strength and lower leakage values by using a filled adhesive such as RESINOMER.

5. Condense amalgam. Carve and finish as usual.

NOTE: Matrix band should be placed after application of mixed Primers and should be lightly lubricated by rubbing wax on matrix surface.


BONDING FRESH AMALGAM TO EXISTING AMALGAM:

Also needed: Sandblaster and RESINOMER for alternate technique

1. Sandblast the surface of the existing amalgam. Rinse and dry.

2. Mix PRIMERS A & B. Apply two coats. Dry for 5-6 seconds with an air syringe to ensure thorough solvent removal.

3. Mix an equal amount of D/E RESIN and PRE-BOND RESIN on a mixing pad and brush a thin layer onto the surface. Lightly air thin to prevent pooling.

4. Condense amalgam.

5. Condense amalgam. Carve and finish as usual.

ALTERNATE TECHNIQUE

1. Sandblast the surface of the existing amalgam. Rinse and dry.

2. Mix PRIMERS A & B. Apply two coats. Dry for 5-6 seconds with an air syringe to ensure thorough solvent removal.

3. Mix an equal amount of RESINOMER Base and Catalyst on a mixing pad and brush a thin layer onto the surface.

4. Condense amalgam.


DESENSITIZING TOOTH SURFACE (Root):

Also needed: Bisco CAVITY CLEANSER and pumice

1. Clean dentin surface by scrubbing with Bisco CAVITY CLEANSER and pumice. (Dip cotton pellet soaked with CAVITY CLEANSER into flour of pumice).

2. Rinse thoroughly with warm water.

3. Blot gently with moistened cotton pellet. To minimize patient discomfort do not air dry.

4. Mix PRIMERS A & B. Apply five consecutive coats to enamel and dentin. DO NOT DRY BETWEEN COATS After the fifth coat, dry for 5-6 seconds with an air syringe to ensure thorough solvent and displaced water removal.

5. REPEAT STEP 4.

6. Light cure for 10 seconds.

NOTE: A white line on the gingiva may be observed. This is a cured primer film. Scrub with wet cotton pellet, then peel off.

*Desensitizing is most effective on freshly scaled root surfaces.


SHALLOW CLASS V

Also needed: Bisco ÆLITEFLO

1. Etch enamel and dentin using UNI-ETCH (32% H3PO4) on enamel for 15 seconds (timing is important). Rinse thoroughly. Remove excess water with a brief burst of air. DO NOT DESICCATE. ALL-BOND 2 prefers moist dentin/ enamel.

2. Mix PRIMERS A & B. Apply 5 consecutive coats to enamel and dentin. DO NOT DRY BETWEEN COATS After primer application is complete, dry all surfaces for 5-6 seconds with an air syringe to ensure thorough solvent and displaced water removal. Properly primed surface will appear glossy when coverage is sufficient.

3. Restore lost tooth structure with a low viscosity, flowable, composite such as Bisco ÆLITEFLO using an incremental placement technique.

4. Finish.

Note:Bisco ÆLITEFLO is low viscosity flowable composite which do not require unfilled resin. However, if you are restoring with a high viscosity (stiff) composite, a layer of D/E RESIN is needed. If sclerotic dentin is present abrade with a diamond bur and etch for at least 45 seconds with 32 or 37% phosphoric acid.






STORAGE

Store at room temperature (20°C/68°F - 25°C/77°F). See individual component labels for specific expiration dates. Primers are subject to evaporation, keep bottles tightly capped.

PRECAUTIONS

UNI-ETCH contain phosphoric acid. Avoid splashing into the eyes. If etchants come in contact with the eyes, flush with copious amounts of water and seek medical attention. Unpolymerized resins may cause skin sensitization in susceptible persons, in case of contact with the skin, wash thoroughly with soap and water.

WARRANTY

BISCO, Inc. recognizes its responsibility to replace products if proven to be defective. BISCO, Inc. does not accept liability for any damage or loss, either direct or consequential, stemming from the use of or inability to use the products as described. Before using, it is the responsibility of the user to determine the suitability of the product for its intended use. The user assumes all risk and liability in connection therewith.

CAUTION

U.S. Federal law restricts this device to sale by or on the order of a dental professional.

*ALL-BOND 2 and UNI-ETCH are registered trademarks of BISCO, Inc.
D/E RESIN is manufactured by BISCO, Inc.
PRE-BOND and FORTIFY are trademarks of BISCO, Inc.