RESINOMER™
Dual-Cured Amalgam Bonding/Luting System

GENERAL INFORMATION

 
 

RESINOMER is a dual-cured, 57% glass filled composite with viscosity and flow characteristics that make it ideal for bonded amalgam restorations, as a dental liner and as a luting cement. The hydrophilic monomers used in RESINOMER are based on ALL-BOND 2®* chemistry and promote adhesion to dental metals. Chemical adhesion occurs between the metallic surface and diarylsulfone dimethacrylate (DSDM), one of the monomers present in RESINOMER. The metal bonding capability provides an exceptional environment for bonded amalgam restorations. A tenacious mechanical bond is created as amalgam is condensed into the uncured RESINOMER layer. In addition to adhesive bonding, RESINOMER provides a highly effective seal against microleakage1. RESINOMER is intended for use with 4th or 5th generation adhesives such as ALL-BOND 2, ALL-BOND 3™* or ONE-STEP®*/ONE-STEP PLUS. RESINOMER’s bond to ALL-BOND 2 produces resin adhesion that exceeds the cohesive strength of dentin2.


INDICATIONS FOR USE

The principal uses of RESINOMER are:

1. Bonded Amalgam Restorations
2. Liner/Base under Direct/Indirect Restorations
3. Cementation of Metal-Based Restorations
4. Cementation of Fiber and Metallic Posts
5. Bonding Orthodontic Brackets


TECHNICAL INFORMATION

Due to the unique chemistry of RESINOMER, refrigeration is necessary. Allow refrigerated RESINOMER to reach room temperature before use.

At Room Temperature (22°C/72°F):

Individual Syringes Dual-Syringe
Working Time: Minimum 3 min. Minimum 2 min.
Setting Time: Maximum 8 min. Maximum 7 min.


Working and setting times will be accelerated in the warm intraoral environment.  Also, the cement will set quickly once it comes in contact with the ALL-BOND 2 primers on the tooth.
 

INSTRUCTIONS FOR USE

BONDED AMALGAM RESTORATIONS

1. Rub the supplied wax stick onto the matrix band over the area that will be exposed to RESINOMER to prevent adhesion to the band.

2. Isolate tooth and prepare the cavity in a conservative manner. Clean the entire surface with a slurry of pumice and a disinfectant such as CAVITY CLEANSER™* or water.

3. Etch using an etchant, such as UNI-ETCH®* w/BAC or ETCH-37™* w/BAC, according to manufacturer's instructions.

4. Apply an adhesive, such as ALL-BOND 2, ALL-BOND 3 or ONE-STEP/ONE-STEP PLUS, according to the manufacturer's instructions.

5. If using the dual-syringe delivery system, follow the enclosed DUAL-SYRINGE INSTRUCTIONS for dispensation and delivery of RESINOMER. If using individual syringes, mix equal amounts of RESINOMER base and catalyst into a uniform paste (10-15 seconds) until the paste is a uniform color.

6. Apply a thin coat of RESINOMER to all internal surfaces of the preparation using a brush tip or a BISCO APPLICATOR*. Air-thin to spread RESINOMER, avoiding pooling on the floor or internal line angles of the preparation.

7. Triturate and condense amalgam into RESINOMER-lined preparation using traditional condensation procedures. Do not be concerned with displacement of RESINOMER.

8. Slightly overfill, condense and burnish amalgam over margins and begin carving as soon as possible. Finish carving before the amalgam has completely hardened.  Burnish during and after carving to enhance the bond and seal the margins. A slight flash of amalgam onto the enamel surface is desirable and may be unavoidable due to the adhesive qualities of RESINOMER.

9. OPTIONAL: RESINOMER is dual-curable. To expedite the polymerization, light cure for 20 seconds.          


LINER/BASE UNDER DIRECT/INDIRECT RESTORATIONS

1. Isolate tooth and prepare the cavity in a conservative manner. Clean the entire surface with a slurry of pumice and a disinfectant such as CAVITY CLEANSER or water.

2. Etch using an etchant, such as UNI-ETCH w/BAC or ETCH-37 w/BAC, according to manufacturer's instructions.

3. Apply an adhesive, such as ALL-BOND 2, ALL-BOND 3 or ONE-STEP/ONE-STEP PLUS, according to the manufacturer's instructions.

4. If using the dual-syringe delivery system, follow the enclosed DUAL-SYRINGE INSTRUCTIONS FOR USE for dispensation and delivery of RESINOMER. If using individual syringes, mix equal amounts of RESINOMER base and catalyst into a uniform paste (10-15 seconds) until the paste is a uniform color.

5. Apply a thin coat of RESINOMER to the floor or desired internal area of the preparation using an instrument or a BISCO APPLICATOR. If using the DUAL-SYRINGE, you may also use the mixing tip provided.

6. Light cure RESINOMER for 30 seconds or allow to self-cure (preferred method) for 5 minutes.

7. Proceed with restorative treatment.


METAL-BASED RESTORATION CEMENTATION

A. Tooth Preparation     
           
1. Remove provisional restorations; clean the preparation and try-in the definitive restoration. If Eugenol-containing temporary cements were used, clean the preparation with pumice to remove all traces of the cement. Eugenol may affect curing of some composite materials.            
           
2. Etch using an etchant, such as UNI-ETCH w/BAC or ETCH-37 w/BAC, according to the manufacturer's instructions.       
           
3. Apply an adhesive, such as ALL-BOND 2, ALL-BOND 3 or ONE-STEP/ONE-STEP PLUS, according to manufacturer's instructions.

B. Cementation
           
1. Sandblast the internal surfaces of the restoration, rinse and dry.
           
2. Apply a metal primer to the internal surface of the restoration such as ALL-BOND 2 PRIMER B, ONE-STEP/ONE-STEP PLUS or ALL-BOND 3 Parts A and B, according to manufacturer’s instructions.

3. If using the dual-syringe delivery system, follow the enclosed DUAL-SYRINGE INSTRUCTIONS FOR USE for dispensation and delivery of RESINOMER. If using individual syringes, mix equal amounts of RESINOMER base and catalyst into a uniform paste (10-15 seconds) until the paste is a uniform color.  

4. Fill the internal surface of the restoration with RESINOMER using an instrument or BISCO APPLICATOR. If using the DUAL-SYRINGE, you may also use the mixing tip provided.

5. Seat the restoration with passive pressure.

6. Remove excess with a brush or instrument. Complete clean-up during the initial set or gel state.


FIBER AND METALLIC POST CEMENTATION

A. Post Space Preparation
 
1. Etch using an etchant, such as UNI-ETCH w/BAC or ETCH-37 w/BAC, according to manufacturer's instructions, and rinse with water.           

2. Blot the canal dry with a large paper point, to remove excess moisture.
 
3. Apply an adhesive, such as ALL-BOND 2, ALL-BOND 3 or ONE-STEP/ONE-STEP PLUS, according to the manufacturer’s instructions.

4. Blot the canal dry with a paper point; repeat with a new paper point until the paper point returns dry from the canal. This step is important for removal of any pooled primers to prevent interference in complete seating of the post.

5. Light cure as necessary, according to manufacturer’s instructions.

B. Post Cementation
                       
1. Coat the post with adhesive and light cure, according to manufacturer’s instructions.

2. If using the dual-syringe delivery system, follow the enclosed DUAL-SYRINGE INSTRUCTIONS FOR USE for dispensation and delivery of RESINOMER. If using individual syringes, mix equal amounts of RESINOMER base and catalyst into a uniform paste (10-15 seconds) until the paste is a uniform color.

3. Fill a UNIT-DOSE NEEDLE-TIP* with RESINOMER and inject it in the canal. Start at the apical end of the canal and withdraw the tip towards the pulp chamber. If using the DUAL-SYRINGE, you may also use the mixing tip provided and inject directly into the canal.
           
4. Seat the post into the canal gently and maintain firm pressure for 5-10 seconds once the post is seated.
           
5. Remove excess cement and allow to self-cure (preferred method) for 5 minutes. As soon as cement has set, proceed with restorative treatment.


BONDING ORTHODONTIC BRACKETS

1. Etch enamel surface to be bracketed using an etchant, such as UNI-ETCH w/BAC or ETCH-37 w/BAC, for 15-30 seconds. The area required to be etched is only slightly larger than the bracket base.  Rinse well with water and air-dry.

2. Apply one of the following to the etched enamel surface:
           
• 1 coat of D/E RESIN* and thin with a stream of compressed air. Do not light cure.
           
OR
           
• 2-3 coats of ALL-BOND 2 Primers A and B OR ALL-BOND 3 Parts A and B OR ONE-STEP/ONE-STEP PLUS. Air-dry to evaporate the solvent. Light cure for 10 seconds.

3. If using the dual-syringe delivery system, follow the enclosed DUAL-SYRINGE INSTRUCTIONS FOR USE for dispensation and delivery of RESINOMER. If using individual syringes, mix equal amounts of RESINOMER base and catalyst into a uniform paste (10-15 seconds) until the paste is a uniform color.

4. Apply a small amount of RESINOMER to the retentive side of the bracket base.

5. Place the bracket on the enamel surface with a slight rotational motion and position bracket appropriately. With an explorer or sharp scaler, press the bracket firmly against the enamel to express excess paste.  

6. Remove excess paste surrounding the bracket base with an explorer or scaler.

7. Light cure RESINOMER for 30 seconds by placing the light probe at a 45° angle to the enamel/bracket interface.

8. The bracket may be moderately loaded after light-curing RESINOMER.    

 

STORAGE: See individual component labels for specific expiration dates. Due to the unique chemistry of RESINOMER, refrigeration is necessary.

PRECAUTIONS: RESINOMER left on the mixing pad may appear not to set. This is due to oxygen inhibition of the polymerization process. Rest assured, RESINOMER will polymerize (set) in a normal fashion. The user can confirm this by placing a Mylar strip over the excess material on the pad; it will set within the specified period of time.

Uncured 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 damages 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 thereweith.

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

 

*  RESINOMER, ALL-BOND 3, CAVITY CLEANSER and ETCH-37 are trademarks of BISCO, Inc.
   ALL-BOND 2, ONE-STEP and UNI-ETCH are registered trademarks of BISCO, Inc.
   BISCO APPLICATORS and UNIT-DOSE NEEDLES TIPS are distributed by BISCO, Inc.
   D/E RESIN is manufactured by BISCO, Inc.

1. CRA Newsletter, February 1994, Adhesives, Silver Amalgam.
2. Farah, J. W. (ed.) Adhesive Resin Cements, Dental Advisor 10:(4) 6-7, 1993.

Unlike ONE-STEP/ONE-STEP PLUS, not all one-bottle systems bond to self-cured or dual-cured materials. Check with manufacturer’s instructions.



BISCO, INC.
1100 W. Irving Park Road
Schaumburg, IL 60193
U.S.A.
847-534-6000
1-800-BIS-DENT
www.bisco.com

CE ADMINISTRATOR
Bisico France -
Mr. Fred Picavet
L'Opera - BP. 60
13680 Lançon De Provence
France
Phone: 33-490-42-9292
Fax: 33-490-42-9261

IN-029R3
Rev. 7/07