You do not need to etch when using Vertise Flow unless working with uncut enamel (as in a sealant application). Vertise Flow offers high bond strengths to both dentin and enamel without the need for a separate adhesive. For those who want to etch regardless, you should only etch on enamel, which further improves marginal integrity. Etching on dentin, however, opens dentin tubules that, unless sealed properly, can lead to post-op sensitivity. Vertise Flow does not open dentin tubules, minimizing the chance of post-op sensitivity.
Vertise™ FlowDental Composites
Self-Adhering Flowable Composite
Vertise Flow is the first self-adhering flowable dental composite powered by OptiBond™. It greatly simplifies your direct restorative procedures by incorporating a bonding agent into a flowable. With this flowable dental composite there is no need to bond separately, reducing steps and saving time. Vertise Flow shares the same characteristic inherent in self-etch materials and reduces the chance of post-op sensitivity. Our leadership in resin restorative dentistry comes after decades of innovation in dental composites and expertise in dental adhesives – both of which come together in Vertise Flow.
Vertise Flow self-adhering flowable composite uses:
• Liner under large class I and II restorations
• Small class I and II restorations
• Pit and fissure sealant
• Porcelain repairs
Features You Can Depend on
- Universal use – unique self-adhering property offers new opportunities for use in a wide selection of indications and situations
- Reduced post-op sensitivity
- Easy handling – non-slumping property creates an ideal viscosity for different indications
- Low microleakage – excellent marginal integrity and reduced voids.
- Self-adhering. No separate bonding step.
- High bond strengths to dentin and enamel. Incorporates clinically proven OptiBond adhesive technology for excellent bonds.
The ideal restorative material for pediatric patients
Vertise Flow—the first self-adhering flowable composite powered by OptiBond technology—greatly simplifies your direct restorative procedures by combining a bonding agent into a flowable composite. Patient-friendly, easy to use, and moisture-tolerant, Vertise Flow is also perfect for use as a liner, pediatric restorative, pit and fissure sealant and more. What makes this product so ideal for young patients? Less time in the chair, more time to play. And you think your patients love you now.
Vertise Flow needs a clean surface for optimal adhesion. Uncut enamel is more prone to contamination than cut enamel. Etching uncut enamel helps prepare a clean surface to which Vertise Flow can securely bond. An alternative to etching is air abrasion. If you prefer to etch rather than air-abrade, remember to also use non-fluoridated pumice to clean the tooth prior to etching.
You do not need to apply a bonding agent when using Vertise Flow. Vertise Flow is a self-adhering material that has a bonding agent already incorporated. Vertise Flow offers high bond strengths to both dentin and enamel without the need for a separate bonding application step. Using a bonding agent with Vertise Flow will enhance the bond strengths to both dentin and enamel.
Like self-etch materials currently available on the market - such as OptiBond All-In-One and Xeno IV - Vertise Flow self-adhering composite contains acidic adhesive monomers to effectively bond to the tooth. Just as self-etch materials need a consistently cool environment to keep stable and perform optimally, Vertise Flow is no exception. Prolonged exposure to heat will compromise the bond strengths of Vertise Flow.
The process of coating a thin layer of the material onto the tooth prep will take approximately 15-20 seconds; the material should be applied with moderate pressure to ensure adequate contact to the tooth.
No. The 5-second feature applies to curing bonding agents and composites separately. As Vertise Flow is a hybrid product combining both adhesive and composite into one, a longer curing time of 20 seconds is necessary. For A3.5 and Universal Opaque, cure for 40 seconds.
Kerr is conducting long-term clinical studies on these indications. At this time, Kerr has not indicated these two classes for use with Vertise Flow until in-vivo data becomes available.
XL, A1, A2, A3, A3.5, B1, B2, Universal Opaque, and Translucent
No. The resin in Vertise Flow and universal composites are similar and bond well to each other. Therefore, no bonding agent is required.
No. You only need to brush the first layer of Vertise Flow. Subsequent layers can be added without brushing.
Vertise Flow approaches neutral acidity once cured. Its pH level reaches 6.5-7 upon polymerization. Before light-curing, the pH level is 1.9 to effectively bond to the tooth.
Shelf life is 18 months with refrigeration. Kerr cannot guarantee the full shelf life if a product is not properly stored, i.e. in refrigeration.
Vertise Flow is a more esthetic material than glass ionomers. Its translucency allows for better replication of natural dentition. Vertise Flow also offers superior mechanical properties with higher flexural strength, diametral tensile strength, and compressive strength, yet lower wear - all of which enable longer-lasting restorations.
Yes. Vertise Flow contains ytterbium fluoride, which acts as a fluoride-releasing agent. Vertise Flow's fluoride release data:
1 day 0.23 ppm
1 week 0.48 ppm
To use Vertise Flow as a sealant, the clinician must do one of the following:
- Air-abrade the tooth
- Clean the tooth with non-fluoridated pumice, then etch with phosphoric acid
Yes. Vertise Flow offers physical strength comparable to a traditional flowable composite, which typically can be used for this purpose. (With the bonding agent incorporated, Vertise Flow can be used for this purpose without the need to bond separately.)
When bonding Vertise Flow to porcelain, no hydrofluoric acid etch or silane primer is necessary. The bond strength of Vertise Flow to non-HF-etched/non-silanated porcelain is very good (approximately 34 MPa). The protocol is as follo
- Sandblast porcelain bonding surface (along with metal/tooth surface, if involved)
- Apply the first layer of Vertise Flow with moderate pressure for 15-20 seconds, light-cure for 20 seconds. For A3.5 and Universal Opaque, cure for 40 seconds.
- If necessary, build the restoration incrementally with Vertise Flow in 2mm or less thickness, light-cure for 20 seconds. For A3.5 and Universal Opaque, cure for 40 seconds.
Vertise Flow's primary indications are for direct restorations, whereas Maxcem Elite's primary indications are for indirect restorations. Vertise Flow offers the characteristics and aesthetic capability of a flowable composite and the adhesion of a bonding agent combined.
Vertise Flow can be used underneath a core material (light-cure, dual-cure, or self-cure) in place of a bonding agent. Here are the dentin bond strengths of Vertise Flow when the core material is self-cured:
Core Material Dentin SBS
FluoroCore 2 19.9 (2.1) MPa
LuxaCore 19.3 (1.5) MPa
CoreRestore 2 19.5 (3.4) MPa
Additionally, Vertise Flow can be used as a core buildup material in minor, non-stress bearing areas (<2 mm deep).
Vertise Flow can be used over a GI or RMGI. The appropriate protocol is as follows: After placement of the RMGI, brush the first layer of Vertise Flow with moderate pressure for 15-20 seconds. Light cure for 20 seconds. For A3.5 and Universal Opaque, cure for 40 seconds. Then build the restoration incrementally with Vertise Flow or other restorative material, light cure, and finish.
Yes, Vertise Flow can be used to seal small voids.
Yes, Vertise flow can be used to block out the undercuts of a prepped tooth before an impression is taken. For digital scan (CEREC restorations), make sure to thoroughly clean the contrast-enhancing powder off the prep and Vertise Flow before cementation. After rinsing with water, use alcohol to wipe off any residual contrast-enhancing powder off the prep and Vertise Flow.
No. Vertise Flow's film thickness is not suitable for veneer cementation. Kerr recommends NX3 Nexus Third Generation cement, which is ideal for veneer cementation.
Vertise Flow can be used as a pulpal floor liner on a non-vital tooth. Otherwise, when there is pulpal exposure on the deep cavity floor of a vital tooth, cover the exposed area with a calcium hydroxide liner/base material first, prior to adhesive application.