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 Ultimate Clicker  Ultimate Clicker

RelyX™ Ultimate Clicker™
Adhesive Resin Cement

Glass ceramic cementation has a new hero

Adhesive Resin Cement – RelyX™ Ultimate Clicker™


RelyX™ Ultimate Clicker™ makes the adhesive cementation of highly aesthetic like glass ceramic restorations a whole lot easier by reducing the number of components required, while maximizing bond strength. The combination of RelyX Ultimate cement with Single Bond Universal Adhesive from 3M™ ESPE™ offers:

  • Ultimate bond strength
  • Outstanding aesthetics: high marginal integrity, wear resistance and natural fluorescence
  • Suitable for total-etch and self-etch procedures
  • Less waste of material due to Clicker™ delivery
 

“Very simple to use!”
Dr. Girish, India

“The best cement system that I have worked with so far!”
Dr. Subramanian, India

 

Product information

Features & Benefits

Fewer components – easier to use.
RelyX™ Ultimate Cement was designed for optimal performance when combined with Single Bond Universal Adhesive (3M ESPE) which functions not only as a self-etch or total-etch adhesive, but also as a primer for most restoration surfaces.

  • Dual-cure cement with ultimate bond strength
  • Ease of use: only two components, lower number of procedural steps
  • Outstanding aesthetics: high marginal integrity, wear resistance and natural fluorescence
  • Less waste and controlled dosage of material due to Clicker™ delivery
Enlarge Relyx Ultimate Adhesive Resin Cement plus Clicker

Only two components needed


Bond to enamel and dentine
In independent research, RelyX Ultimate cement shows the highest bond strength to enamel compared to other resin cements that use a self-etching primer system.

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Note: Shear bond strength to enamel after 24 h storage, cement was light cured.
Source: C. Decoteau, M. Ogledzki, G. Kugel, and R.D. Perry; Tufts University, Boston, USA, IADR/AADR 2011, # 375


Colour stability
To maintain high aesthetics, the resin cement must be resistant against staining. Food and beverages can be a major source of staining. Compared to other leading products, RelyX™ Ultimate Adhesive Resin Cement shows the lowest discolouration after incubation in coffee solution. The pictures show cement samples after storage in standardised coffee solution for 3 days at 36 °C.

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Colour stability of cements in comparison
Source: 3M ESPE internal data


Shades and fluorescence
RelyX Ultimate cement takes advantage of a modern initiator technology, which is free of aromatic amine initiator components that lead to discolouration. It enables dual-curing, while at the same time guaranteeing long term colour stability of the cement. So the cement is suited for use with highly aesthetic restorations such as ceramic or composite crowns, inlays, and veneers. RelyX Ultimate cement is available in 4 shades. For brilliant natural colour imitation, a fluorescence dye is added to the cement.

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Fluorescence of cements in comparison
Source: 3M ESPE internal data

Indications

RelyX Ultimate adhesive resin cement covers the whole spectrum of indirect indications with the final cementation of:

  • All-ceramic, composite or metal inlays, onlays, crowns and bridges; 2 – 3-unit Maryland bridges and 3-unit inlay/onlay bridges*
  • All-ceramic or composite veneers
  • All-ceramic, composite, or metal restorations to implant abutments
  • Posts and screws

* Excluded for patients with bruxism or periodontitis.

Technical information

Procedure versatility – self-etch, selective-enamel-etch or total-etch

    3M™ ESPE™ recommends self-etch procedure when:
  • Risk of tooth sensitivity or proximity to pulp exists
  • Situation calls for bonding to dentine (rather than to enamel)
  • Risk of moisture contamination exists
  • Cementation needs to happen quickly

    3M™ ESPE™ recommends selective or total-etch when:
  • Situation calls for bonding to enamel (rather than to dentine)
  • Preparation is non-retentive
  • No risk of post-op sensitivity exists (e.g. non-vital tooth)
  • Situation is easy to keep dry
Enlarge Introductory Kit Ketac™ Cem Easymix

Note: RelyX™ Ultimate Adhesive Resin Cement can be used either with self-, selective or total-etch technique
Source: 3M ESPE

 

Ordering information

  Item No. Product Information
Trial Kit
RelyX™ Ultimate Clicker™ Trial Kit (A1) 56924 RelyX™ Ultimate Clicker™ Trial Kit (A1)
1 bottle Single Bond Universal Adhesive à 1.5 ml, 1 etchant syringe à 3 ml, 25 dispensing tips for etchant syringe, 50 microbrushes, 1 RelyX™ Ultimate Clicker™ (A1) à 4.5 g, 1 mixing pad
Refills
Shade Translucent 56920 Shade Translucent
1 RelyX™ Ultimate Clicker™ à 4.5 g
Shade B0.5 Bleach 56923 Shade B0.5 Bleach
1 RelyX™ Ultimate Clicker™ à 4.5 g
Shade A1 56921 Shade A1
1 RelyX™ Ultimate Clicker™ à 4.5 g
Shade A3 Opaque 56922 Shade A3 Opaque
1 RelyX™ Ultimate Clicker™ à 4.5 g
RelyX™ Try-in Paste Refills
  7614TRT Shade Translucent
1 try-in paste refill à 2 g
  7614B0.5T Shade B0.5 Bleach
1 try-in paste refill à 2 g
  7614A1T Shade A1
1 try-in paste refill à 2 g
  7614A3T Shade A3 Opaque
1 try-in paste refill à 2 g
Single Bond Universal Adhesive
  41282 Single Bond Universal Adhesive Refill
5 ml adhesive vial
  41263 Scotchbond™ Universal Etchant Etching Gel
2 syringes à 3 ml

Clinical application

Cementation of glass ceramic veneers and crown

Dr. R. Mędzin, Poland

Figure 1

Figure 1: Pre-operative situation.

Figure 2

Figure 2: Final veneer and crown preparations.

Figure 3

Figure 3: Highly aesthetic glass ceramic veneers and crown on model.

 
Figure 4

Figure 4: Try-in of restorations using RelyX™ Try-in Pastes (3M ESPE).

Figure 5

Figure 5: After try-in, hydrofluoric acid was used to etch the glass ceramic, afterwards Single Bond Universal Adhesive (3M™ ESPE™) was applied as a silane.

Figure 6

Figure 6: Prepared teeth were rinsed and dried after try-in and prior cementation.

 
Figure 7

Figure 7: The enamel was etched with phosphoric acid for 15 seconds.

Figure 8

Figure 8: Enamel surfaces after etching.

Figure 9

Figure 9: Applying Single Bond Universal Adhesive (3M ESPE) to tooth structure (20 sec.).

 
Figure 10

Figure 10: Dosing of RelyX™ Ultimate Clicker™ Cement.

Figure 11

Figure 11: Mixing of RelyX™ Ultimate Cement on a mixing pad.

Figure 12

Figure 12: The veneers and the crown were cemented in succession. Seating of the veneer on left first incisor is shown.

 
Figure 13

Figure 13: After excess removal, light curing of RelyX™ Ultimate Cement using Elipar™ S10 Curing Light (3M ESPE).

Figure 14

Figure 14: Application of Single Bond Universal Adhesive to tooth structure and core build-up (20 sec.).

Figure 15

Figure 15: Seating of the glass ceramic crown on left second incisor.

 
Figure 16

Figure 16: Light curing of RelyX™ Ultimate Cement using Elipar™ S10 Curing Light from 3M ESPE (20 sec./surface).

Figure 17

Figure 17: All restorations in situ.

Figure 18

Figure 18: Final situation.

 

Studies and science

Pull-off strength

Lava™ Zirconia Crown pull-off strength of resin cements after artificial aging


In independent research, RelyX Ultimate cement shows the highest retention strength for Lava™ Zirconia Crowns compared to other resin cements that use a self-etching primer system. Tufts University investigated shear bond strength to enamel 24 h after cementation. The group of Dr. John Burgess cemented Lava™ Zirconia Crowns to teeth with non-retentive preparations and compared the pull-off forces of various resin cements after artificial aging with mechanical loading (100,000 × 20 N) and thermocycling (10,000 × 5 – 55° C).

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Source: Source: Q. Cai, D. Cakir, P. Beck, L. Ramp, and J. Burgess, University of Alabama Birmingham, AL, USA, AADR 2012 #1010


RelyX™ Ultimate Adhesive Resin Cement was used with Single Bond Universal Adhesive (no extra light curing), the other materials with their respective primers. Zirconia was sandblasted (< 50μm) before priming, all cements light cured.

Microtensile bond strength

Microtensile bond strength to dentine and restoration materials


Research at the University of Trieste, Italy, also confirmed excellent adhesion for RelyX™ Ultimate Cement when compared to traditional adhesive resin systems that use etching, priming and bonding. The researchers used RelyX Ultimate cement without a tooth etching step, Single Bond Universal Adhesive was just applied to the dentine. Due to its versatility, both tested restoration materials, feldspathic glass ceramic and Resin Nano Ceramics (RNC, like Lava™ Ultimate), were pretreated with Single Bond Universal adhesive as silane, the feldspathic ceramic after HF etching and the RNC after just sandblasting.

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Source: G. Turco, A. Frassetto, G. Marchesi, I. Spagnolo, C. Navarra, R. Di Lenarda, M. Cadenaro, and L. Breschi, University of Trieste, Italy, AADR 2012 #1300

Microtensile bond strength to dentine after water storage or artificial aging (chewing simulation 50N, 240,000 cycles). Different restoration materials were used to create the specimen in order to evaluate a potential influence.

 

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