Matching the Best Etchant to Your Bonding Technique

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By: Dental Product Shopper
2/25/2025

Two etchants from BISCO, Select HV Etch w/BAC and Uni-Etch w/BAC, give clinicians the viscosities needed to achieve the best results for both the total-etch and selective-etch bonding techniques

 

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It doesn’t matter if Dr. Todd Snyder uses the total-etch or selective-etch technique for bonding—he knows that, either way, there’s a BISCO etchant he can rely on to get the best results.

 

The original, Uni-Etch, was developed for the total-etch technique and is easy to spread over large areas, quickly etching enamel and dentin, he said. With its high viscosity, Select HV Etch is better suited for selective-etch as it offers pinpoint placement and stays put, properly etching the enamel but staying clear of the dentin.

 

Another benefit? Both contain benzalkonium chloride, or BAC.

 

“It’s definitely a benefit to have two etchants to choose from, but BISCO took it a step further,” Dr. Snyder said, noting both etchants wash away clean. "Phosphoric acid alone doesn’t eliminate bacteria, so benzalkonium chloride is added to help cleanse the tooth for the best possible bond. That's a huge advantage."

 

Key to Bonding Success

 

Phosphoric acid is a critical part of the bonding protocol, regardless of the technique, said Dr. Rolando Nuñez, BISCO’s manager of clinical marketing. The total-etch technique calls for placing phosphoric acid on enamel and dentin simultaneously, while the selective-etch technique involves applying phosphoric acid on enamel only.

BISCO first introduced Uni-Etch, a 32% phosphoric acid semi-gel etchant, when total-etch was the bonding technique of choice, Dr. Nuñez said. It’s intended to easily cover large areas of the substrate. But as the selective-etch technique became more popular, the team at BISCO wanted to give dentists another option. They developed Select HV Etch as a 35% phosphoric acid etchant that’s more viscous and stays where it’s placed, giving clinicians more control and making it possible to etch very specific areas.

 

“It had to be thicker,” Dr. Nuñez said. “Its viscosity helps the placement of etchant on the enamel without having the added risk of running into the dentin.”

 

While Uni-Etch is more flowable and Select HV Etch more viscous, both etchants are versatile and can be used with either technique, Dr. Nuñez said. Offering different viscosities for different bonding techniques “adds an element of specificity” that can help make the bonding procedure easier and “have a really positive impact on the user experience,” he said.

 

“You can rest assured that the etchant will accomplish what you need to accomplish to obtain the best bond possible,” Dr. Nuñez added.

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Deactivating MMPs

 

Both etchants contain BAC, an antimicrobial agent that cleanses the tooth.* BAC is also known inhibitor of MMPs.1 MMPs are inactive enzymes in dentin that are activated by acid. When activated, these enzymes degrade the hybrid layer over time. Independent studies have shown that BAC inhibits MMPs.1

 

Better Bonds

 

Bonding procedures require clinicians to be thoughtful and careful. There’s no going back once the treatment is done, making it critical to invest in the materials that work best for you. By offering two etchants, BISCO seeks to meet different needs, improving the user experience and leading to better bonds.

 

“Success is always related to the details,” Dr. Nuñez said. “Etching with phosphoric acid is half of the bonding procedure, and using the best product available can make a difference.”

 

* NOTE: Inclusion of BAC has not been shown to correlate with a reduction in secondary decay in patients. In-vivo clinical studies to evaluate the effects of BAC on oral bacteria or caries have not been performed

1. Tezvergil-Mutluay A et al. The anti-MMP activity of benzalkonium chloride. J Dent. 2011 Jan;39(1):57-64.

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