With an increasing emphasis on preventive dentistry, clinicians are not willing to leave the success of their patients’ restorations or the quality of their future dental health to chance. Thanks to new material science and innovative chemistry, such as that of Pulpdent’s ACTIVA BioACTIVE-RESTORATIVE, they don’t have to.
This highly esthetic, dual-cure, everyday bioactive composite is indicated for all classes of caries. It combines a bioactive ionic resin matrix and a shock-absorbing rubberized resin component to provide lasting defense against secondary caries.
As a self-described integrative dentist, Dr. Kubra Atici prefers “restorative materials that not only replace missing tooth structure but also interact with the biological environment.” She explained, “If teeth can get ions from a restorative material, they can repair and protect themselves from further damage.”
Thrilled to introduce ACTIVA BioACTIVE-RESTORATIVE to her practice and patients, she called the material “a good choice for replacing missing tooth structure while also supporting the biologic environment to protect teeth.” Dr. Atici added, “It’s a great material for providing fast, easy, and efficient quadrant dentistry.”
Delivery, Placement, and Handling
ACTIVA BioACTIVE-RESTORATIVE offers easy and accurate delivery and placement, with moisture-friendly chemistry that’s ideal for Class V caries and any area where moisture control is difficult.
“The delivery system is perfect and the product is especially easy to use,” said Dr. Bertram Hughes. “It’s so much less stressful and handles better than other core materials.” He explained that “dispensing is easy and accurate, placement accuracy is excellent, the flow is so easy to control, the small tip provides excellent visibility, and filling the proximal box ensures there will be no porosities.”
Appreciating the “ease of use in areas where I can’t isolate moisture,” Dr. Victoria Spindel noted, “I like being able to place it on Class Vs and in areas with high caries rates, and it’s nice to be able to bulk fi ll.” Dr. Wanda Hall likes the higher viscosity for Class V, III, II, PRR, and occlusal restorations. Dr. Abraham Jaskiel described it as “a flowable with nice bioactive properties that allows me to access hard-to-reach areas without concerns about light curing.” When asked to recommend improvements, a few dentists suggested a smaller syringe to avoid waste.
Immediate and Long-Term Protection
Smart technologies provide moisture-friendly chemistry, bioactivity, elastomeric strength, and resilience. ACTIVA BioACTIVE- RESTORATIVE releases calcium, fluoride, and phosphate ions, providing continuous defense against secondary caries and microleakage. The material contains no bisphenol A, bis-GMA, or BPA derivatives.
Because of its bioactivity, Dr. Joy Poskozim likes using ACTIVA BioACTIVE-RESTORATIVE with 1-step fillings to prevent sensitivity and protect secondary and tertiary dentin. She called it “great for primary teeth with deep preps.” Dr. Shanna Soni named pulp protection as “the main positive feature,” Dr. Jack Ringer called bioactive chemistry “a potentially great alternative to conventional restoratives,” and Dr. Hall said, “The bioactivity with higher viscosity is useful for larger restorations and core buildups.”
Dr. Raymond Lee’s patients reported “virtually no postop sensitivity,” which he said is especially beneficial when a massive cavity is close to the pulp.
Versatility and Outcomes
ACTIVA BioACTIVE-RESTORATIVE seals against microleakage and is durable and fracture-resistant. It is the first bioactive composite with an ionic resin matrix that mimics the physical and chemical properties of natural teeth. It provides a versatile solution for Class I to V restorations and produces superior Class IIs and bulk fills with low shrinkage stress.
Calling the material helpful for deep proximal boxes and cervical areas adjacent to tissue margins, Dr. Andrew Mogelof said, “It makes filling attachment areas easy and accurate when using [clear align-er] templates.” Without needing to worry about packing or esthetics, Dr. Poskozim completely filled tooth No. 18 in a patient with mesial caries and lifelong trismus. “It smoothed easily for good dental anatomy, and I was thrilled with the appearance of the mesial proximal box,” she said.
Describing it as “nice to have on hand for root decay or perio-involved teeth with a lot of decay,” Dr. Jaskiel said, “It rose to the occasion in areas of deep decay.” Dr. Atici found it “easy to restore multiple teeth in 1 appointment,” while two dentists suggested additional shade options.
Overall Satisfaction
“I’m a huge proponent of bioactive materials, and ACTIVA BioACTIVE-RESTORATIVE is far superior to other core materials,” said Dr. Hughes. Dr. Mogelof relayed to his peers: “It’s certainly worth trying. You’ll be pleasantly surprised.”
