Blog / Clinical Cases / Selective-etch adhesive bonding of a metal onlay

Brain Floss Blog


January 26, 2026

Clinical Case: Selective-etch adhesive bonding of a metal onlay

Using 3M™ Scotchbond™ Universal Plus Adhesive and 3M™ RelyX™ Universal Resin Cement.


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About the Case

A patient of 68 years presented with severe wear on tooth 36. The tooth was conservatively prepared for a non-precious metal adhesive onlay to protect the exposed dentin and restore occlusal function. The onlay was pre-treated by sandblasting and in this case the optional priming of metal with 3M™ Scotchbond™ Universal Plus Adhesive was done. For the cementation 3M™ RelyX™ Universal Resin Cement and Scotchbond Universal Plus Adhesive were used in the selective-etch adhesive technique.

Close-up of two molar teeth showing visible brown and yellowish cavities and dental decay on the biting surfaces.

Initial situation.

Close-up of two human teeth; the right tooth shows significant enamel wear and yellowish-brown discoloration, exposing underlying layers, while the left tooth appears mostly intact.

Preparation.

A close-up of a hand polishing a rough gemstone with a rotary tool.

Sandblasting of metal onlay bonding surface.

Close-up of gloved fingers holding a small, square, gray object. Left: a brush applies liquid to the surface; right: the same object after application.

Application of 3M™ Scotchbond™ Universal Plus Adhesive followed by air-thinning.

Close-up of a single tooth with blue dental etching gel applied to the enamel surface, prepared for a dental procedure.

Selective enamel etch with 3M™ Scotchbond™ Etchant after cleaning of prep with 50 μm alumina.

Close-up of a human tooth with visible brownish decay or staining on the surface, surrounded by dental dam material for isolation.

After application and air thinning of 3M™ Scotchbond™ Universal Plus Adhesive. No light-cure

Close-up of a dental procedure with a brush applying liquid to a tooth covered by a metal dental clamp and surrounded by a blue dental dam

Excess clean-up.

Close-up of two molars in a mouth, one with a metal dental crown and the other natural with a cavity

Final situation.

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The following products were used


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