Bulk Fill – Self-leveling – Fluoride, Calcium & Phosphate – Dual Cure – Moisture Tolerant – BPA Free

Instructions for Use

Science of Bioactivity

Next-gen, One-step, Bioactive Bulk Fill

New for 2025: ACTIVA™ BioACTIVE Bulk Flow™ is a next-generation bulk-fill solution. Built on the success of the ACTIVA line, this self-leveling, one-step¹ bulk fill raises the standard of care for a variety of everyday procedures.

ACTIVA BioACTIVE Bulk Flow supports the natural remineralization process² to protect against microleakage and secondary caries.³ With unlimited depth of cure⁴and numerous provider efficiencies, ACTIVA BioACTIVE Bulk Flow is the ultimate Class II solution. Use as a dentin replacement or single-step bulk fill—capping layer is optional.

ACTIVA BioACTIVE Bulk Flow is part of Pulpdent’s advanced ACTIVA patient treatment system. ACTIVA materials feature patient-centric benefits, such as natural remineralization support, along with SMART™ polymer technologies that allow for provider ease and efficiency.

Bulk-fill Ease & Efficiency

• Use as a dentin replacement, or bulk fill in one step³ (unlimited depth of cure⁴)
• Can be used with or without a capping layer
• Patented stress reduction monomer (MODULUS™), best-in-class shrinkage stress rate⁵

Bioactivity-illlustration_layered-for-client

Remineralization Support

• Fluoride, calcium, and phosphate release & recharge
• Defends against microleakage via mineral apatite formation²
• Biofilm modulation⁶

Universal Shade

• ShadeFusion™ technology replaces common VITA shades
• Optimal chroma and translucency, highly esthetic
• Simplifies inventory

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¹“One-step” describes placement after preparation, etching, and bonding steps. Refer to ACTIVA BioACTIVE Bulk Flow instructions for use (IFU) for complete instructions.

²The remineralization process is a natural repair mechanism to restore the minerals again—in ionic forms—to the hydroxyapatite (HAP) crystal lattice. Source: Arifa MK, Ephraim R, Rajamani T. Recent advances in dental hard tissue remineralization: a review of literature. Intl J Clin Ped Dent. 2019:12;2:139.

³Activa Bioactive physically seals the margin of the material and tooth interface through mineral apatite formation, subsequently protecting against microleakage, the leading cause of secondary caries and recurrent decay. Scanning electron micrographs of the Activa Bioactive Restorative groups showed a ‘‘thicker acid-base resistant hybrid-like layer with a distinct crystallization pattern.’’ (Raghip AG, Comisi JC, Hamama HH, Mahmoud SH. In vitro elemental and micromorphological analysis of the resin-dentin interface of bioactive and bulk-fill composites. Am J Dent. 2023;36{1}:3-7.)

⁴Dual-cure mode

⁵Activa Bioactive Bulk Flow shrinkage stress rate testing within same statistical grouping as SDR Flow. Source: Independent university testing; publication pending (2025): American Association for Dental, Oral, and Craniofacial Research.

⁶See: Maher YA, Rajeh MT, Hamooda FA et al. Evaluation of the Clinical Impact and In Vitro Antibacterial Activities of Two Bioactive Restoratives against S. mutans ATCC 25175 in Class II Carious Restorations, Nigerian Journal of Clinical Practice, 2023;26(4):404-411; and Mah J, Merritt J, Ferracane J. Adhesion of S. mutans biofilms on potentially antimicrobial dental composites. J Dent Res. 2017;96: 2560.

Activa KIDS BioACTIVE Bulk Flow - Self Leveling Flow

Activa KIDS BioACTIVE Bulk Flow - Product Overview

The Ultimate Class I & II Solution

Class II Bulk Fill

Tooth no. 14, Class II preparation

Immediate post-op

Images courtesy of Dr. Neville Hatfield

Class I Bulk Fill

Class I preparations

Immediate post-op

Images courtesy of Dr. Neville Hatfield

Large Class II

Pre-op

Post-op

Images courtesy of Dr. Raymond Zhu

Bulk Fill Without Limits

OUTSTANDING SHRINKAGE STRESS RESISTANCE¹

Patented shrinkage stress reduction technology (MODULUS™) for worry free bulk filling.

Disclaimer: SDR is a trademark of Dentsply Sirona; 3M and Filtek are trademarks of 3M

CAPPING LAYER OPTIONAL

Excellent wear properties eliminate the need for capping layer and allowing for true one-step placement.

Source: Independent third-party testing (SD Mechantronik)

¹Fan Y, Hubler D, Choochaisaengrat S, Giordano II R. Polymerization Shrinkage Stress of Novel Light Curing Dental Composites. Poster presented at American Association for Dental, Oral, and Craniofacial Research Annual Meeting; March 12–15, 2025; New York, NY.

THE BIOACTIVE DIFFERENCE

CUMULATIVE ION RELEASE/RECHARGE

ACTIVA KIDS BioACTIVE participates in a dynamic process of ionic exchange with saliva and tooth structure, continuously releasing and recharging calcium, phosphate and fluoride ions and reacting to pH changes in the mouth.^7,8,9

⁷Fluoride ion release and recharge over time in three restoratives. Slowikowski L, et al. J Dent Res 93 (Spec Iss A): 268, 2014 (www.iadr.org).

⁸Cannon M, et al. Pilot study to measure fluoride ion penetration of hydrophilic sealant. J Dent Res 89 (Spec Iss A): 1345, 2010 (www.iadr.org).

⁹pH dependence on the phosphate release of Activa ionic materials. (Pulpdent) Rusin RP, et al. Ion release from a new protective coating. J Dent Res 88 (Spec Iss A): 3200, 2009 (www.iadr.org).

MINERAL APATITE FORMATION²

Through ionic activity, ACTIVA BioACTIVE supports the natural process of apatite formation. The apatite stabilizes the bonding agent/hybrid layer, the weakest point of any restoration. Ionic activity also modulates biofilm formation. The result is active defense against microleakage, bacterial incursion, and secondary caries.³

²The remineralization process is a natural repair mechanism to restore the minerals again, in ionic forms, to the hydroxyapatite (HAP) crystal lattice. Source: Arifa MK, Ephraim R, Rajamani T. Recent advances in dental hard tissue remineralization: a review of literature. Intl J Clin Ped Dent. 2019:12;2:139.

EXCEPTIONAL MICROLEAKAGE PROTECTION

In a recent 60-day university study of prepared composite-tooth restorations exposed to experimental cariogenic conditions,* ACTIVA BioACTIVE Bulk Flow experienced the lowest incidence of microleakage (highest success rate/protection against microleakage) compared to competitors and traditional resin composite technologies. Sample survival rates after 60 days are shown here.

*E. faecalis–based microleakage model. Int J Dent. Publication pending: 2025.

Elastomeric functional monomer

Hydrophilic ionic matrix

Moisture-tolerant acidic functional monomer

BALANCED OPACITY AND TRANSLUCENCY

New ShadeFusion™ technology achieves an ideal balance of color matching characteristics, making ACTIVA BioACTIVE Bulk Flow less likely to require an opaquer or blocker.