Note: Ingredients listed on restricted chemical lists
EC/CAS
7631-86-9
Name of the chemical
Silver adsorbed on silicon dioxide
Concentration
≥5-<25%
EC/CAS
72869-86-4
Name of the chemical
11,14-Dioxa-2,9-diazaheptadec-16-enoic Acid, 4,4,6,16-tetramethyl-10,15-dioxo, 2-[(2-methyl-1-oxo-2-propenyl)oxy]ethyl ester (31)
Concentration
≥1-≤10%
EC/CAS
68909-20-6
Name of the chemical
Silanamine, 1,1,1-trimethyl-N-(trimethylsilyl)-, hydrolysis products with silica
Concentration
≥1-≤10%
General Information
Revision date
2025-08-15
Product name
FORMA
1.2.1 Relevant identified uses
Professional Dental Composite
Emergency telephone
+1 (800) 424-9300, +(703) 527-3887
Icons in SDS
Company Information
company name
Ultradent Products Inc
e-mail address of the competent person responsible for the Safety Data Sheet
onlineordersupport@ultradent.com
GHS Information
Signal word
Danger
Hazard Codes
Hazard statements (CLP)
H317, H320, H360, H373
Hazard statements
Code
Statements
H317
May cause an allergic skin reaction
Section 2
SECTION 2: Hazards identification
NFPA Rating Classification of the substance or mixture GHS08 Health hazard Toxic to Reproduction 1B H360 May damage fertility or the unborn child Specific Target Organ Toxicity - Repeated Exposure 2 H373 May cause damage to the lung through prolonged or repeated exposure. Route of exposure Inhalation GHS07 Sensitization - Skin 1 H317 May cause an allergic skin reaction Eye Irritation 2B H320 Causes eye irritation Contd. of page 1)
2.2 Label elements
Void
Hazard pictograms
GHS07, GHS08
Signal word
Danger · Health Hazard-determining components of labeling: Diurethane Dimethacrylate Hydrophobic Pyrogenic Silica Ethyl-4-Dimethylamino Benzoate Triethylene Glycol Dimethacrylate
Hazard statements
H320 Causes eye irritation. H317 May cause an allergic skin reaction. H360 May damage fertility or the unborn child. H373 May cause damage to the lung through prolonged or repeated exposure. Route of exposure: Inhalation.
Precautionary statements
P201 Obtain special instructions before use. P202 Do not handle until all safety precautions have been read and understood. P260 Do not breathe dust/fume/gas/mist/vapors/spray. P264 Wash thoroughly after handling. P272 Contaminated work clothing must not be allowed out of the workplace. P280 Wear protective gloves/protective clothing/eye protection/face protection. P302+P352 If on skin: Wash with plenty of water. P305+P351+P338 If in eyes: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. P308+P313 IF exposed or concerned: Get medical advice/attention. P321 Specific treatment (see on this label). P314 Get medical advice/attention if you feel unwell. P333+P313 If skin irritation or rash occurs: Get medical advice/attention. P337+P313 If eye irritation persists: Get medical advice/attention. P363 Wash contaminated clothing before reuse. P405 Store locked up. P501 Dispose of contents/container in accordance with local/regional/national/international regulations.
Classification system
· NFPA ratings (scale 0 - 4) Health = 1 1 Fire = 1 1 0 Reactivity = 0 · HMIS-ratings (scale 0 - 4) HEALTH 1 Health = 1 FIRE 1 Fire = 1 REACTIVITY 0 Reactivity = 0
2.1 Classification of the substance or mixture
GHS08 Health hazard Toxic to Reproduction 1B H360 May damage fertility or the unborn child. Specific Target Organ Toxicity - Repeated Exposure 2 H373 May cause damage to the lung through prolonged or repeated exposure. Route of exposure: Inhalation. GHS07 Sensitization - Skin 1 H317 May cause an allergic skin reaction. Eye Irritation 2B H320 Causes eye irritation. (Contd. of page 1)
