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Dental Adhesion Protocol: A Clinically Oriented Literature Review with Practical Guidelines
Almerinda Agrelli1, Mateus do Vale Voigt2, Victor G R Clavijo3
1Laboratory of Virology and Experimental Therapy (LaViTE), Aggeu Magalhães Institute, Oswaldo Cruz Foundation, Recife 50740-465, PE, Brazil.
Dentistry Journal
|March 27, 2026
Summary
Optimizing dental adhesion requires more than just the right materials. Proper isolation, like using a rubber dam, and substrate preparation are crucial for strong, long-lasting dental restorations.
Area of Science:
- Dentistry
- Biomaterials Science
Background:
- Dental adhesive materials are critical for bond strength, but clinical outcomes also depend heavily on operatory field isolation and contamination control.
- Improper techniques can compromise the success of dental restorations, despite advancements in adhesive technology.
Purpose of the Study:
- To provide a clinical perspective on optimizing adhesive protocols using evidence-based arguments.
- To identify key procedures for enhancing bond strength, including rubber dam use, substrate preparation, and technique selection.
Main Methods:
- A narrative review of literature sourced from PubMed, Scopus, and Web of Science.
- Prioritization of systematic reviews, meta-analyses, long-term clinical studies, and experimental investigations on adhesive systems and substrate management.
Main Results:
- A comprehensive clinical protocol integrating adhesive selection, contamination-free field management, and substrate preparation is vital for predictable results in adhesive dentistry.
- Proper execution of these steps significantly influences the final bond strength and clinical success of restorations.
Conclusions:
- While simplified adhesive systems provide adequate bond strength, traditional, well-established techniques offer consistent reliability for long-term restorative success.
- Adherence to optimized protocols ensures the longevity and durability of dental restorations.
