Dentin/enamel adhesives: review of the literature.

This paper describes the development of dentin bonding systems, and describes the current strategies for bonding composite resin materials to dentin. Two main strategies are available--total-etch or self-etch--and each has unique advantages and disadvantages. For each category, simplified systems that reduce the number of application steps are available. Currently, the market is moving towards self-etching materials, largely because these are associated with less post-operative tooth sensitivity. However, the clinical performance of most of these materials is not yet proven.