Gold Standard of Dental Adhesion in Current Days: A Clinical Perspective

It is well established that dental adhesive material are an important factor to achieve adequate adhesion results. However, it is not the only factor that contributes to the final bond strength. Improper operatory field isolation and contamination play an im-portant role in the final adhesion outcome. Background/Objectives: This article aims to give a clinical perspective with evidence-based arguments to find the best possible protocol for an enhanced adhesive protocol. Including why and how to make a rubber dam isolation, how to clean and prepare the dental substrate, and what the gold standard protocols for total-etch and self-etch techniques are. Conclusions: A well-established clinical protocol involving not only the adhesion material selection but also how to create a proper operative site free of contaminants and how to properly clean and prepare the dental substrate is paramount for achieving the best results in dental adhesion. Despite the development of simplified adhesive systems that offer acceptable bond strength results, the gold standard techniques continue to deliver superior and predictable out-comes. Great adhesion results do not depend only on the adhesive material itself but on a synergistic approach involving operative site isolation, substrate cleaning and treat-ment, and protocol fidelity. When these elements are correctly applied, they significantly enhance the reliability of dental adhesion for both direct and indirect restorations, con-tributing to improved restorative longevity.