Emalje- og dentinadhesiver: Avgjørende faser i klinisk behandling

English summary Clinical aspects of dental adhesion Nor Tannlegeforen Tid. 2024; 134: 604-10. There is a plethora of dental adhesive products on the market today, and it can be challenging to know which system to use and how to handle them. The clinical decision making should be made on an individual basis, and mainly based on how we want to treat the dentin. While etching of the enamel is generally recommended, the dentin can either be treated with an etch-and-rinse- or a self-etching strategy. Due to variations in quality of the dentin, adhesive systems for both strategies should be available, either in the form of etch-and-rinse adhesives, self-etching adhesives, or universal adhesives that can be used in both modalities. In addition, some adhesive systems may contain special monomers and other molecules that can facilitate bonding to different restorative materials. Apart from a maximum etching time of 15 seconds on dentin, there are otherwise no shortcuts when doing an adhesive procedure. The manufacturers instructions should be followed. Increasing the time for rinsing the acid (at least 10 seconds), primer air drying (30–60 seconds) and light curing has been shown to improve the clinical performance. Any contamination of the working area will weaken the bond strength, and adequate moisture control is important.