Vol. 12, Issue 1, Part B (2026)
The evolution of dental adhesives: A critical review of the evidence from 4th to 8th generation systems
Haeun Kim, Rosa Isela Sanchez Najera, Fanny Lopez Martinez, Idalia Rodriguez Delgado, Jorge Jaime Flores Treviño, Leticia Tiburcio Morteo, Rosa Elena Ochoa Martínez, Carolina Bocard Menchaca and Juan Manuel Solis Soto
Introduction: Adhesive systems determine the longevity of restorations and the costs of retreatment; their selection and technique influence microleakage and sensitivity.
Objective: To analyze recent literature on 4th, 5th, 6th, 7th, and 8th generation bonding agents, describing their composition, representative brands, mechanism of action, and clinical evidence.
Methodology: Articles were searched in databases such as PubMed, Scopus, Google Scholar, using keywords: Dental Bonding, Etching, Composite Resins, Photopolymerization, dental adhesive, universal adhesive, 4th-8th generation, bond strength; clinical trial.
Results: 4th (total-etch, 3 steps): high adhesion and control, technique-sensitive. 5th (total-etch, 1 bottle): faster, but more hydrophilic; requires rigorous evaporation. 6th (self-etch 2 steps, 10-MDP): MDP-Ca chemical bond and consistent seal in dentin; selective etching improves enamel. 7th (all-in-one): maximum simplicity, but greater permeability; useful with active rubbing, multiple layers, and good aeration. 8th (universal multimode): favorable performance in NCCLs; possible need for activator with dual/self-curing materials; optimal with selective enamel etching and active application.
Conclusion: Universal adhesives (8th) offer the best versatility when applied with active rubbing, solvent evaporation, and selective etching; 2-step self-etch adhesives (6th) are highly predictable on dentin; 3-step adhesives (4th) remain the benchmark when durability is prioritized. The choice must be individualized according to the substrate, isolation, and light-curing parameters indicated by the manufacturer.
Pages: 85-88 | 258 Views 165 Downloads


