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Swift EJ Jr. Oper Dent 2009; 21: 147–148

Recent research has shown that the bonding of the two-step, self-etch system (Clearfil Protect Bond, Kuraray, Tokyo, Japan) to fluorosed enamel was significantly less than that to normal enamel. Grinding the enamel with a diamond bur significantly improved the adhesion to fluorosed enamel such that the bond 'was the same as that to normal enamel'. However, when using the three-step, etch-and-rinse system (OptiBond FL, Kerr, Orange, CA, USA), the effect of grinding the enamel was not as pronounced. There is some evidence that etching with phosphoric acid before application of the self-etch system adhesive and extending the etching time with the etch-and-rinse adhesive can improve bond strengths.