This study was conducted to assess the five-year clinical performance of composite restorations using a self-etching primer adhesive system, Clearfil Liner Bond II. Restorations were rated using the following scale: A--Good; B--Clinically acceptable; C--Clinically unacceptable; or D--Already replaced. The ratings were analyzed using Freedman's test (p=0.01) and Steel-Dwass test (p=0.05). A total of 83 restorations from 36 patients were identified from treatment records. Twenty-six restorations (31.3%) presented A rating and 36 restorations (43.4%) were clinically acceptable (B rating), while five (6.0%) received C rating and 16 (19.3%) had already been replaced (D rating). The mean survival rate of serviceable restorations (i.e., combined A and B ratings) after five years was 74.7%. It was found that cavity form, including cavity size, and occlusal contact seemed to influence longevity.