In this paper we present a review of SAT-based approaches for building scalable and efficient decision procedures for quantifier-free first-order logic formulas in one or more decidable theories, known as Satisfiability Modulo Theories (SMT) problems. As applied to different system verification problems, SMT problems comprise of different theories including fragments of elementary theory of numbers, the theory of arrays, the theory of list structures, etc. In this paper we focus on different DPLL-style satisfiability procedures for decidable fragments of the theory of integers. Leveraging the advances made in SAT solvers in the past decade, we introduce several SAT-based SMT solving methods that in many applications have outperformed classical decision methods. Aside from the classical method of translating the SMT formula to a purely Boolean problem, in recent methods, a SAT solver is utilized to serve as the “glue” that ties together the different theory atoms and forms the basis for reasoning and learning within and across them. Several methods have been developed to provide a combination framework for implications to flow through the theory solvers and to possibly activate other theory atoms based on the current assignments. Similarly, conflict-based learning is also extended to enable the creation of learned clauses comprising of the combination of theory atoms. Additional methods unique to one or more types of theory atoms have also been proposed that learn more expressive constraints and significantly increase the pruning power of these combination schemes. We will describe several combination strategies and their impact on scalability and performance of the overall solver in different settings and applications.