Six Lessons Approach Podcast by Dr. David Alleman

Biomimetic dental materials mimic a natural tooth’s flexibility and cohesive strength. How does this help a restoration long-term? These materials, when used with the right techniques, work with the remaining tooth structure around the restoration, rather than in opposition to it, like with materials that are too stiff, poorly bonded or stress weaker areas of the tooth.
In this episode, Dr. David Alleman, DDS, dives into dentinal bonding systems, flowable composites and fiber, discussing what makes them biomimetic, how they are developed and researched and their benefits in a restoration. 
Articles referenced in this episode:
Akimoto N, Takamizu M, Momoi Y. 10-year clinical evaluation of a self-etching adhesive system. Oper Dent. 2007 Jan-Feb;32(1):3-10. doi: 10.2341/06-46.
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Our next Biomimetic Mastership class starts September 14. Register before August 14 for our special early-bird tuition discount at allemancenter.com/mastership.
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What materials should you use to maximize adhesive strength, restoration longevity and tooth conservation? While how you use the materials — your techniques – are more important than the materials themselves, materials do still make a difference in restorative outcomes. In this episode, Dr. David Alleman, DDS, discusses zirconia, ceramic and composite and these materials’ interaction with natural tooth structure.
Articles referenced in this episode:
Urabe I, Nakajima S, Sano H, Tagami J. Physical properties of the dentin-enamel junction region. Am J Dent. 2000 Jun;13(3):129-35.
Send us Fan Mail
Our next Biomimetic Mastership class starts September 14. Register before August 14 for our special early-bird tuition discount at allemancenter.com/mastership.
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@david.alleman.dds
@davey_alleman_dmd
@allemancenter.com

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Fiber placement in restorative dentistry: Does it stop cracks, improve bonds or just add time to your restorative process? Dr. David Alleman, DDS, dives into the history of dental fibers, including Ribbond, Everstick Net and Ever-x Posterior, their uses in different clinical settings, and the research that shows how they support the restoration long-term. 
Articles referenced in this episode:
Belli S., Et al. The effect of fiber placement or flowable resin lining on microleakage in class II adhesive restorations. J. Adhes. Dent. 2007; 9: 175-181
Fennis  WMM,  Kuijs  RH,  Kreulen  CM,  Verdonschot  N,  Creugers  NHJ. Fatigue Resistance of Teeth Restored with Cuspal-Coverage Composite Restorations. Int J Prosthodont 2004 17(3)-313-317
Send us Fan Mail
Our next Biomimetic Mastership class starts September 14. Register before August 14 for our special early-bird tuition discount at allemancenter.com/mastership.
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@david.alleman.dds
@davey_alleman_dmd
@allemancenter.com

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@allemancenter

Cracks put teeth at risk of infection and fracture if left untreated, but treating cracks in teeth can create many challenges for practitioners. Removing cracks without good magnification, visibility and an understanding of crack propagation puts the nerve and critical tooth structure at risk. Once the crack is removed, the non-standard defect requires specific techniques to bond to deep areas of the tooth while maintaining a strong bond.
Dr. David Alleman, DDS, first began researching treatment options for cracks because he recognized that full coverage crowns weren’t yielding predictable results. Adhesive dentistry had the potential to offer a more predictable alternative, but the protocols didn’t exist for practitioners. So he formulated those protocols for predictable crack treatment himself. 
Articles referenced in this episode:
Belli S., Et al. The effect of fiber placement or flowable resin lining on microleakage in class II adhesive restorations. J. Adhes. Dent. 2007; 9: 175-181.
Nikolaenko SA, Et al. Influence of c-factor and layering technique on microtensile bond strength to dentin. Dent. Mater. 2004;20-579-585
Send us Fan Mail
Our next Biomimetic Mastership class starts September 14. Register before August 14 for our special early-bird tuition discount at allemancenter.com/mastership.
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@david.alleman.dds
@davey_alleman_dmd
@allemancenter.com

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Dentists have been attempting to treat cracked teeth for decades, with the goal of alleviating patient pain and conserving teeth through restorative treatment. But as Dr. David Alleman, DDS, describes in this episode, “it’s a coin toss of success.” Methods such as retention to hold the crack together or bonding over the crack with adhesion are unpredictable. Sometimes the treatment works, and sometimes it doesn’t, leaving patients and practitioners frustrated. 
The solution: treat cracked teeth like engineers have been treating cracks for over a century. 
The challenge: applying these techniques to a biological environment and accounting for bacteria, dentin hydration and dental adhesives.
Dr. David Alleman, DDS, discusses the history and treatment protocols for predictable cracked tooth treatment in this episode of the Six Lessons Approach podcast.
Articles referenced in this episode:
Brannstrom M. The hydrodynamic theory of dentinal pain: sensation in preparations, caries, and the dentinal crack syndrome. Journal of Endodontics. 1986;12(10)-453-457
Gordon, J. E. The New Science of Strong Materials: Or, Why You Don't Fall Through the Floor. Princeton, N.J: Princeton University Press, 2006.
Abbott P, Leow N. Predictable management of cracked teeth with reversible pulpitis. Australian Dent J. 2009; 54:306-315.
Send us Fan Mail
Our next Biomimetic Mastership class starts September 14. Register before August 14 for our special early-bird tuition discount at allemancenter.com/mastership.
Instagram
@david.alleman.dds
@davey_alleman_dmd
@allemancenter.com

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@allemancenter