Six Lessons Approach Podcast by Dr. David Alleman

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.
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NEW: Deep Margin Elevation Online Practical Workshop
On July 25, learn deep margin elevation from anywhere in the world through live online lectures and guided skills practice over Zoom with Dr. David Alleman and Dr. Davey Alleman. Learn more at allemancenter.com/dme-online.
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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
NEW: Deep Margin Elevation Online Practical Workshop
On July 25, learn deep margin elevation from anywhere in the world through live online lectures and guided skills practice over Zoom with Dr. David Alleman and Dr. Davey Alleman. Learn more at allemancenter.com/dme-online.
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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
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NEW: Deep Margin Elevation Online Practical Workshop
On July 25, learn deep margin elevation from anywhere in the world through live online lectures and guided skills practice over Zoom with Dr. David Alleman and Dr. Davey Alleman. Learn more at allemancenter.com/dme-online.
Instagram
@david.alleman.dds
@davey_alleman_dmd
@allemancenter.com

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@allemancenter

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
NEW: Deep Margin Elevation Online Practical Workshop
On July 25, learn deep margin elevation from anywhere in the world through live online lectures and guided skills practice over Zoom with Dr. David Alleman and Dr. Davey Alleman. Learn more at allemancenter.com/dme-online.
Instagram
@david.alleman.dds
@davey_alleman_dmd
@allemancenter.com

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@allemancenter

The most minimally invasive dentistry is early diagnosis and treatment. Dr. David Alleman created the 1-2-3-4 risk assessment so he could better diagnose teeth that were at risk of fracture or decay to prevent large fractures or carious lesions under the restoration. In this episode, Dr. Alleman discusses research into the structural integrity of different preparations and how practitioners can use this research to prevent cracks and marginal leakage before they pose a risk to the tooth.
Articles referenced in this episode:
Larson TD, Douglas WH, Geistfeld RE. Effect of prepared cavities on the strength of teeth. Oper Dent. 1981(6)2-5.
Wang RZ, Weiner S. Stain-structure relations in human teeth using Moire fringes. J of Biomechanics. 1998;31:135-141.
Send us Fan Mail
NEW: Deep Margin Elevation Online Practical Workshop
On July 25, learn deep margin elevation from anywhere in the world through live online lectures and guided skills practice over Zoom with Dr. David Alleman and Dr. Davey Alleman. Learn more at allemancenter.com/dme-online.
Instagram
@david.alleman.dds
@davey_alleman_dmd
@allemancenter.com

YouTube
@allemancenter