Early diagnosis and treatment of dental pathologies allows for more conservative treatments while saving patients time and money. When developing the Six Lessons Approach to Biomimetic Dentistry, Dr. David Alleman created a risk assessment for determining if teeth were at risk of caries or cracks based on pathologies and treatment history.Drawing on research from how teeth experience pain, the pulp’s immune response and how dental histology affects restoration, the risk assessment has been proven to be an effective tool over the last 20 years, especially where x-rays do not identify a cause of symptoms. Now that we understand how gaps and cracks cause pain and sensitivity, identifying them early is the next step for more conservative treatment.Article 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):453-457Galler K., Et al. Inflammatory response mechanisms of the dentine–pulp complex and the periapical tissues. Int J Mol Sci. 2021 Feb; 22(3):1480Milicich G, Rainey J T. Clinical presentations of stress distribution in teeth and the significance in operative dentistry. Pract Periodont Aesthet Dent. 2000;12(7):695-700.Larson TD, Douglas WH, Geistfeld RE. Effect of prepared cavities on the strength of teeth. Oper Dent. 1981(6)2-5. Send us a textNew 2025 training programs announced:Biomimetic Mastership - class starts February 10. Learn more and register at allemancenter.com/mastershipIn-Person SLA Workshop Dates:April 25-26August 8-9October 24-25December 12-13Learn more and register at allemancenter.com/trainingLearn more about Dr. Alleman's work at training programs at allemancenter.com.Instagram @david.alleman.dds@davey_alleman_dmd@allemancenter.comYouTube@allemancenter

Caries removal can be reproducible — this means consistent regardless of patient or practitioner. Caries detecting dye is essential to creating reproducible caries removal endpoints, but the techniques doctors pair with the dye are what prevent pulp exposure and maximize bond strength.When Dr. David Alleman pioneered his methods for determining caries removal endpoints, he found that any doctor he trained could achieve the same predictable caries treatment that he saw in his own cases. How caries is treated is the first step in a restoration and determines whether that restoration succeeds or whether that restoration fails.Article referenced in this episode:Anderson M, Charbeneau G. A comparison of digital and optical criteria for detecting carious dentin. J Prosth Dent. 1985;53(5): 643-646.Send us a textNew 2025 training programs announced:Biomimetic Mastership - class starts February 10. Learn more and register at allemancenter.com/mastershipIn-Person SLA Workshop Dates:April 25-26August 8-9October 24-25December 12-13Learn more and register at allemancenter.com/trainingLearn more about Dr. Alleman's work at training programs at allemancenter.com.Instagram @david.alleman.dds@davey_alleman_dmd@allemancenter.comYouTube@allemancenter

The podcast discusses the importance of creating a biomimetic bond in dentistry to prevent post-operative sensitivity. Dr. David Alleman introduces the concept of decoupling with time to ensure optimal bonding surface. Topics include hybrid layers, composite shrinkage, and bonding systems within the first five minutes of the polymerization process.

Dr. David Alleman, crack treatment expert, delves into the formation of cracks in teeth, the resulting infections, and how to predictably treat and prevent root canal therapy. Topics include stress-strain relationships, inflammation in dental pulp, early diagnosis of cracks, and paradigm shifts in dentistry.

Dr. David Alleman, an experienced dentist, delves into the root causes of dental failures, focusing on micromovements and infections. He emphasizes the importance of preventative measures in adhesive dentistry to avoid bacterial leakage and fractures, highlighting the significance of understanding dental anatomy and chemistry for successful restorations.

Explore resin coating and immediate dentin sealing in dental bonding systems. Learn about flowable composites, decoupling with time, and the history of adhesive dentistry. Discover the impact of materials, polymerization dynamics, and enhancing dental bonds for successful outcomes.

The podcast discusses the history and benefits of immediate dentin sealing in dentistry, focusing on saving pulps and maximizing adhesion. It explores the evolution of dental bonding systems, challenges in polymerization, and advancements in resin infiltration. The episode also delves into the development of Linerbond 2 and the importance of collagen priming for improved results.

Dr. David Alleman shares his experiences with cracked teeth, highlighting the importance of accurate diagnosis and timely treatment. He discusses the significance of crack propagation in teeth and how understanding this process can save more teeth. The podcast explores the use of biometric protocols, challenges in managing cracked teeth, tooth loss due to misdiagnosis, stress distribution in teeth, and parallels between crack management in teeth and aircraft maintenance.

Discussion revolves around how cracks in teeth can lead to infections, with emphasis on removing cracks rather than covering them. Mention of Australian endodontists' study showing superior results after crack removal. Evolution of dentistry practices towards more precise crack identification and treatment for better clinical outcomes.

Exploring transformative journey in dentistry, key encounter with adhesive dentistry in 1995. Evolution of dental bonding systems, key figures like Gary Unterbrink. Reflections on dental material interactions, research insights. Transition from dentist to historian, scientific discovery. Complexity of dental structures, modulus of elasticity.