Six Lessons Approach Podcast by Dr. David Alleman

The wallpapering technique is a key protocol for extending the function of endodontically treated teeth. More brittle due to their reduced hydration, non-vital teeth are more prone to fracture, so using fiber in this way creates a fail-safe that prevents failure beneath the coronal portion of the tooth and reinfection of the root. Dr. David Alleman discusses how he helped pioneer this technique and other advancements in adhesive dentistry for cases with non-vital teeth in his Six Lessons Approach to Biomimetic Restorative Dentistry. Articles referenced in this episode: * Deliperi S, Alleman D, Rudo D. Stress reduced direct composites for the restoration of structurally compromised teeth: fiber design according to the wallpapering technique. Oper Dent. 2017, 42-3 (233-243) * Belli  S,  Donmez  N, Eskitascioglu  G. The Effect of C-factor and Flowable Resin or Fiber Use at the Interface on Microtensile Bond Strength to Dentin. J Adhes Dent 2006_8-247-253 * 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 * Erkut S. Highlighted Microleakage in Overflared Canals with different fiber reinforced dowels. Oper Dent 2008 33(1)92-101. Send us a text [https://www.buzzsprout.com/twilio/text_messages/2282810/open_sms] Learn more about Dr. Alleman's work at training programs at allemancenter.com [https://allemancenter.com]. Instagram @david.alleman.dds [https://instagram.com/david.alleman.dds] @davey_alleman_dmd [https://instagram.com/davey_alleman_dmd] @allemancenter.com [https://instagram.com/allemancenter] YouTube @allemancenter [https://youtube.com/@allemancenter]

Dr. David Alleman first created his Six Lessons Approach for vital teeth, but the same conservative principles can benefit endodontically treated teeth too. Compared to traditional techniques for retention and bonding, the advanced adhesive and stress-reducing techniques of biomimetic dentistry are better suited for treating non-vital teeth, which are more brittle and susceptible to cracking than fully hydrated teeth with healthy pulps. This episode outlines how biomimetic techniques approach endodontically treated teeth differently and the research that supports these protocols. Articles referenced in this episode: * Kishen A., Vedantam S. Hydromechanics in dentine: Role of dentinal tubules and hydrostatic pressure on mechanical stress-strain distribution. Dent Materials. 2003;23: 1296-1306 * Magne  P,  Belser  U. Rationalization of Shape and Related Stress Distribution in Posterior Teeth A finite Element Study Using Nonlinear contact Analysis. J Periodontics Restorative Dent. 2002;22-425-433 * Jayasooriya  PR,  Pereira  PNR,  Nikaido  T,  Tagami  J. Efficacy of a Resin Coating on Bond Strengths of Resin Cement to Dentin. J Esthet Restor Dent 2003 15(2)105-113 * 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 a text [https://www.buzzsprout.com/twilio/text_messages/2282810/open_sms] Learn more about Dr. Alleman's work at training programs at allemancenter.com [https://allemancenter.com]. Instagram @david.alleman.dds [https://instagram.com/david.alleman.dds] @davey_alleman_dmd [https://instagram.com/davey_alleman_dmd] @allemancenter.com [https://instagram.com/allemancenter] YouTube @allemancenter [https://youtube.com/@allemancenter]

Daily dentistry, the cases you see every day, usually involves minor occlusal adjustments that can be treated quickly and predictably using the Six Lessons Approach, but biomimetic techniques can benefit more advanced occlusal cases too. In this episode, Dr. David Alleman discusses the cause of abfractions, how complex temporaries are a thing of the past and options for doctors seeking more advanced occlusal training beyond everyday cases. Articles referenced in this episode: * Magne P,  Belser  U. Rationalization of Shape and Related Stress Distribution in Posterior Teeth A finite Element Study Using Nonlinear contact Analysis. J Periodontics Restorative Dent. 2002;22-425-433 * Pintado M, Et al. Variation in tooth wear in young adults over a two-year period. J Prosth Dent. 1997(77)3. 313-320. Send us a text [https://www.buzzsprout.com/twilio/text_messages/2282810/open_sms] Learn more about Dr. Alleman's work at training programs at allemancenter.com [https://allemancenter.com]. Instagram @david.alleman.dds [https://instagram.com/david.alleman.dds] @davey_alleman_dmd [https://instagram.com/davey_alleman_dmd] @allemancenter.com [https://instagram.com/allemancenter] YouTube @allemancenter [https://youtube.com/@allemancenter]

Biomimetic dentistry aims to mimic a natural tooth throughout the restorative process. The last four decades of research has shown that mimicking and conserving a tooth’s natural connection to itself, its natural bond and resilience to occlusal forces and its natural defense mechanisms for infection benefits the tooth’s long-term health. This is also true for occlusion. In this episode, Dr. David Alleman discusses what all dentists can learn from a body’s natural occlusion, lost research from the last few decades and approaches for daily occlusal techniques that can be applied to cases doctors regularly see in their office. Articles referenced in this episode: * Michael C. Alpern. The Ortho Evolution: The Science and Principles Behind Fixed/Functional/Splint Orthodontics. editor GAC International, Inc; 2003. Send us a text [https://www.buzzsprout.com/twilio/text_messages/2282810/open_sms] Learn more about Dr. Alleman's work at training programs at allemancenter.com [https://allemancenter.com]. Instagram @david.alleman.dds [https://instagram.com/david.alleman.dds] @davey_alleman_dmd [https://instagram.com/davey_alleman_dmd] @allemancenter.com [https://instagram.com/allemancenter] YouTube @allemancenter [https://youtube.com/@allemancenter]

What is the best material for enamel replacement? It depends! When selecting the material of an onlay or overlay, understanding how a natural tooth functions during occlusion is essential if your goal is biomimetic dentistry. Harder is not better, but rather mimicking a natural tooth’s bond to itself and its modulus of elasticity will aid in selecting your enamel replacement material. In this episode, Dr. David Alleman reviews ceramic, composite and gold and outlines best practices for completing the final steps of a biomimetic restoration. Articles referenced in this episode: * Wendt, S. L. (1988). A laboratory and clinical evaluation of a heat-cured composite resin inlay. [Master’s Thesis, University of Alabama]. Send us a text [https://www.buzzsprout.com/twilio/text_messages/2282810/open_sms] Learn more about Dr. Alleman's work at training programs at allemancenter.com [https://allemancenter.com]. Instagram @david.alleman.dds [https://instagram.com/david.alleman.dds] @davey_alleman_dmd [https://instagram.com/davey_alleman_dmd] @allemancenter.com [https://instagram.com/allemancenter] YouTube @allemancenter [https://youtube.com/@allemancenter]