Podcast
Six Lessons Approach Podcast by Dr. David Alleman
Hosted by Dr. David Alleman · EN
Learn about the evolution of biomimetic restorative dentistry with Dr. David Alleman, creator of the Six Lessons Approach. Each episode Dr. Alleman will discuss dental research, developments in adhesive dentistry and practical steps dentists can implement in their work to see more predictable results.
Learn more about Dr. David Alleman's work and teaching at allemancenter.com.
Hosted by Dr. David Alleman. Produced by Hillary Alleman and Audrey Alessi.
10episodes
Episodes
Newest firstAll episodes
Fiber Placement in Restorative Dentistry
1w ago00:16:08Tap to summarizeFiber 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: 175-181Fennis 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)-313-317Send us Fan MailNEW: Deep Margin Elevation Online Practical WorkshopOn 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.comYouTube@allemancenter
Transcribe →Treating Cracks in Teeth: Propagation, Visibility, C-factor and Composite Layering
3w ago00:14:14Tap to summarizeCracks 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;20-579-585Send us Fan MailNEW: Deep Margin Elevation Online Practical WorkshopOn 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.comYouTube@allemancenter
Transcribe →Stop Treating Cracked Teeth with Retention or Adhesion (Do This Instead)
May 2800:15:34Tap to summarizeDentists 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)-453-457Gordon, 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 MailNEW: Deep Margin Elevation Online Practical WorkshopOn 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.comYouTube@allemancenter
Transcribe →Diagnosing Structural Compromise in Teeth with the 1-2-3-4 Risk Assessment
May 1400:21:18Tap to summarizeThe 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 MailNEW: Deep Margin Elevation Online Practical WorkshopOn 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.comYouTube@allemancenter
Transcribe →Occlusal Effect Caries: Caries Caused by Cracks Into Dentin
Apr 3000:15:51Tap to summarizeTreating cracks in teeth can still feel ambiguous for many dentists. Is it better to observe? Is it better to crown? Is there a less invasive treatment option? In this episode, Dr. David Alleman discusses a key piece of research that offers practitioners more insight into crack diagnosis and treatment: cracks that cause decay.Occlusal effect caries is a carious lesion that forms from cracks that extend into dentin, creating a pathway for bacteria to enter the tooth. These cracks, called peripheral rim fractures, occur mostly around large restorations that leave the surrounding tooth structure unsupported, making crack initiation easier in the tooth. By understanding how these cracks form, practitioners can better learn how to detect and restore teeth affected by peripheral rim fractures.Articles referenced in this episode:Milicich 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.Walker et al. Enamel cracks the role of enamel lamella in caries initiation. Australian Dent J. 1998;43(2) 110-116.Next Biomimetic Mastership class starts May 18. Learn more and register at allemancenter.com/mastership.Send us Fan MailNEW: Deep Margin Elevation Online Practical WorkshopOn 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.comYouTube@allemancenter
Transcribe →Dental Concepts that Shaped a New Adhesive Dentistry: Biomimetic Dentistry
Jun 19, 202500:29:07Tap to summarizeWith the invention of new materials for restorative dentistry, new techniques for application were needed. Research in bonding to dentin showed bond strengths that approached the cohesive strength of a tooth, but getting this research into the hands of practicing dentists was another process entirely. As Dr. David Alleman was learning and researching new protocols in adhesive dentistry, his questions about why debonds occurred in select areas of the tooth led to his formulation of the concepts of the hierarchy of bondability and decoupling with time, all while creating his Six Lessons Approach to Biomimetic Restorative Dentistry. These new concepts that built on a foundation of dental research from the past four decades gave dentists anywhere the ability to bond predictably to deep dentin and restore the tooth in a way that mimicked the form and function of a natural tooth: biomimetic dentistry. Send us Fan MailNEW: Deep Margin Elevation Online Practical WorkshopOn 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.comYouTube@allemancenter
Transcribe →The Importance of Universities in Adhesive Dental Research
Jun 5, 202500:30:27Tap to summarizeDental research developments don’t happen overnight. The key players in dental research — university faculty, dental product manufacturers and the practitioners who adopt this research — work in varying capacities with the overall goal of improving dental outcomes for patients. Yet there is often a disconnect, slowing the lines of communication.In this episode Dr. David Alleman discusses leading universities who have contributed to the field of dental research, how dental manufacturers have influenced scientific developments and the gaps his own literature review filled when developing his Six Lessons Approach for practicing dentists.Send us Fan MailNEW: Deep Margin Elevation Online Practical WorkshopOn 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.comYouTube@allemancenter
Transcribe →The Histology and Dental Research of Dr. Charley Cox
May 22, 202500:19:10Tap to summarizeDr. Charley Cox was one of the early contributors to adhesive dental research, specifically in the field of histology. During the development of adhesive dentistry, Dr. Cox studied long-term pulp health in non-human primates, identified immune responses that confirmed Martin Brannstrom’s hydrodynamic theory of pain and connected internationally with adhesive dental researchers like Takao Fusayama, Stefan Paul and Sema Belli. Dr. Cox’s dental research contributions are to this day still largely unincorporated into adhesive dental applications. In creating his Six Lessons Approach to Biomimetic Restorative Dentistry, Dr. David Alleman found Dr. Cox’s research to be instrumental in answering questions about preserving pulp health and preventing reinfection. Send us Fan MailNEW: Deep Margin Elevation Online Practical WorkshopOn 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.comYouTube@allemancenter
Transcribe →Diagnosis and Treatment of Referred Dental Pain
May 8, 202500:24:22Tap to summarizeReferred dental pain can be difficult for practitioners to diagnose without an understanding of the cause of dental pain and how teeth respond to different pathologies. Referred dental pain is caused by real symptoms that need to be treated, and in this episode Dr. David Alleman discusses types of referred dental pain, tips for diagnosing cracks under restorations and procedures for eliminating post-operative sensitivity through biomimetic restorative dentistry.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):453-457Send us Fan MailNEW: Deep Margin Elevation Online Practical WorkshopOn 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.comYouTube@allemancenter
Transcribe →Early Adhesive Dentistry: Materials and Key Opinion Leaders
Apr 24, 202500:17:33Tap to summarizeAs new dental materials are developed, manufacturers and key opinion leaders play a role in how widely those products are adopted. Manufacturers market new products, but key opinion leaders and teachers also influence practitioners by comparing the benefits of various materials and lending their expertise.In this episode Dr. David Alleman discusses his early introduction to adhesive materials, how his role models and mentors led him to a growing network of key opinion leaders in the dental materials community and his own experience of growing from a young dentist to a teacher and key opinion leader in the field of biomimetic restorative dentistry.Send us Fan MailNEW: Deep Margin Elevation Online Practical WorkshopOn 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.comYouTube@allemancenter
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