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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