Six Lessons Approach Podcast by Dr. David Alleman

Dr. David Alleman

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.

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  1. Episode 1

    Occlusal Effect Caries: Caries Caused by Cracks Into Dentin

    Treating 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 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

    16 min

  2. Episode 2

    Diagnosing Structural Compromise in Teeth with the 1-2-3-4 Risk Assessment

    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

    21 min

  3. Episode 3

    Stop Treating Cracked Teeth with Retention or Adhesion (Do This Instead)

    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)-453-457Gordon, 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 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

    16 min

  4. Episode 4

    Treating Cracks in Teeth: Propagation, Visibility, C-factor and Composite Layering

    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;20-579-585Send 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

    14 min

  5. Episode 5

    Fiber Placement in Restorative Dentistry

    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: 175-181Fennis  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 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

    16 min
See All Season 4 (5)

4.7
out of 5
17 Ratings

About

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.

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