))
The Difference Five Minutes Make: Decoupling with Time
Manage episode 428369162 series 3536908
Content provided by Dr. David Alleman. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Dr. David Alleman or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ro.player.fm/legal.
Each lesson in the Six Lessons Approach to Biomimetic Dentistry (SLA) is essential to restoring a tooth in a way that stays bonded and symptom-free. These two failings of traditional techniques — debonded restoration and post-operative sensitivity — are addressed in each lesson, but when it came to the bonding stage of the restoration, Dr. David Alleman was able to reach a pivotal conclusion from the published research.
Different parts of the tooth form hybrid layers at different rates based on the amount of hydroxyapatite. Composite will shrink to the best possible bonding surface, potentially leaving gaps in areas that have weaker bond potential. Understanding how to overcome these two variables is key to creating a restoration that bonds the tooth side to side, front to back and top to bottom like a natural tooth. This biomimetic bond eliminates gaps under restorations that cause post-operative sensitivity, but it requires understanding how bonding systems, composite and dentin need to work together within the first five minutes of the polymerization process. Dr. David Alleman named this process decoupling with time.
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)-453-457
New 2025 training programs announced:
Biomimetic Mastership - class starts February 10. Learn more and register at allemancenter.com/mastership
In-Person SLA Workshop Dates:
- April 25-26
- August 8-9
- October 24-25
- December 12-13
Learn more and register at allemancenter.com/training
Learn more about Dr. Alleman's work at training programs at allemancenter.com.
Instagram
@david.alleman.dds
@davey_alleman_dmd
@allemancenter.com
YouTube
@allemancenter
27 episoade
Distribuie
