September 20, 2010

Dr. David Alleman

The Concepts of Biomimetic Dentistry
A Better System In Restoring Teeth

1. Protecting the Pulp by detailed Caries detection, removal and treatment:
   How to properly use caries detecting dyes to distinguish between infected and affected dentin.
   How in interpret DIAGONOdent readings to guide you to the strongest bondable end-point.
   Using the ICDAS II international system to know when to restore and/or rematerialize a lesion.
   How to lower and/or inactivate MMP activity in order to keep your full bond strength.
   How to and why you should avoid direct pulp exposures.
    
2. Biomimetic Analysis of the Structural Compromise or Integrity of the tooth:
   The 1-2-3-4 system of predicting when a tooth is at risk of fracture.
   How to decide when it is best to do: a direct, semi-direct or indirect restoration.
   How to find and remove cracks into dentin.
   When to leave cracks in enamel and dentin.
   
    
3. Immediate Dentin Sealing and Resin Coating to Mimic the DEJ
   How to double your bond strength.
   Which 5 of the 90+ Dentinal Bonding Systems are the best.
   How to create “Super Dentin” Bonds that are acid and base resistant.
   How to Mimic the DEJ.
   How to create a “fail-safe” restoration.
    
4. C-Factor stress reduction in mimicking the Dentin
   Which low shrinkage composites are the best.
   Which layering technique is best.
   Which slow-start light cure protocol is best.
   How to “Decouple” dentin from enamel bonds.
   Why Ribbond decreases stress and secures the dentin bond.
    
5. Bonding to and replacing enamel
   When to bevel enamel.
   When not to bevel enamel.
   When to onlay a cusp.
   When not to onlay a cusp.
    
6. Mimicking the Occlusal Envelope of Function
   Gary Unterbrink’s “3-paper” adjustment technique John Kois’ diagnosis of para-functional vs. dysfunctional occlusions
   Mike Alpern’s biomimetic articulator “The POLY” to treat TMD

Biographical Sketch

Dr. David Alleman has been practicing dentistry for 32 years since his graduation from the University of the Pacific in 1978. The first 3 were in the US Navy and the last 29 in Utah. In 1995 he started studying adhesive dentistry with Dr. Ray Bertolotti. In 1999 he started studying with Dr. John Kois. These two mentors guided him through a 10 year/10,000 hour review of the literature that advanced adhesive (biomimetic) dentistry is based on. Other mentors and collaborators are Dr. Gary Unterbrink, Dr. Didier Dietschi, Dr. Pascal Magne and Dr. Geoff Knight. He is currently partnering with Dr. Simone Deliperi from Sardinia, Italy to teach these techniques to practicing dentists.