Protocols of Bonding: Duplicating Nature in the Quest to Better Clinical Outcomes – Ep. 36
Etching, curing and bonding ourselves into the newest episode of Endo Voices, Dr. David Alleman speaks to us about the untold biomimetic solution to restorative endodontics: the “coronal conundrum.” What is his solution and how did he get there? Dr. Alleman’s biomimetic journey began when he was so frustrated with dentistry that he wanted to quit. Traditional practices resulted in failed restorations and tooth sensitivity, so he sought a better way to master the art and science of adhesion, isolation and the mystery of occlusion and occlusal forces. Dr. Alleman welcomes his son, Dr. Davey Alleman, and clinical researcher and wet-handed endodontist, Dr. Shanon Patel, into this most important conversation. Through shared stories and enlightening discourse, this trio will educate you on the principles of the Six Lessons Approach and the biomimetic possibilities realized through the paradigm shift in restorative dentistry. Correspondingly, they touch on, and in great detail, how clinicians can and must obtain complete caries removal in the peripheral seal zone through use of caries dye indicators. Also in this episode, we discuss the hierarchy of bondability in the central stop zone; moreover, managing deep carious lesions while emphasizing some key points, detailing the importance of isolation on DME vs. CL and the real reason endodontically treated teeth fail. This father-son duo, with some esoteric influence from across the pond, highlights bonding in its most familial and elemental forms.
Episodes of Endo Voices may include opinion, speculation and other statements not verifiable in the scientific method and do not necessarily reflect the views of AAE or the sponsor(s). Listeners should use their best judgment in evaluating the merits of any content.
David S. Alleman, DDS, Immediate Sealing of Prepared Dentin, Inside Dentistry November 2011: 86-88. Alleman D, Nejad M, Alleman D. The Protocols of Biomimetic Restorative Dentistry: 2002 to 2017. Inside Dentistry. 2017; 64-73 David S. Alleman, DDS, Pascal Magne, DMD, PhD, A Systematic approach to deep caries removal end-points: The peripheral seal concept in adhesive dentistry, Quintessence International 2012; 43: 197-208.