Six Lessons Approach Podcast by Dr. David Alleman

May 02 2024 1

Six Lessons Approach Podcast by Dr. David Alleman artwork

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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Resin Coating

May 02 2024 31 mins

Resin coating should always be included in the conversation with immediate dentin sealing, but it isn’t. Immediate dentin sealing can increase bond strengths by 400%, but resin coating functions at the opposite end of the adhesive equation by reducing polymerization stress to the hybrid layer.Dr. Alleman discusses materials used in resin coating — flowable composites — their

Immediate Dentin Sealing

Apr 18 2024 33 mins

Immediate dentin sealing is a commonly known technique even outside of advanced adhesive and biomimetic restorative dentistry. Originally developed in the 1990’s to solve the issue of temporization contamination, its uses once refined were immense when applied to dentin adhesion. Yet for doctors currenting using immediate dentin sealing as part of their restoration protocols, the

A Tale of Two Teeth

Apr 04 2024 22 mins

Throughout dental school and into his early career, Dr. David Alleman had a tooth with an occlusal amalgam that experienced intermittent pain on biting. The tooth was examined, but no cause for the symptom was found. Years later, after thoroughly studying adhesive dentistry, Dr. Alleman understood that there must be a crack in the tooth. Having recently acquired an intraoral camera

Australian Mavericks: Let's Remove the Cracks

Mar 21 2024 23 mins

In 2000, Graem Milicich and Tim Rainey published an article outlining how traditionally treated teeth were at greater risk to infections from cracks due to the increased stresses on the tooth. This includes peripheral rim fractures, which occur when restored teeth are not connected side to side like with amalgam or poorly bonded composite. These small cracks around the edge of the

Could This Type of Dentistry Make Me a Happy Dentist?

Mar 07 2024 21 mins

In 1995 Dr. David Alleman wanted to quit dentistry. Frustrated with failing restorations and post-operative sensitivity, he couldn’t see how his work was helping his patients. A long-time friend and colleague encouraged him to take a course by Ray Bertolotti to learn about a new type of dentistry: adhesive dentistry. It was then that Dr. Alleman first thought, “maybe this type

Deep Margin Elevation

Feb 22 2024 25 mins

Why aren’t all dentists performing deep margin elevations with composite? It might be because you’re listening to old research. “Violating the biologic width” was disproven in 2014. Gingival tissue doesn't have an adverse reaction to the material, it has an adverse reaction to the biofilm under a retention crown or poorly bonded restoration. If you have experienced failures

Stress-Reduced Direct Composite

Feb 08 2024 24 mins

The tops of teeth don’t matter… as much as the bottoms. The key to any biomimetic restoration is the direct component, which is why I describe biomimetic dentistry as a bottom to top approach. When I first learned of Simone Deliperi’s work and we began working and then teaching together, we both understood how this direct component needed to be carefully managed for a success

1995-2000: The Wild West of Dental Bonding Systems

Jan 25 2024 27 mins

Early adhesive dentistry showed promise, but as Dr. David Alleman began implementing these new techniques into his practice, the success wasn’t immediate. Struggling with continued failures and wading through the sea of new bonding systems that were becoming available year after year, he sought to eliminate the guesswork and go to the source of what was causing unpredictable rest

Flow and Dental Composites

Jan 11 2024 30 mins

We are able to visualize how molecules move during polymerization thanks to the work of Carel L Davidson in the 1980s. Being able to visualize and then measure this movement, also known as flow, helps create more predictable bonds when working with different substrates in enamel, but Dr. David Alleman took years to systematize this concept into his practice as he was developing his

What is C-Factor?

Dec 28 2023 28 mins

C-factor is more than the ratio of bonded to unbonded surfaces. Understanding C-factor, or Configuration Factor, is essential to understanding how composites behave in a tooth, but this topic was still being researched as manufacturers were trying to bond to dentin. Eventually, c-factor and its role in composite bonding showed the potential for a strong bond to dentin, but overcomi