Biomimetic Dental Course for Patients | Lesson 6: Biomimetic Crown Alternatives

Lesson 6 of my free Biomimetic Dental Course for patients shows the biomimetic alternative to crowns. In the previous video I demonstrated the traditional crown preparation, but now we are going to do a ceramic onlay with the biomimetic approach to demonstrate how much tooth structure is conserved.
SIGN UP FOR THIS FREE COURSE AT: freebiomimeticdentalcourse.com
Welcome to my free dental course for patients, explaining all about Biomimetic Dentistry. I am Matt Nejad, an expert Biomimetic and Cosmetic dentist in Beverly Hills, CA. This course will cover the what, why, and how of Biomimetic Dentistry. I made this to help patients and answer some of the most common questions I get daily.
This course includes a series of videos, emails, and access to my monthly session of "Ask the Expert"- A Free Q&A session to help get your questions answered!
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Lesson 6 - Biomimetic Crown Alternative
Biomimetic dentistry is not one type of restoration, it is an approach. This video demonstrates one particular alternative to a typical crown procedure. The procedure demonstrated in this video is a ceramic onlay but the important thing to realize is that not all onlays are biomimetic restorations due to the material used, preparation techniques, how much tooth structure is preserved, and how strongly the material is adhered or "glued" to your own tooth to replicate the natural strength that enamel and dentin are joined together.
ADVANTAGES OF A BIOMIMETIC ONLAY VS A CROWN
- Preserve 30-50% of the tooth structure that would be shaved for a crown preparation
- Minimize the chance of root canals and protect the vitality and health of the pulp
- Avoid margins near the gumline where plaque accumulation is greatest and where stress concentration is greatest.
- Achieve a strong adhesive seal that is able to minimize sensitivity, pain, and recurrent decay (aka cavities).
Training and Expertise in Biomimetic Dentistry:
There are a lot of dentists who claim to do this type of dentistry, but unfortunately many are just using this term for marketing to get your business without actually understanding or providing Biomimetic Dentistry. There is a lot of science and training required to practice this type of dentistry so you need to know how to find the right Biomimetic dentist and get the best treatment.
I look forward to teaching you about my favorite subject. Comment with your questions.
Stay Bonded! - Matt Nejad DDS
My Recommended Products: amzn.to/2X0zXMA
#biomimeticdentistry #biomimetic #dentistry
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About Dr. Matt Nejad
Practice:
Helm | Nejad | Stanley Dentistry
P: (310) 278-0440
W: HNSdentistry.com
IG: @Dr_MattNejad
Education & Lecturing:
Nejad Institute
W: nejadinstitute.com
IG: @Nejad_Institute

Пікірлер: 22

  • @lisaanderson2488
    @lisaanderson24882 жыл бұрын

    Amazing WOW old conventional needs to not be happening at all anymore. I was never told that my amalgam would need to be replaced! Let alone in about 5!! Years. Thank you! For educating all of us. I just had all my Mercury removed. Up next a crown or two and sadly a few teeth. It’s been a long hard chew for my teeth. Some are too far gone. I feel so much better! Cant recommend removing the mercury enough! Get it out! And saving more tooth with this procedure? That’s great too! I feel bad I had my kids cavities 🦷 filled with that.

  • @carolineblair6294
    @carolineblair62943 жыл бұрын

    Awesome- thank you

  • @BiomimeticDentistry

    @BiomimeticDentistry

    3 жыл бұрын

    You're welcome!

  • @Dr.YazeedM.Alolofi
    @Dr.YazeedM.Alolofi Жыл бұрын

    Amazing thank you ....

  • @BiomimeticDentistry

    @BiomimeticDentistry

    Жыл бұрын

    Welcome 😊

  • @tayloranderson456
    @tayloranderson4564 жыл бұрын

    This sounds like such a smarter approach for the problem than traditional. Thanks for putting out there. Can an inlay or onlay like you are describing be replaced or repaired after 10? years or would you typically go to a crown then? Also do you have any thoughts on using glass ionomer?

  • @BiomimeticDentistry

    @BiomimeticDentistry

    4 жыл бұрын

    Hi again Taylor- Biomimetic Dentistry is literally the best dentistry possible. I am glad you found this video also. Yes, an inlay or onlay can be repaired and the thought process should always be that having more tooth structure and conserving more tooth structure is paramount. When we run out of tooth structure, it becomes difficult or impossible to restore teeth. I personally believe the average inlay or onlay I do will last over 20 years, but I would expect to replace any failed restorations with other restorations that are still less invasive than a crown, like a slightly larger inlay or onlay. Glass Ionomer is outdated. It has easy chemical adhesion to dentin which is desirable for many dentists, but in ideal conditions with optimal isolation, resin based materials achieve 5-10x the bond strength and the properties of GI (stiffness aka modulus of elasticity) are not comparable to dentin like composite is. All the Best- MN

  • @javeriaasif6293
    @javeriaasif62932 жыл бұрын

    I have a 1.5mm space between my upper premolars( half on each tooth) because of IPR done for braces. The dentist are saying only long lasting solution for space closure is crown. Can the space be closed by biomemetic dentistry without drilling any tooth structure.

  • @arianaPG
    @arianaPG Жыл бұрын

    Hi! Can you talk about the bonding process of this type of restorations?

  • @BiomimeticDentistry

    @BiomimeticDentistry

    Жыл бұрын

    Hey! Check out this video that shows the process! kzread.info/dash/bejne/h2qf2diQmtmykcY.html

  • @nazayatparvez7723
    @nazayatparvez77234 жыл бұрын

    What about cracks that extend from grooves/marginal ridges down to gumline or even below? Is that more of a partial crown where we connect ? Please advise on some lit for diagnosis and tx per type of cracks: M/D/B/L. Thanks!

  • @BiomimeticDentistry

    @BiomimeticDentistry

    4 жыл бұрын

    Hi Nazayat. I can't review the entire concept of cracks in a reply and its the most difficult aspect of dentistry to grasp. I apply concepts about crack propagation and restoring the structural integrity of restored teeth to be as similar in function to an intact natural tooth as possible. A lot of cracks extend beyond what we are able to completely remove and in those cases, having an endpoint where you can shorten the lever arms of the crack and brace them by bonding over the crack and minimizing any further crack opening and propagation is the ideal. You do not need to do a partial crown once you understand that adhesive bracing can replace mechanical bracing.

  • @nazayatparvez7723

    @nazayatparvez7723

    4 жыл бұрын

    @@BiomimeticDentistry shortening lever arms... makes sense. Guess I gotta get some ribbond haha. Thank you!

  • @BiomimeticDentistry

    @BiomimeticDentistry

    4 жыл бұрын

    You don't need ribbond actually. Its one method but not a requirement. I have had great success without it but I am not against it as long as you know how to use it and that it doesn't solve anything on its own. It has to be part of the bigger picture. Best- MN

  • @freewomaninchristalone8389
    @freewomaninchristalone83894 ай бұрын

    I need help, my new dentist wants to take a whole day to crown all my top teeth. I think she wants to do the same for bottom too

  • @richard-witty
    @richard-witty4 жыл бұрын

    How do you see if a crack is into dentin or just enamel before you prep into the crack?

  • @BiomimeticDentistry

    @BiomimeticDentistry

    4 жыл бұрын

    Great question. There are several ways to determine this but there is no absolute way. First way is symptoms consistent with a crack. Another way is to look at a tooth and its current state and determine if it structurally compromised. Silver fillings and large composite fillings make a tooth less stiff/more flexible which causes cracks around the peripheral rim of the filling. Even if this isn't currently into dentin, it will continue to spread so intervening sooner is a good strategy but you can also wait but the important thing is to be aware of the condition.

  • @sigma5055

    @sigma5055

    3 жыл бұрын

    Have you had success with this approach on back molars that have some wear? Can you slightly build a worn cracked tooth up with an onlay?

  • @deeeew100
    @deeeew1002 жыл бұрын

    What would you do for nonvital tooth?

  • @BiomimeticDentistry

    @BiomimeticDentistry

    2 жыл бұрын

    Depends on how much tooth structure is intact and the condition of the tooth, which tooth, and the patient.

  • @Anangelfromabove
    @Anangelfromabove3 жыл бұрын

    So if I need root canals the biomimetic dentist will crown me with an inlay/onlay instead of a full one?

  • @BiomimeticDentistry

    @BiomimeticDentistry

    3 жыл бұрын

    Ideally that is what I would do. I would do a partial coverage restoration such as an onlay most of the time. There are even more conservative options depending on the tooth and how much tooth is still intact. Best- MN