Lesson 6 of Biomimetic Dental Courseshows the biomimetic alternative to crowns. In the previous video dr Matt Nejad demonstrated the traditional crown preparation, but now he is going to do a ceramic onlay with the biomimetic approach to demonstrate how much tooth structure is conserved.
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).
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