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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 in his office, he could now visualize the crack and, with the help of his assistants, dissect the crack and restore the tooth himself. The symptoms resolved and the tooth is still healthy and functioning to this day. A few years after restoring the first tooth, the tooth directly above it chipped. Dr. Alleman assumed the chip was only in the enamel because the tooth was asymptomatic, so he thought further treatment could wait. But in 2011, to his regret, the tooth fractured through the root and had to be extracted. This unfortunate incident taught Dr. Alleman a valuable lesson about the urgency and importance of timely and accurate crack diagnosis, which he now teaches to his colleagues and students. Both teeth had vertical cracks. One tooth was saved with proper diagnosis and treatment, but the other was not. This happens to patients every day, but understanding how cracks in teeth propagate and how cracks are treated outside the field of dentistry [engineering] can significantly contribute to saving more teeth. This knowledge empowers us as dental professionals and students, motivating us to learn more and improve our practices. Articles discussed in this episode: Abbott P, Leow N. Predictable management of cracked teeth with reversible pulpitis. Australian Dent J. 2009; 54:306-315. Brannstrom M. The hydrodynamic theory of dentinal pain: sensation in preparations, caries, and the dentinal crack syndrome. Journal of Endodontics. 1986;12(10)-453-457 Continue Learning: 📺 Early Diagnosis of Caries and Cracks: • Early Diagnosis of Caries and Cracks 📖 Crown Alternatives for Cracked Teeth: https://www.allemancenter.com/blog/cr... 🦷 Learn more about Dr. Alleman's work and training programs at allemancenter.com. Upcoming training programs: January 30-31: SLA Workshop February 2: Biomimetic Mastership Online starts February 25-28: Biomimetic Mastership In-Person April 24-25: SLA Workshop Learn more and register at allemancenter.com/events Instagram @david.alleman.dds @davey_alleman_dmd @allemancenter.com _______________ New to the Alleman Center? Start here - • Finding a Better Way to Fix Teeth 📖 Learn more about biomimetic dentistry on our blog - https://www.allemancenter.com/blog 🎙️ Listen to the Six Lessons Approach Podcast to learn more about biomimetic dentistry, the history of adhesive dentistry and Dr. David Alleman's work - • Six Lessons Approach Podcast by Dr. David ... 📸 Follow us on Instagram - Biomimetic dentistry tips and news - / allemancenter Dental literature - / david.alleman.dds Biomimetic dentistry cases - / davey_alleman_dmd 🦷 View upcoming training programs - https://www.allemancenter.com/events _______________ About the Alleman Center: The Alleman Center of Biomimetic Dentistry is home to Dr. David Alleman’s Six Lessons Approach, a system of treatment protocols based on the most current scientific literature. As a team, we are dedicated to helping doctors achieve greater satisfaction in their work through predictable outcomes with every treatment step tied back to science.