Episode Details

The most minimally invasive dentistry is early diagnosis and treatment. Dr. David Alleman created the 1-2-3-4 risk assessment so he could better diagnose teeth that were at risk of fracture or decay to prevent large fractures or carious lesions under the restoration. In this episode, Dr. Alleman discusses research into the structural integrity of different preparations and how practitioners can use this research to prevent cracks and marginal leakage before they pose a risk to the tooth.

Articles referenced in this episode:

• Larson TD, Douglas WH, Geistfeld RE. Effect of prepared cavities on the strength of teeth. Oper Dent. 1981(6)2-5.
• Wang RZ, Weiner S. Stain-structure relations in human teeth using Moire fringes. J of Biomechanics. 1998;31:135-141.

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