Occlusal Effect Caries: Caries Caused by Cracks Into Dentin

Treating cracks in teeth can still feel ambiguous for many dentists. Is it better to observe? Is it better to crown? Is there a less invasive treatment option? In this episode, Dr. David Alleman discusses a key piece of research that offers practitioners more insight into crack diagnosis and treatment: cracks that cause decay. Occlusal effect caries is a carious lesion that forms from cracks that extend into dentin, creating a pathway for bacteria to enter the tooth. These cracks, called peripheral rim fractures, occur mostly around large restorations that leave the surrounding tooth structure unsupported, making crack initiation easier in the tooth. By understanding how these cracks form, practitioners can better learn how to detect and restore teeth affected by peripheral rim fractures. Articles referenced in this episode: Milicich G, Rainey J T. Clinical presentations of stress distribution in teeth and the significance in operative dentistry. Pract Periodont Aesthet Dent. 2000;12(7):695-700. Walker et al. Enamel cracks the role of enamel lamella in caries initiation. Australian Dent J. 1998;43(2) 110-116. Learn more about Dr. Alleman's work and training programs at allemancenter.com. Instagram @david.alleman.dds @davey_alleman_dmd @allemancenter.com YouTube @allemancenter Upcoming training programs: July 25: Online DME Workshop August 7-8: SLA Workshop September 14: Online Biomimetic Mastership starts September 25-26: SLA Workshop October 7-10: In-Person Biomimetic Mastership October 23-24: Advanced Occlusion Workshop December 4-5: SLA Workshop ---- 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.