Dr. Aronson can provide you with options to the recommendation of a crown in many cases.

Biomimetic Dentistry

 Dr Aronson offers choices in restorative pathways for patients.  These choices consider tooth anatomy , restorative materials, impact on teeth, durability, service life and the forces that may be present in relation to that restoration.  A restoration might be a simple filling (never simple really) to the replacement of multiple missing teeth.  Biomimetic concepts use adhesive science to keep things simple and low impact. A choice for you.

What is biomimetics?

Biomimetic refers to human-made processes, substances, devices, or systems that imitate nature. The art and science of designing and building biomimetic apparatus is called biomimetics, and is of special interest to researchers in nanotechnology, robotics, artificial intelligence (AI), the medical industry, and the military.

What is biomimetic dentistry?

Biomimetic dentistry restores weak, fractured, and decayed teeth in a way that keeps them strong and seals them from bacterial invasion. Careful sealing against infection removes the need for many of the crowns and root canals of traditional dentistry.

What is wrong with traditional dentistry?

Traditional dental techniques still work well but they haven't taken advantage of the advanced ceramics and adhesives developed by modern engineering. These new technologies allow dentists to use small onlays (parts that replace missing pieces)  that work more like your own teeth than the large porcelain crowns (total coverage) used in traditional dentistry.  Some common dental techniques can cause your teeth to eventually crack and leak, allowing bacteria to rot your teeth away from the inside. Biomimetic dentistry locks out the bacteria, for safer, more durable dental work.  Not a total replacement for traditional dental therapy but can be used most of the time.

Who invented biomimetic dentistry?

The principles of biomimetic dentistry were developed by researchers at prestigious universities in Japan, Sweden, Switzerland, The Netherlands, Italy, Turkey, the United States, and many other countries. Groundbreaking work by Gary Unterbrink, Didier Dietschi, Pascal Magne, Urs Belser, and J-F Roulet in Europe, and Ray Bertolotti*, John Kois, and John Kanca III in the United States, have promoted these advanced adhesive dentistry techniques for the past 25 years. Dr. Aronson has studied the works of many of these Dentists and has applied the results of their research and teachings to his own dental practice.

*UCSF Grad

What's different about biomimetic dentistry?

By using  adhesive techniques and properly fashioned onlays, properly trained dentists can make sure that dental work, if it fails,  will fail in a repairable way, before your teeth suffer any biological failure. By sealing the tooth against infection and bonding the tooth strongly to prevent fracture, biomimetic dentists help to not have dental treatments contribute to further and possibly more advanced dental problems.  Often times a full coverage crown is not necessary using this approach.  Ceramic restorations and composite materials are used due to their ability to be bonded (adhesive connection).

An Example of a dental problem caused by the application of time tested dental proceedures.

Dental Schools have taught the use of amalgam (silver) restorations for years.  They are strong and very long lived.  The proceedure uses sharp edged drills that undercut the tooth and left sharp angles to retain the silver filling.  These sharp angles are known to be the focus of stress in the tooth and after many repeated forces from biting, the stress area begins to crack and often times the teeth fracture.  The proceedure was intended to do good but sometimes the long term result can be catastrophic.  These proceedures have been modified and now the dental filling material (even silver) is bonded (with adhesives) into the tooth and rounded drills lessen the chance of breakage.  The material is not very pretty (silver)  and it is basically not an easy material to seal for long periods of time.  These fractures are the reason so many crowns are recommended by dentists not using Biomimetic principles.

Is Biomimetic Dentistry possible in my mouth?

A clinical examination of your teeth and an X-ray is usually all that is necessary to determine if your teeth can be restored conservatively.  Even if you have a crown and it is failing, this approach can replace it with less of a chance of future failing in most cases.