BIOMIMETIC DENTISTRY
Biomimetic: The study of the formation, structure, or function of biologically produced substances and materials for the purpose of synthesizing similar products by artificial mechanisms which mimic natural ones.
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Biomimetic Dentistry is the practice of dentistry which applies the concept of Biomimetics. This treatment approach strives to preserve intact tooth structure and restore the function and biomechanics of natural teeth. Biomimetic dentistry is typically applied to restorative and esthetic dentistry, but it can be applied to any dental discipline.
HISTORY
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Biomimetic dentistry has been developing gradually over many decades, gaining momentum with advances in adhesive dentistry, dental materials, and cariology. Adhesive dentistry has its beginnings in 1955 when Dr. Michael Buonocore published a groundbreaking paper on the acid-etch technique, in which he states: “A filling material capable of forming strong bonds to tooth structures would offer many advantages over present ones. With such a material, there would be no need for retention and resistance form in cavity preparation…”.
These words would be the beginning of an “adhesive revolution” in which further advances in adhesive dentistry would gradually replace traditional techniques which require more removal and destruction of intact tooth structure. Additional advancements in restorative materials and caries removal would contribute to techniques, which minimize tooth preparation and maximize pulp vitality.​​
CORE PHILOSOPHIES
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Biomimetic Dentistry emphasizes preserving and mimicking the various properties of natural teeth. The preparation and restorative techniques preserve natural tooth structure and pulp vitality. Restorative materials replicate the function of natural enamel, dentin, and DEJ and the restored tooth is biomechanically and esthetically similar to natural teeth.
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Biomechanics
Biology
Function
Esthetics
Biomimetic Approach
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Preserve Intact Tooth Structure
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Maximize Adhesion
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Minimize Residual Stress
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Restore Structural Integrity
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Replicate Natural Biomechanics
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Caries Removal Endpoints
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Preparation Design
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Restorative Materials which are Biomimetic
TRADITIONAL DENTISTRY VS. BIOMIMETIC DENTISTRY
Traditional dental procedures rely on preparation designs that accommodate the restorative material or technique. This includes preparation features such as retention and resistance form, as well as tooth reduction to meet the strength requirements of the restorative material instead of prioritizing the preservation of intact tooth structure. As a result, the restored tooth has significant additional preparation and a significantly higher chance of complications such as pain, sensitivity, root canal treatment, recession, and fracture. Examples of such dental procedures include full coverage crowns (zirconia, porcelain fused to metal, gold) and a variety of metallic inlays and fillings (amalgam, glass ionomer).
In contrast, the Biomimetic approach unites an understanding and appreciation of the biomechanics of natural teeth with principles and techniques which maximize adhesion. These concepts comprise the necessary components to mimic the natural tooth most faithfully. Restorative materials replicate the properties of the dental structures and healthy intact tooth structure is preserved through adhesion without additional preparation requirements. The biomimetically restored tooth mimics the strength, function, and esthetics of natural teeth. Biomimetic restorations include composite fillings, partial coverage restorations, and when necessary, full-coverage ceramic restorations. However, the application technique and material selection makes a significant difference in the performance of these techniques and, therefore, it is important to have a sound understanding of the science.
Biomimetic dental concepts have been growing in popularity, supported by a strong foundation of scientific evidence and clinical success.
Dr. Ahmed was trained by Dr. Pascal Magne and continues to work closely with Dr. Pascal Magne advanced her concepts and techniques in biomimetic dentistry. Dr Pascal Magne is considered to be the father of Biomimetic Dentistry.
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Can a dental crown affect the sensitivity of my tooth?It is common to experience slight sensitivity after getting a crown, especially to hot or cold temperatures. This usually subsides within a few days. Our team will make sure the fit is optimal, as a well-fitted crown helps minimize sensitivity. If discomfort persists, we can offer solutions to improve your comfort.
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Will my dental crown look different from my natural teeth?Our crowns are custom-made to match the shade, shape and translucency of your natural teeth, blending seamlessly with your smile. We prioritize both function and aesthetics, ensuring the crown complements your existing teeth.
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What happens if my crown becomes loose or falls off?If your dental crown loosens or falls out, it is essential to contact our office promptly. Our dentist will examine the crown and underlying tooth to determine the cause and recommend the appropriate fix. Re-cementing the crown or adjusting the fit can often resolve the issue.
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Is anesthesia required when getting a dental crown?Anesthesia is typically used during the initial procedure to ensure your comfort while the tooth is being prepared. In some cases, anesthesia may also be applied when placing the permanent crown. We prioritize patient comfort and will discuss anesthesia options with you beforehand.
