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Biomimetic Dentistry West Hollywood, CA

Biomimetic Dentistry

Biomimetics noun
bio·​mi·​met·​ics | \ ˌbī-ō-mə-ˈme-tiks

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.

Biomimetic Dentistry

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.

Biomimetic Dentistry

Dental Procedure

History

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.

Matt Nejad Institute logo - Biology, Function, Biomechanics, Esthetics

Core Philosophies

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.

Biomechanics

Biology

Function

Esthetics

Dental Procedure

Important Concepts
Biomimetic Approach

  • Preserve Intact Tooth Structure
  • Maximize Adhesion
  • Minimize Residual Stress
  • Restore Structural Integrity
  • Replicate Natural Biomechanics
  • Caries Removal Endpoints
  • Preparation Design
  • Restorative Materials which are Biomimetic

Biomimetic Dentistry vs Traditional 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 Training

Biomimetic dental concepts have been growing in popularity, supported by a strong foundation of scientific evidence and clinical success. Dental schools worldwide have been adopting these advancements gradually. However, some leading dental schools, such as the University of Southern California (USC), have embraced Biomimetic dentistry with strong faculty support and academic research departments that are at the forefront of biomimetic dental concepts. Dentists with more traditional training have been trained in Biomimetic Dentistry through educators such as Dr. Nejad.

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Dental Procedure

Advantages of Biomimetic Dentistry

  • Preserve intact tooth structure
  • Minimize pain and sensitivity
  • Eliminate unnecessary root canals
  • Restore teeth with limited remaining structure
  • Optimal seal
  • Prevent catastrophic failures
  • Maximize adhesion by up to 400%

Frequently Asked Questions