Cutting less can be the most advanced dentistry we do. Dr. Michael Miyasaki sits down with biomimetic pioneer Dr. David Alleman to challenge the привычный reflex of “big cavity equals crown” and to map a more conservative path that protects the pulp, preserves critical tooth structure, and keeps teeth functioning like teeth. If you’ve ever felt stuck in the restoration cycle, this conversation offers a framework to think differently and work more predictably.

We dig into the foundations of biomimetic restorative dentistry and adhesive dentistry: why the bottom half of the tooth below the height of contour is so important for stress distribution, how full crown preparations can remove the architecture that helps teeth flex, and why the first mission is often preventing endodontics rather than planning around it. Dr. Alleman also explains why materials alone don’t save cases. The results come from isolation, magnification, caries and crack management, immediate dentin sealing, and a disciplined protocol that doesn’t skip the steps that protect the seal.

Then we get practical with fiber reinforcement and Ribbond. We talk about moving beyond routine posts, how bonded fiber and composite can reduce catastrophic root fractures, where anterior fiber bridges can shine in real-world emergencies, and why posterior bridges face occlusal forces that can make them a bad bet. You’ll also hear a clear walkthrough for a heavily restored molar with an old amalgam and visible cracks, including the patient questions that guide risk assessment and timing.

If you care about minimally invasive dentistry, predictable bonding, and restorations built for longevity, hit play. Subscribe, share this with a colleague who’s tired of redo dentistry, and leave a review with the most conservative change you want to make next.