Biomimetic Dentistry and Esthetic Dentistry Courses: Dr. Deliperi
Dr Deliperi has offered innovative biomimetic restorative treatments to his patients since the beginning of his profession. Over the years, Dr Deliperi has kept in touch and worked with the most important researchers and clinicians in the field of biomimetic dentistry. Dr. Deliperi has played a major role in the research which has proven the long-term success of advanced bonding. He’s giving lectures and hands-on courses at Tufts University since 2003. He developed clinical protocols to preserve the remaining sound tooth structure with the final goal being to avoid root canal treatment and tooth capping with crowns thus also reducing costs for the patients. He presented these protocols to the most prestigious European and American Meetings and was recognized for his efforts by receiving different awards (see CV).
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Dentist versus Boredom: A Journey of Professional Satisfaction
As a 1979 graduate of the University of Tennessee Dental School, after practicing dentistry for 17 years, I, like many colleagues, found the traditional dentistry that is taught in school was failing to meet the needs of my practice. Most dentistry seemed to be replacing failing restorations from previous treatments. What could keep the replacement dentistry from future failures? On a quest for professional satisfaction and to curb boredom in the field, I set out to answer this very question. As I began this journey in 1996, the theme of “less is better than more” emerged. I wanted to preserve more healthy tooth structure. It has been a long journey but here is the short story of how I arrived at the Alleman-Deliperi Center.
To effectively do less and better dentistry, a dentist must enter the world of bonding and be very good at it. The first stop in my journey for better bonding was air abrasion in 1996 with Crystal Mark. I needed to maximize my bond with a cleaned bondable surface and at the same time increase the effective surface area. With air abrasion and resin coating as taught by Dr. Raymond Bertolotti, I found my composite restoration sensitivity go to near zero. I was making progress towards my goal.
The second step in my journey was CEREC. To maximize bond strength, I knew I must minimize the bond stress. I entered the world of CEREC 2 in 1998. After all, CEREC is nothing more than a composite with a large macro particle sitting on top of a composite. When the tooth volume lost is significant, CEREC allowed me to minimize the bond stress and keep more healthy tooth structure. With CEREC and the near zero sensitivity, I found a tremendous drop in the need for post-opt endodontic treatment. Unlike traditional crowns, I also found that gingival inflammation was eliminated.
I am now at a third major point in my journey to achieve “less is better than more” dentistry. I was introduced to the Alleman-Deliperi Center by Dr. James Erpenbach in 2017. Here, I have learned new techniques to improve the bond strength and minimize the bond stress. All of these “new” techniques are supported by research. With this new information, I foresee that CEREC will become less significant. One contributing factor to this is that the Alleman-Deliperi Center teaches Stress Reduced Direct Composites (SRDC) which rivals the strength of natural tooth structure and allows dentists to preserve even more healthy tooth structure than CEREC. Another reason SRDC rivals and in my opinion is better than CEREC is because CEREC is not cheap. Your lab bill has simply changed to a fixed loan payment. CEREC is a developing technology requiring upgrades every few years and new trainings. My purchases have been significant including going from CEREC 2 to CEREC 3 (Red Cam) then to Blue Cam and Omni Cam along with 3 milling units and 1 rebuilds. I am now questioning if I will even get another CEREC when Sirona is requiring upgrading. It seems the return on investment has been greatly reduced.
Thank you Dr. Alleman and Dr. Deliperi. The hardest part of my journey has been unlearning the traditional dentistry taught in school. The Alleman-Deliperi Center has made me a better dentist and less dependent on my CEREC. With air abrasion and SRDC, my journey continues without the evils of boredom and dissatisfaction. Dr David Sutton, Newport, TN, Usa