Pratique du Shadowing: Peripheral Seal Zone Concept (PSZ) in Biomimetic Restorative Dentistry - Apprendre l'anglais à l'oral avec la vidéo
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Hello, I'm doctor David Alleman.
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I've been a practicing dentist for 44 years.
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I've been teaching biomimetic restorative dentistry for the last 25 years.
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And the success of the biomimetic approach is so superior to traditional adhesive approaches or traditional mechanical approaches that I believe every dentist will benefit by learning these new protocols.
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So the peripheral zone was a new concept the Pascal Magne And I introduced in 2012.
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13 years ago we were implementing techniques for over ten years that use this concept, but it didn't have a name.
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In other words, when we had advanced adhesive techniques, we were able to mitigate C-factor and mitigation.
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C-factor is the key idea to maximize your bond strengths.
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And so once we had a maximization of bond strengths and a restoration we did not need mechanical retention form.
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We did not need mechanical resistance form.
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Traditional process that onyx gives you retention form and resistance formed by a two millimeter vertical collar of existing two structure.
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And that is what the crown rests on.
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This two millimeters now is turned sideways in advanced adhesive dentistry to decrease the see factor.
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It's still two millimeters but it's flat instead of vertical.
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And so the peripheral seal zone is the substitution in advanced adhesive dentistry for what traditional prosthodontics calls a ferrule So the ferrule is not needed and in many cases is actually contraindicated in a biomimetic approach.
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And of course, if you're a traditional trained the dentist as of the vast majority of dentists are of the world.
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Particularly with a bias towards traditional prosthodontics and taught by prosthodontists then you're not going to understand what the peripheral seal zone is, but it is the surface that retains the restoration and that surface area if it's maximized in the area in the, DEJ area, which we call the dentino enamel junction or The dentino enamel complex.
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Then you're getting a bond strength of around 50 Mega pascals.
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Now, 50 mega pascals is enough to hold enamel on to dentin in 99.999% of teeth that never have a restoration.
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So we know that that strength, if that's our goal, we might say, well, if we can't get 50 because we don't have as good a bonding system or we don't have as good of techniques, the lower key factors stresses, then what would we need to have something that's like a tooth and the number that I've come up with over the years from my, 44 years of practice and teaching dentists these techniques for over 25 years is you need something that's above the cohesive strength of enamel.
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We know what that is.
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When you measure enamel and you pull it apart, it takes 30 mega pascals to pull apart.
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And the bond strengths of 30 are very, very reachable in almost all surfaces in a decayed or fractured tooth that you treat biomimetic early to prepare for the restoration.
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And so your goal is to have a bond system that is 30 to 50 mega pascals around the pulp, and then one to the right next to the pulp, or even with the pulp exposure.
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If we can seal that in somewhere around ten to 15 or 20 mega pascals in these areas that are the most difficult to bond to closest to the pulp, then we have something that will last for decades.
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And we know that because we've been doing this for decades.
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We're now into our third decade.
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So I would encourage all of you, if you'd like to know more about the peripheral seal zone.
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We'll have links on this video.
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And if you want to learn more about the training programs that we have, we will.
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You can find our upcoming in-person and online programs, that are linked to this video description.
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Till next time, get bonded. Stay bonded.
About This Lesson
In this lesson, you will delve into advanced concepts in restorative dentistry, specifically the Peripheral Seal Zone (PSZ). You will learn about the importance of bond strength in restorative procedures and how it compares to traditional methods. By the end of this lesson, you will have a better understanding of how to discuss complex dental concepts in English, enhancing both your vocabulary and fluency in a specialized field.
Key Vocabulary & Phrases
- Peripheral Seal Zone (PSZ) - A crucial concept in biomimetic restorative dentistry.
- Bond strength - Refers to the adhesion strength between materials, particularly in dental restorations.
- Dentino-enamel junction (DEJ) - The area where dentin and enamel meet, important for restoration techniques.
- Coheisve strength - The resistance required to pull apart the enamel, crucial for ensuring durability in restorations.
- C-factor - A measure used to evaluate the bond strength of dental materials.
- Biodentic restoration - An innovative approach that mimics natural tooth structure and function.
- Prosthodontics - A dental specialty focusing on restoring and replacing teeth.
- Mechanical retention - Traditional methods of securing dental restorations through structural design.
Practice Tips
To effectively enhance your speaking skills using the content from this video, consider utilizing the shadowing technique. This involves listening to the audio while simultaneously repeating what you hear. Here are some specific tips to maximize your practice:
- Slow down initial attempts: The speaker maintains a measured and clear pace, making it easier to shadow. Use a shadowing app that allows you to adjust the speed until you feel comfortable.
- Focus on pronunciation: Pay attention to how technical terms such as "Dentino-enamel junction" and "bond strength" are pronounced to ensure clarity in your speech.
- Utilize pauses: When using a shadowing site, take advantage of pauses to practice repeating the phrases. This helps absorb the content more effectively.
- Practice regularly: Consistency is key. Set aside some time daily to practice shadowing to cultivate your skills, making you more fluent in discussing specialized topics.
- Engage with the content: Think about how the vocabulary relates to your own experiences or knowledge in dentistry. It will make the learning process more engaging and memorable.
Qu'est-ce que la technique du Shadowing ?
Le Shadowing est une technique d'apprentissage des langues fondée sur la science, développée à l'origine pour la formation des interprètes professionnels. Le principe est simple mais puissant : vous écoutez de l'anglais natif et le répétez immédiatement à voix haute — comme une ombre suivant le locuteur avec un décalage de 1 à 2 secondes. Les recherches montrent une amélioration significative de la précision de la prononciation, de l'intonation, du rythme, des liaisons, de la compréhension orale et de la fluidité.