No Post? No Crown? The ‘Anti-Biomimetic Dentist’ Part 2 – PDP153

In the exciting continuation of the previous episode, Dr. Pasquale Venuti joins Jaz to offer his unique perspective on biomimetic and restorative dentistry. Dr. Venuti encourages critical thinking to improve patient outcomes and discusses a range of clinical scenarios of which he has heaps of experience. In this thought-provoking episode, they delve into topics such as outcome-based reasoning, the controversial use of posts, and the role of ribbond under your composite restorations. 



Dr. Venuti fearlessly challenges the status quo by questioning self-claimed biomimetic dental practices and urging dentists to embrace critical thinking in pursuit of improved patient outcomes.




https://youtu.be/iGL_KXU_NbY
Watch PDP153 on Youtube



Protrusive Dental Pearl: Mouth props are super helpful for long appointments! They serve a crucial purpose in allowing the depressor muscles to relax. By preventing muscle fatigue during extended treatments, these props contribute to patient comfort and overall treatment success. Dr. Jaz shares his approach to communicating the use of mouth props to patients, employing relatable examples to ensure their understanding and cooperation.



Need to Read it? Check out the Full Episode Transcript below!



Highlights of this episode:



2:00: The benefits and communication of mouth props4:18: Controversy surrounding posts in restorations6:32: ‘No post, no crown’19:20: The use of ribbond in modern dentistry.26:20 Process-based reasoning vs Outcome-based reasoning28:41: Jaz's "hypocrisy" regarding rubber dam usage31:48: Patient population and its impact on treatment approaches



Access premium clinical videos by Jaz and gain CPD for Podcast episodes via the Protrusive.app



If you enjoyed this episode, check the part 1 of this episode: The 'Anti-Biomimetic Dentist' - Restorative Lessons from Pasquale Venuti Part 1







Click below for full episode transcript:



Jaz's Introduction: No post crowns, no more crowns, because obviously now we're heading in the direction that everything should be an onlay. Obviously, it's a sin to do a full coverage crown.



Jaz's Introduction:And post are out of the equation. And if you have to use a post, you're going to use a fiber post, not a cast post. Well, this sounds very familiar, right?



This sounds like the way that we've been heading, but Pasquale Venuti offers some different and alternative points of view that I think are very much worth listening. So I left you in a cliffhanger last time with that episode, The Anti Biomimetic Dentist Part One with Dr. Pasquale Venuti. Welcome back. This is part two where he will answer that question about the whole no post, no crown philosophy, what he makes of it.



But he also talks about something called PROCESS based reasoning versus OUTCOME based reasoning. So I guess the bone that Pasquale Venuti has to pick with the biomimetic group, the quote unquote "beef" he has with so-called biomimetic group, is that everything they're saying, all the little micro steps in achieving the highest bond strength, which is very admirable, right?



But everything they're doing is process based, right? It's a little process. Tweak this, tweak that, and let's see if who can improve our immediate results, our immediate bond strengths or aesthetics or whatever it might be. But you see, Pasquale Venuti argues that this process based reasoning is probably not what we need.



We want OUTCOME based reasoning, right? Because what Pasquale Venuti looks for is, okay, by doing these little micro steps, these extra steps, that which might be time consuming and might cost you more money. Are they actually going to yield a long-term result? i.e are they actually going to add years to the restoration and we just don't have that data. Now, I talk about this a bit more towards the end of the episode, but Pasquale will do this all justice.



Now, the Protrusive Dental Pearl I have for you before we join the main episode is something that I've ...