dentist and dental hygienist talking to patient

Minimally Invasive Dentistry

The term “minimally-invasive dentistry” is based on the idea that nothing is as strong and suitable for the oral environment as our natural teeth. Therefore, it is of utmost importance to conserve natural tooth structure. This is particularly true for enamel, the strongest substance in our bodies (stronger than bone). Obviously, the best way to approach being healthy and maintaining a healthy mouth is to prevent the disease from happening in the first place (visit “education station” for articles on oral/systemic health). But when the equilibrium of our bodies or our mouths tips, and allows the disease to take hold, we must then choose when and how to address it.

Over the years, it became apparent how much my patients hated the idea of having their teeth cut down in order to restore them with crowns, especially when it involved the front teeth. That is, until techniques and materials were developed that allowed us to restore teeth to normal esthetics, form, and function without the use of crowns. This general concept is known as composite bonding. Though there are many different techniques and materials employed by dentists in performing this service, our technique is known as Maximized Adhesive Dentistry (MAD) and the material we use is a biocompatible, BPA-free composite.

The truth is that the basis of this technology is not totally new. It has been around for 30-40 years but originally with limitations on strength, wear-resistance, and esthetics. Now, with advances in new technology, all that has changed. The newer materials are filled with nano-particles, silica (glass) beads, which are stronger and harder. In addition, new breakthroughs in our ability to adhere the material to the teeth have tremendously increased the longevity of this service. In our practice, we adhere to the teeth by utilizing a specific protocol (#MADprotocol), which was discovered by Dr. Bruce LeBlanc (Dr. LeBlanc’s uncle), taught to, and adopted by dozens of other dentists, and yields incredibly predictable results.

So what does this mean to our patients? It means that finally, we can truly practice minimally invasive dentistry, where we don’t have to cut teeth down to make them stronger. Teeth are strengthened from the inside out. We now just take away the old fillings and/or decay, thoroughly disinfect, and adhere the composite to the teeth, thus preserving their integrity and as a side benefit, increasing the probability of preventing abscesses. Although the costs are greater than the mercury-amalgam fillings, they are half to two-thirds the cost of buildups and crowns. This has totally changed the way dentistry is practiced today! Below are some photos which demonstrate this philosophy.

The First Case

This first case is a female patient in her 50’s. She presented to us with significant wear on the lower anterior teeth, a sign of clenching and grinding of the teeth (bruxism). Normal and healthy anterior teeth have approximately 2 mm of enamel at their edges.

This presents both esthetic and decay concerns for our new patient. After discussing the root cause of this condition, and offering ways to prevent its recurrence, we offered her 3 options: (1) do nothing, (2) prepare (cut down) the teeth for veneers or crowns, or (3) perform Maximized Adhesive Dentistry (MAD) using composite. She chose the third option, and was thrilled with the result. This was performed in a single 3-hour appointment, and in this case without the use of local anesthetic.

enamel has been completely worn away on teeth
Here, the enamel has been completely worn away, exposing the more decay-prone dentin below.
dental cleaning results
Final Product

The Second Case

The below is of a woman in her mid-30’s who came to us as a new patient, wanting to be proactive and address early signs of oral disease before becoming serious issues. During the New Patient Experience, we showed her photographs and xrays of her upper right posterior teeth, with old failing “fillings”, and she was concerned.

After much discussion, and showing her photographs of prior cases utilizing the minimally-invasive technique, she chose the Maximized Adhesive Dentistry (MAD) protocol. After administering local anesthetic, we excavated all the old failing fillings and resulting tooth decay, preserving all the healthy enamel that remained. 

We then removed all debris and contaminants, thoroughly disinfected the teeth, and incrementally built back and sculpted with composite… no crowns, no root canals. Truly a great example of where art and science meet in the practice of dentistry! This quadrant of the mouth was restored in one long morning appointment.

teeth before minimally invasive dentistry
Photo of her old failing "fillings"
teeth after minimally invasive dentistry
Removed all debris and contaminants, then thoroughly disinfected the teeth
teeth after minimally-invasive dentistry
Final Product

Don't just take our word for it

Dr. LeBlanc's care is more thorough and comprehensive than I have ever experienced.
Jerome Morrow via Google
Dr. LeBlanc is wonderful! He and Kelly put me at ease from the very first appointment.
The work he has done so far is excellent! And the most surprising thing...
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I am a senior citizen who has had dentists abroad and in the US. Dr. Leblanc is the best I have ever had! He is a patient, kind and compassionate...
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I am a senior citizen who has had dentists abroad and in the US. Without a doubt, Dr. Michael Leblanc is the best I ever had! He is patient, kind,...
Lynette Montero via Google
Dr. Leblanc and his whole team are exceptional. Dr. Leblanc is such a knowledgeable, caring, and kind dentist. I’ve always had bad anxiety and experiences going to the dentist. Also,...
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Dr. LeBlanc and his team are so professional and I love their holistic whole body approach to dentistry. He was able to fit me in for an emergency appointment and...
Jamie Hartman via Google
My experience here has been nothing short of spectacular. I have loved working with Dr. LeBlanc to make informed choices for my oral health. I recently had a procedure and...
Jordan Randall via Google
By far the BEST dentist I have ever been to. He is very thorough, went over my complete medical history, did an extensive exam more then any other dentist had...
Jordan Weinberger via Google
This office is truly an oasis in the midst of chaos in the medical and dental professions! There is a deep respect for the patients in this office, always treating...
Anonymous via Healthgrades
The staff was very courteous and professional. Dr. Leblanc examined my tooth thoroughly and explained in detail what needed to be done to fix the tooth. He was very attentive...
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