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Jul 2015
21st
 

Case of the Month July 2015

Our case of the month for July involves the restoration of severe tooth wear using the Dahl technique. The Dahl technique The Dahl technique is a great concept for the treatment of localised tooth wear, especially on the front teeth. The concept involves potentially a number of methods but we prefer direct bonding. For example, if the upper front teeth are worn but there is no space to restore them, we may use the Dahl concept to restore them. Direct composite restorations are placed to restore the teeth to the original anatomy and contours. This is done very carefully in accordance to occlusal planning (bite). This will cause premature contact on the new restorations and create space between the upper and lower back teeth. However, over time, this space closes and the jaw re adjusts to create contact once more. This can take a number of months. Therefore this treatment is often completely non invasive. Whereas in the past, teeth were cut down to pegs for crowns and veneers to restore tooth wear, we can now use adhesive technology to replace the lost tooth tissue. Case Study

Severe tooth wear
New teeth
This technique requires a great deal of experience and skill but in the right hands, it is a wonderful treatment for tooth wear. The treatment was carried out by Dr Nissit Patel using G-aenial composite by GC. Photographs are the sole property of Dr Nissit Patel and cannot be reproduced.

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Nov 2019
22nd
 

Case of the Month- November 2019

Our case of the month for November involves a re construction of the bite over a number of years. The main reason for treatment was due to severe tooth wear due to bruxism. Bruxism is essentially grinding at night to such an extent that the enamel is worn over a number of years. This can cause a number of problems such as: Tooth sensitivity Difficulty in eating Lack of a coherent bite Aesthetic issues Pain leading to root canal treatment in severe cases Tooth wear, on the whole, can be prevented or… READ MORE
Feb 2018
15th
 

Case of the Month- February 2018

Our case of the month for February 2018 involves the treatment of tooth wear. Tooth wear is an increasing problem with modern day life. Stress, night time grinding and acidic diets all lead to loss of tooth enamel which is the hardest tissue in the body! The loss of tooth enamel leads to a weakening of the overall tooth structure exposing the underlying dentine which is much weaker and more susceptible to tooth decay and sensitivity. In the first instance, prevention is better than cure. Therefore, if you… READ MORE
May 2015
19th
 

Case of the month- May 2015

Our case of the month for May is one involving tooth wear. Tooth wear is a very common problem caused buy a number of factors and usually a combination of them all. The most common cause is night time grinding or bruxism. This can be hugely damaging to teeth. Did you know that on average our teeth make contact for only about 10-20 minutes of the day. During night grinding, the average contact time is 4 hours! It does not take a rocket scientist to figure out this is far too much contact which will lead to … READ MORE
Oct 2014
21st
 

Case of the month- October 2014

Our case of the month for October involves cosmetic bonding of the lower front teeth which were heavily worn and using a principle called the Dahl technique.This technique is not very well known but it is fantastic method for treating worn down teeth where there is no space to restore them. For example, when your front teeth wear down due to grinding, acid erosion, bad habits (biting pens, nails etc), there is often little space to restore the teeth using conventional fillings. In the old days, the teeth m… READ MORE
 

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