{ The Online Blog }


Oct 2014

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 may have been cut down for invasive procedures such as crowns or veeners. The Dahl technique involves the careful restoration of the worn teeth directly or indirectly with little, if any, tooth preparation. This must be with precision so that the contact on the new restorations is in such a way that the unworn teeth can slowly re position and make contact over time. Usually this takes 12-16 weeks to occur but what a concept! For example, just take a look at our case below:

Heavily worn front teeth Heavily worn down upper front teeth
Restored front teeth Restored front teeth using the Dahl technique

In this case, the upper front 4 teeth were cosmetically bonded using G-aenial composite by GC directly. Initially the back teeth were unable to make contact due to the Dahl principle. However, after a 16 week period, the back teeth made contact and the occlusion (bite) is now sound. The second photograph was taken 6 months after the bonding procedure. It is important that the correct techniques and materials are used. Dr Nissit Patel has been using the Dahl technique for over 10 years with fantastic success. He uses G-aenial by GC in practice due to the superior handling, wear resistance and aesthetic properties. If you suffer from tooth wear and would like a minimally invasive solution, please contact us. We will have a solution! Photographs are the sole property of Dr Nissit Patel.


Nov 2019

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

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
Jul 2015

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… READ MORE
May 2015

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


Background 04

Contact Us

Get in touch

You can use our online form, call or email our practice or book online.

Progressive Dentistry Telephone Logo  020 7731 1162
Progressive Dentistry Email Logo  info@progressivedentistry.co.uk
Book Online      Book A video consultation