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
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.
