Techniques for Restoring Worn Anterior Teeth with Direct Composite Resin

From Volume 35, Issue 8, October 2008 | Pages 551-558

Authors

Stephen Robinson

BChD, MDSc, MFD RCSI FDS(Rest Dent) RCSI

Senior Lecturer, University of Queensland/Senior Dentist, Brisbane Dental Hospital

Articles by Stephen Robinson

Peter J Nixon

BChD(Hons), MFDS(Ed), MDentSc, FDS(Rest Dent) RCS(Ed)

Consultant in Restorative Dentistry, Leeds Dental Institute, Leeds, UK

Articles by Peter J Nixon

Matthew J Gahan

BChD, MDSc, MFDS RCS(Edin) FDS(Rest Dent) RCS(Ed)

Consultant in Restorative Dentistry, York Teaching Hospital NHS Foundation Trust

Articles by Matthew J Gahan

Martin F W-Y Chan

BDS, MDSc, MRD RCS(Ed), DRD RCS(Ed), FDS(Rest Dent), RCPS(Glas)

Consultant in Restorative Dentistry, Leeds Dental Institute, Leeds, UK

Articles by Martin F W-Y Chan

Abstract

Toothwear is increasing in prevalence. Traditional treatment methods for moderate or advanced toothwear, such as indirect restorations and crown lengthening surgery, are invasive and destructive of remaining tissues. The ‘Dahl technique’ has been used to obtain space for anterior restorations and has been modified such that direct composite restorations are placed at increased occlusal vertical dimension. These restorations have proved durable and aesthetic, protect tooth structure and posterior occlusal contact is predictably re-established. The authors describe and compare two techniques using composite resin to treat localized anterior toothwear in a general practice setting.

Article