Patient stories

Toothwear Rehabilitation by Our Specialist Prosthodontist

Our patient underwent treatment at an increased vertical dimension to restore function, improve comfort, and enhance the appearance of their smile.

Toothwear Rehabilitation by Our Specialist Prosthodontist

Treatment Summary

Reason for treatment: Localised tooth wear affecting anterior teeth and bite balance.

What was done

  • Restorative treatment performed at an increased vertical dimension to re-establish function and aesthetics.
  • Direct composite restorations placed on the upper and lower anterior teeth (teeth 15–25 and 35–45) to restore shape, contact, and phonetics while allowing proper eruption of the molars into occlusion.
  • This approach follows a Dahl concept-type principle: creating space anteriorly to permit settling and axial adjustments of posterior teeth over time.

Treatment Gallery

case 1 pre v2
Before Treatment

Before Treatment

case 1 pre L

Before Treatment

After Treatment

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After Treatment

After Treatment

Outcome

Post-treatment images illustrate corrected alignment, restored function, and the intended occlusal relationship with adequate space for molar eruption.

Why Refer to Our Specialist Prosthodontist for Anterior Toothwear Rehabilitation

  • Expertise in managing complex wear patterns and achieving durable, aesthetic results with direct and indirect restorations.
  • Advanced understanding of bite mechanics, vertical dimension management, and controlled forces to protect treated teeth.
  • Experience in Dahl appliance concepts and staged eruption planning to optimise occlusion.
  • Comprehensive diagnostic workup, including occlusal analysis, photography, temporaries and 3D planning as needed.
  • Customised treatment planning that coordinates anterior rehabilitation with posterior settling for stable, long-term outcomes.
  • Coordinated multidisciplinary care when required (e.g., periodontics, orthodontics, implant supported solutions).
  • Clear patient communication and realistic expectations about post-treatment settling and maintenance.
  • Evidence-based approach with meticulous record keeping for monitoring wear progression and occlusal health.