Minimally invasive method for the restoration of localized anterior tooth wear

Case report

Abstract

Wear localized on front teeth is quite common; the restoration of the lost tissue is generally diffi cult due to the lack
of vertical space between the upper and lower teeth. The traditional prosthetic method would include further tooth
preparation for complete crowns and for increasing the occlusal vertical dimension. By applying the Dahl concept the
necessary vertical space can be created with the preservation of the tooth tissue in a relatively short period of time.
Defi nitive restoration can be made for the replacement of lost enamel and dentine with a direct or indirect method. Due
to the Dahl concept the preparation of the teeth and its potentially harmful consequences can be avoided, the treatment
is non- or minimally invasive. In the presented case the lost palatal and incisal tooth tissue was replaced with palatal
E.max® Press ceramic laminate. After cementing the laminate the patient was advised to wear a night guard, because
of bruxism, to counteract the extreme load on the laminates.