Tooth wear is increasing in severity and prevalence, partly because of an ageing population and partly because of modern lifestyles. Management of the worn dentition with ‘full mouth rehabilitation’ is outmoded. This clinical paper aims to review the literature on composite restorations and give general dental practitioners the confidence to restore the worn dentition with dental composite. Composite is a versatile and widely available material that can be successfully applied within the existing occlusal vertical dimension (OVD) or at an increased OVD using a Dahl approach. Cases illustrate what is achievable, and clinical tips will help dentists optimise their results.
UK Adult Dental Health Survey 2009.The Health and Social Care Information Centre, 2011.
2.
El-WazaniB, . The signs and symptoms of tooth wear in a referred group of patients. DOI:10.1038/sj.bdj.2012.840. British Dental Journal2012;213:E10.
3.
HemmingsKW, . Tooth wear treated with direct composite restorations at an increased vertical dimension: Results at 30 months. Journal of Prosthetic Dentistry2000;83:287–293.
4.
GowAM, HemmingsKW.The treatment of localised anterior tooth wear with indirect Artglass® restorations at an increased occlusal vertical dimension. Results after two years. European Journal of Prosthodontics and Restorative Dentistry2002;210:101–105.
5.
SmalesRJ, BerekallyTL.Long-term survival of direct and indirect restorations placed for the treatment of advanced tooth wear. European Journal of Prosthodontics and RestorativeDentistry2007;15:2–6.
6.
RedmanCDJ, . The survival and clinical performance of resin-based composite restorations used to treat localised anterior tooth wear. British Dental Journal2003;194:566–572.
7.
GulamaliAB, . Survival analysis of composite Dahl restorations provided to manage localised anterior tooth wear (ten year follow-up). British Dental Journal2011;211: E9 DOI:10.1038/sj.bdj.2011.683.
8.
BartlettD, SundaramG.An up to 3-year randomized clinical study comparing indirect and direct resin composites used to restore worn posterior teeth. International Journal of Prosthodontics2006;19:613–7.
9.
PoyserNJ, . The evaluation of direct composite restorations for the worn mandibular anterior dentition-clinical performance and patient satisfaction. Journal of Oral Rehabilitation2007;34:361–376.
10.
Al-KhayattAS, . Direct composite restorations for the worn anterior dentition: a 7-year follow-up of a prospective randomised controlled split-mouth clinical trial. Journal of Oral Rehabilitation2013;40:389–401.
11.
VailatiF, . Adhesively restored anterior maxillary dentitions affected by severe erosion: up to 6-year results of a prospective clinical study. European Journal of Esthetic Dentistry2013;8:506–530.
12.
DahlBL, . An alternative treatment in cases with advanced localised attrition. J Oral Rehabil1975;2:209–214.
13.
DahlBL, KrogstadO.The effect of a partial bite raising splint on the occlusal face height. An x-ray cephalometric study in human adults. Acta Odontol Scand1982;40:17–24.
14.
PoyserNJ, . The Dahl concept: past, present and future. British Dental Journal2005;198:669–676.
15.
KelleherMGD, . Biologically Based Restorative Management of Tooth Wear. Int J Dentistry2012, Article ID 742509, Doi:10.1155/2012/742509
16.
DaoudiM, RadfordJ.Use of a matrix to form directly applied resin composite to restore worn anterior teeth. Dental Update2004;31:551–558.
17.
MizrahiB.The Dahl principle: Creating space and improving the biomechanical prognosis of anterior crowns. Quintessence International2006;37:245–251.
18.
HannigM, BalzM.Influence of in vivo formed salivary pellicle on enamel erosion. Caries Research1999;33:372–379.
19.
HannigM, . Protective effect of the in situ formed short-term salivary pellicle. Archives of Oral Biology2004;49:903–910.
20.
KinneyJH, . Hardness and Young's modulus of peritubular and intertubular dentine. Archives of Oral Biology1996;41:9–13.
