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Teeth wear can occur at any age. We call it TSL (tooth surface loss) and it is generally caused by a combination of abrasion, erosion and attrition. Erosion usually dominates due to the acidic nature of our diet. The increase in carbonated beverages has resulted in excessive amount of tooth loss in as young as 15 year-olds compromising the structural integrity of their teeth.
Approximately 30% of the population brux  (grind) their teeth. The cause is unknown however it has been attributed to stresses of life and sleep disorders when most of the tooth grinding occurs.
The best management is to identify the cause and prevent further damage. Thorough diagnosis is required to assess the cause, as if not treated, underlying tooth loss will continue to undermine any type of restoration on the tooth.
Patient profile
28 year old male
Primary Concern

Improve dental aesthetics, especially worn smile-line and midline diastema. Patient is referred for correction of traumatic bite causing smile disharmony and further deterioration of anterior teeth (11, 21, 42, 41, 31, and 32) using conservative measures preferred by the patient.

Treatment
The treatment completed is non-invasive, maintaining the integrity of tooth structure. Restorative treatment using initially composite build-ups on upper teeth 13, 12, 11, 21, 22 and 23 and lowers 42,41,31,32 to correct anatomical form. This treatment is most conservative and as least biologically invasive to the tooth structure, is completed without local anaesthetic and in one visit.
The lower arch was also built using direct application of composite, using enamel shade, dentine shades and completing labial aspect of the incisal edge and closure of lower midline diastema.

Restoration of upper anterior teeth: 13, 12,11,21,22, 23 and lower 42,41,31,32 to correct anatomical form. Establishment of optimal overbite and anterior guidance: restoring patient’s smile.
These procedures required no injection, drilling or discomfort. Dr Nalbandian has perfected these types of reconstructions in application of composite technology in direct restoration of tooth structure that is non invasive and completed in one visit!
If you would like to learn more please go to
Anti-Aging Dentofacial Rejuvenation |