This patient disliked his gaps and had tooth surface loss and loss of overall tooth height from grinding. I closed the gaps using composite filling material and after only 4 weeks the black triangles between the teeth filled with healthy gum tissue. Although these teeth do look quite wide, the patient was thrilled with the result.
This case also incorporated something called the Dahl approach, where the natural function of bony remodelling is harnessed, allowing worn surfaces to be rebuilt and the bite to be re-established over time. A minimally invasive technique which I really enjoy using.
Photo courtesy of Dr Naomi Alesbury