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

Internal external bleaching of non-vital tooth with an existing root canal treatment. This upper left central had been stained for years and this patient did not like to smile. This minimally invasive procedure and addition of composite to the fractured edges brought his smile back.

Photo courtesy of Dr Naomi Alesbury

A simple amalgam filling in a molar tooth with tooth fracture and decay. Replaced using minimally invasive techniques with a white adhesive filling (composite).

Photo courtesy of Dr Naomi Alesbury

A simple amalgam filling in a molar tooth with tooth fracture and decay. Replaced using minimally invasive techniques with a white adhesive filling (composite).

Photo courtesy of Dr Naomi Alesbury

A simple replacement of an amalgam (silver) filling with a composite (white) filling. You can see the red marks of the paper I use to ensure the bite is comfortable and safe after placing a filling. This reduces risk of sensitivity and discomfort after a filling.

Photo courtesy of Dr Naomi Alesbury

The Molar tooth opened for root canal treatment. At the end of the root canal treatment, a full cuspal coverage white (composite) filling has been placed. This is done by hand (chairside). The purple and white you see on the image are used to keep the tooth isolated increasing the success of the treatment.

Photo courtesy of Dr Naomi Alesbury