Management of localized anterior tooth wear: a minimally invasive approach using the Dahl concept

The Dahl concept has been widely recognized and applied in the management of localized anterior tooth wear for several decades, although its clinical implementation remains a topic of ongoing discussion. This case report describes a practical application of the Dahl concept in a patient presenting with severe wear of the lower anterior teeth, accompanied by reversible pulpitis. The report outlines a minimally invasive restorative strategy, guided by the principles of the Dahl concept, using composite resin to achieve occlusal elevation. This approach avoids extensive tooth reduction or the need for root canal therapy, thereby preserving the vitality of the anterior teeth. By fulfilling the patient's functional, financial, and aesthetic needs while minimizing invasiveness, this technique highlights the significant clinical relevance of the Dahl concept in managing localized tooth wear. It reinforces the concept's value in achieving effective and conservative treatment outcomes that prioritize the preservation of tooth structure and pulp vitality.