Dahl Technique and ‘Maryland Bridges’ – GF001

Published: Dec. 9, 2020, 6:49 p.m.

This is the very first Group Function and we are tackinling RBBs! I will take questions from the fellow Protruserati - I will use your help to come up with some helpful solutions. TLDR: You can do Dahl RBBs, but it doesn't always mean you should. A little prep of enamel will not be THAT detrimental for the tooth. https://youtu.be/VtRlzodts8c Need to Read it? Check out the Full Episode Transcript below! Thank you Aaron for helping this episode happen as our first question! It is about a technique dear to my heart - Resin Bonded Bridges! Firstly, if you know nothing about the Dahl technique, you totally need to listen to the episodes with Tif Qureshi on Dahl Part 1 and Part 2. It CAN be a good way to place Resin Bonded Bridges in a way to eliminate any preparation for the occlusal surface - in young patients it can be very successful. However, it just seems a shame to prop someone's bite open on just ONE tooth and allow what naysayers refer to as 'unpredictable orthodontics' to work it's sweet magic. I am totally fine with a little prep - staying in enamel (which is so key!) - every case is unique so treat on it's merits. In a younger patient, I am more likely to consider that approach. I hope this helps! If you find this useful - send it to a colleague. I cover Dahl RBBs extensively in the Resin Bonded Bridges CPD Online Masterclass as well as Zirconia RBBs. Click below for full episode transcript: Opening Snippet: You know sometimes when you get asked a question and then you help to answer that question or you know someone who knows the answer and you connect them and then the topic that you discuss becomes so helpful, so useful. You kind of wish that 'hey you know what i wish more people had access to this' because i'm sure if this person benefited from these answers that many others will also benefit from these answers... Main Topic: So this is why, this is the first ever group function okay? So i'm calling this series group function because it's us, you and i working as a group. You guys the listeners, myself, the previous guest of the podcast, the future guest podcast and those on the Protrusive D,ental community facebook group we're going to ask questions, we're going to answer questions. They're going to share answers, we're going to try and be i guess a fly on the wall when these helpful conversations happen. So for the first ever group function, someone messaged me yesterday with a question his name's Aaron Raju. Aaron, thanks so much for the question and he gave his consent for this to be go on an ama so i can ask me anything but of course i'm calling this the group function. So what Aaron asks is to do with resin bonded bridges so aka maryland bridges you know i don't like that term but anyway maryland bridges and using maryland bridges as part of the dahl technique. Now if you are totally unfamiliar with a dahl technique you need to end this episode now and go back to episode 16 and 17 where we are joined by Dr Tif Qureshi and we talk everything and anything about dahl, about how it works, the mechanisms, the indications, contraindications. So this is a really important background knowledge to have, to be able to answer this question and resin bonded bridges are something very dear to my heart. I've got a little mini series online on rbbmasterclass.com so i placed hundreds of resin bonded bridges. I've published on this technique in dental update. So Aaron thanks so much for the question basically i'll read it out "Dr Gulati.." Well first you don't need to call me Dr Gulat. I am Jaz, you know that. Hope you don't mind answering quick query. I read your papers in dental update regarding resin bonded bridges. I have a case where a resin bonded bridge is used to replace an upper right five with the upper right six as an abutment with the wing overlying the palatal cusps and the palatal surface. This was no prep and the plan is to dahl to reestablish posterior occlusi...