This page presents selected clinical cases demonstrating restorative and mercury-free dental treatment carried out at our Brighton clinic. Each case reflects careful diagnosis, structured treatment planning and a focus on preserving natural tooth structure while achieving functional and aesthetic stability.
Many patients travel nationally to The Clinic for comprehensive restorative care and safe amalgam replacement, seeking long-term outcomes rather than temporary cosmetic solutions.
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How to use this page
Below are grouped case examples for different treatment categories. Each case contains:
✔ Comparison images (“Before” vs “After”)
✔ A concise clinical summary
✔ Relevant treatment links
If you’d like similar outcomes, please book a consultation.
Learn more about SMART amalgam removal
Dissimilar metals replacement
Before & After (Images)
Summary:
This case involved the presence of multiple metallic restorations in close proximity, including amalgam placed adjacent to other metal materials. When different metals are present in a conductive environment such as saliva, small galvanic currents may occur. Some research has suggested this may contribute to accelerated surface degradation of metallic restorations.
A phased treatment plan was developed to replace the affected restorations using biocompatible alternatives. SMART protocols were applied where amalgam removal was required, and new restorations were placed to improve structural harmony and long-term stability.
Treatment Used:
• SMART amalgam removal
• Biocompatible restorative materials
Composite bonding and direct restorations
Composite restoration (hand-shaped technique)
Before & After (Images)
Historically, a fractured premolar such as this would often have been restored using porcelain. With modern adhesive techniques and advanced composite materials, it was possible to restore the tooth conservatively in a single visit.
The composite restoration was shaped by hand to replicate natural anatomy and ensure accurate occlusal contact. This approach preserved more natural tooth structure while providing a durable and aesthetic result.
Treatment Used:
• Composite restoration
• Minimally invasive technique
Aesthetic composite enhancement
Before & After (Images)
Summary:
This case demonstrates how composite bonding can achieve excellent aesthetic and functional outcomes in a single visit. Careful contouring and layering techniques were used to create harmonious contact with the adjacent tooth while maintaining natural proportions.
The result improved symmetry and appearance without aggressive preparation of healthy enamel.
Treatment Used:
• Composite bonding
• Aesthetic contouring
Ceramic inlays and advanced restorations
Ceramic Inlays
Before & After (Images)
Summary:
Where appropriate, non-metal composite restorations are used. In this case, however, the extent of structural compromise required a digitally planned ceramic inlay.
An inlay allows reinforcement of the tooth while preserving more natural structure than a full crown. Digital scanning ensured precision fit, and the bonded ceramic restoration restored both strength and natural contours.
Treatment Used:
• Digitally scanned ceramic inlay
• Adhesive bonding
Complex anterior restoration
Before & After (Images)
Summary:
This patient’s anterior teeth were severely crowded, creating inaccessible areas that made oral hygiene difficult and contributed to progressive breakdown. The patient initially believed extraction would be unavoidable.
Through careful planning and restorative management, the teeth were stabilised and reshaped to improve access, function and aesthetics. The result provided a meaningful improvement in structural integrity and appearance while preserving natural tooth structure where possible.
Treatment Used:
• Comprehensive restorative planning
• Composite and/or ceramic techniques
Ceramic cantilever bridge with digital scanning
Before & After (Images)
Summary:
This case required replacement of a missing tooth using a minimally invasive cantilever bridge. Digital scanning technology allowed precise impression capture and accurate margin design.
The restoration was fabricated in collaboration with an experienced technician, achieving excellent fit and aesthetic integration. The final result restored function while maintaining a conservative approach to adjacent teeth.
Treatment Used:
• Digital scanning
• Ceramic cantilever bridge
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What these cases demonstrate
This group of case examples shows how personalised clinical assessment, precise planning, and evidence-based materials result in predictable and meaningful outcomes. From protocol-driven amalgam removal to aesthetic enhancements and restorative stability, each case reflects a thoughtful approach to whole-patient care.
Why clinical evidence matters
• Every case is individually assessed
• Treatment decisions are based on structural need
• Modern adhesive materials allow conservative outcomes
• Advanced imaging supports precision planning