Now Welcoming New Patients
Restore your smile. Renew your confidence.
Dr. Priyal Shah Brings 25 years of experience in dentistry with special interest in Restorative Dentistry and full mouth rehabilitation — treating tooth wear, complex cases, and everything in between.
25+
Years Experience
UCL
MSc. In Restorative Dental practice
About Dr. Priyal Shah
A dentist who truly listens
Dr. Priyal Shah has more than 25 years of dental experience and specializes in restoring healthy confident smiles. She has special interest in treating tooth wear and complex restorative cases.
She has completed advanced restorative dentistry training at the prestigious Eastman Dental Institute in London earning a master’s degree in Restorative Dental Practice from University College London (UCL).
Known for her calming approach, Dr. Shah focuses on minimally invasive dentistry and personalised treatment planning to restore both the health and appearance of patients’ smiles. She offers various solutions such as composite bonding, veneers, crowns & bridges, Invisalign and full mouth rehabilitation to help you achieve excellent dental health and confidence.
Understanding Tooth Wear
What is tooth wear and what causes it?
Tooth wear — also known as tooth surface loss — is the gradual loss of the outer surface of teeth without decay. It is caused by physical forces like grinding, or chemical factors such as acidic foods and drinks. Early diagnosis is key.
Attrition Tooth-to-tooth contact
Caused by grinding or clenching (bruxism), often during sleep. Very common in people under stress or those who grind at night.
- → Flattened biting edges
- → Shortened or worn-down teeth
- → Often worsens with stress
Erosion Acid dissolving enamel
Caused by acidic foods, drinks, acid reflux, or medical conditions. Enamel gradually dissolves, exposing softer dentine beneath.
- → Thinning, translucent enamel
- → "Cupping" on chewing surfaces
- → Yellowing as dentine shows through
Abrasion Mechanical wear from outside
Most commonly caused by aggressive brushing habits, particularly with a hard-bristled toothbrush. Creates wedge-shaped defects at the gumline.
- → Notches near the gumline
- → Wedge-shaped defects
- → Sensitivity near gum margins
How It Affects You
Signs you may have tooth wear
Tooth Sensitivity
Teeth sensitivity to hot or cold foods can be an early warning sign.
Shortened Teeth
Teeth that appear shorter, flattened, or visibly worn compared to before.
Bite Changes
A noticeable difference in how teeth come together, or difficulty chewing.
Jaw Discomfort
Jaw muscle fatigue, headaches, or tenderness around the jaw joint area.
Cosmetic Concerns
Teeth looking shorter, yellower, or more translucent than they used to be.
Fracture Risk
Worn teeth become structurally weaker — more prone to cracking or chipping.
Treatment Pathway
Matched to the stage of your tooth wear
Early Stage Monitoring & Prevention
- ✓ Diet advice to reduce acidic exposure
- ✓ High fluoride toothpaste
- ✓ Night guard if grinding suspected
- ✓ Regular clinical monitoring
Moderate Stage Protection & Repair
- ✓ Michigan splint or occlusal guard
- ✓ Composite bonding to rebuild teeth
- ✓ Desensitising treatments
- ✓ Managing reflux or underlying causes
Severe Stage Full Restoration
- ✓ Full mouth rehabilitation
- ✓ Composite or ceramic restorations
- ✓ Restoring lost bite height
- ✓ Advanced occlusal planning
Clinical Case Studies
Real patients, real transformations
Case 01
Severe upper & lower wear from grinding — failing composites & reduced vertical dimension
Case 02
Severe wear with deep bite & misaligned teeth causing accelerated tooth surface loss
Teeth first aligned with Invisalign, then brightened with professional whitening, followed by composite bonding of front teeth.
Case 03
Severe wear combined with missing teeth — requiring a multi-disciplinary approach
Complex rehabilitation rebuilding the full dentition and replacing missing teeth using a combination of restorative solutions.
Case 04
Severe upper wear treated with laboratory-made palatal composite veneers
Protective Appliance
Michigan splint Protect What Matters
Stops Grinding Damage
Protects teeth from wear and clenching forces, especially during sleep
Relieves Jaw Joint Pain (TMJ/TMD)
Positions the jaw in a more relaxed, natural resting position
Reduces Muscle Tension
Eases facial muscle fatigue, headaches, and jaw soreness
Protects Dental Work
Safeguards crowns, veneers, composites, and other restorations
Our Restorative Services
Treatments tailored to your smile
Composite Bonding
Tooth-coloured composite resin to rebuild and reshape worn, chipped, or discoloured teeth. Minimally invasive with beautiful results.
Full Mouth Rehabilitation
Comprehensive treatment for severe wear affecting the entire mouth — restoring bite height, aesthetics, and function.
Invisalign
Clear removable aligners to straighten teeth, correcting misalignment that contributes to wear.
Veneers
Porcelain or composite shells bonded to teeth requiring minimal or no drilling of teeth to restore aesthetic function
Crowns & Bridges
A dental crown is a custom-made cap that restores a damaged tooth’s shape, strength, function, and natural appearance.
Teeth Whitening
Dental teeth whitening is a cosmetic treatment that lightens the colour of teeth by bleaching the enamel.
Implants
Dental implants are titanium tooth roots placed in the jawbone to support crowns, bridges, or replacement teeth securely.
Partial Dentures
Partial dentures are removable appliances replacing missing teeth, improving chewing, speech, and preventing nearby natural teeth from shifting.
Full Dentures
Full dentures are removable, custom-made replacements for all missing upper, lower, or both jaw teeth, restoring function and appearance.
Maryland Bridge
A Maryland bridge replaces missing front teeth using bonded wings, offering a long-term solution without drilling adjacent natural teeth.
Root Canal Treatment:
Root canal treatment (endodontic treatment) is a procedure used to save a tooth when the pulp (the soft tissue containing nerves and blood vessels inside the tooth) becomes infected or badly inflamed.
Fibre Bonded Bridge
A minimally invasive, single-visit tooth replacement option requiring no drilling, used as a conservative or temporary replacement solution.
Patient Stories
Smiles that speak for themselves
Book Your Consultation
Start Your Best Smile here.
- First floor, 36-38, Flat 1 Broadway House, The Broadway, London NW7 3LJ, United Kingdom
- +44 20 8959 2497
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