Daniel S Haley DMD, PLLC

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Daniel S Haley DMD, PLLC Patient-focused general and restorative dentistry practice in Concord NH, focusing on biomimetic dentistry. New patients always welcome!

Two pretty solid saves on a young patient. Both teeth had some serious damage but pulps were testing vital. Being able t...
08/14/2026

Two pretty solid saves on a young patient. Both teeth had some serious damage but pulps were testing vital. Being able to prevent root canals, and full coverage crowns, for someone young is so important in terms of the likely total longevity we can gain for these teeth. In this case, Ribbond fibers were placed (pic 3) to help protect the deep areas and improve the fracture toughness of the teeth.

Exposed tooth surfaces were sealed carefully - a process called IDS + resin coating (pic 4)- with gold standard adhesives. Most practices skip or try to simplify this step as it’s time consuming and takes more resources to do correctly - but it’s the most important element when it comes to sealing bacteria out and preventing post operative issues like sensitivity or continued inflammation, which can result in tooth infection and pain.

Lost structure was restored in this case with 3D printed composite-ceramic hybrid material. At this point I expect 3D printed resins to last similar to hand placed composites, but I hope to be pleasantly surprised. For an older patient the premolar would’ve been e.max ceramic as my first choice

Picture having this kind of issue on your tooth. It’s not that uncommon that a large, old metal filling is failing. Now ...
06/01/2026

Picture having this kind of issue on your tooth. It’s not that uncommon that a large, old metal filling is failing. Now imagine having your dentist whack your whole tooth down to a nub for a traditional crown in 2026. 😬 That’s a lot of irreplaceable, healthy tooth structure down a suction tube for the sake of simplicity. Not to mention the higher risk for future catastrophic failure (resulting in tooth loss) or pulp infection (requiring root canal treatment).

We have the science. We have the technology. We have the skills. We can do better by you now - Let’s keep it neat and conservative instead. This partial coverage crown (also called onlay) removes what is problematic and preserves the good stuff.

cadcamdentistry concordnh biomimeticadvancedadhesiverestorativedentistry

No such thing as “just a simple filling” - for me anyway…Every one of these are built carefully and intentionally - desi...
04/18/2026

No such thing as “just a simple filling” - for me anyway…

Every one of these are built carefully and intentionally - designed to protect the tooth and last as long as possible.

Respect for the science. Respect for the process. Respect for the patient.

concordnh biomimeticadvancedadhesiverestorativedentistry

Let’s look at this one in reverse. 1. Repaired tooth with DOBL Onlay. Milled emax. No, this one isn’t going to win any b...
01/11/2026

Let’s look at this one in reverse.
1. Repaired tooth with DOBL Onlay. Milled emax. No, this one isn’t going to win any beauty contests, but with enamel-like properties and great bonding protocols, it will keep this second molar in the patients head and functioning like a champ
2. Fiber reinforced buildup with ribbond. The bonded ceramic may be enough, but in this case I wanted extra protection for the deep fractures.
3. End of preparation. All decay is removed and fractures are reduced (but not entirely eliminated) in this example. Blue arrows indicate residual dentin fractures. I should add, I am very confident the mesial area is in good structural condition. Although it may look like there is a crack there, this is likely a craze line only. I did not observe any dentin fractures and it looked very innocent on transillumination as well
4. Removal of old restoration. Lazy doctor using the low quality camera 🥴 😅. Blue arrows indicate several deep fractures threatening the comfort and longevity of this tooth.
5. Pre treatment photo / starting point. Pretty obvious fractures on this tooth

Nice case on an amazing teenage patient post-orthodontics. Strict protocols and attention to detail as always. These typ...
12/06/2025

Nice case on an amazing teenage patient post-orthodontics. Strict protocols and attention to detail as always. These types of techniques are PARTICULARLY beneficial when helping young patients - 1. large and deep defects on younger folks can easily lead to complications like 1) need for root canal or 2) structural failures due to the increased use over time in repaired state (vs a healthy un-repaired tooth). If our strategy is corner-cutting, the frequency of restoration replacement needs will be high and this tooth will not last very long. The closer we can keep a repaired tooth to its natural, disease-free state, the better off we will be on our goal to keep teeth for life!

Gold standards - rubber dam isolation and bonding (Clearfil SE Protect). Incremental stress-reduced reconstruction

Cerec Primescan, Primemill, and CS6 oven. All the tools necessary to manufacture same-day, minimally invasive, esthetic ...
08/14/2025

Cerec Primescan, Primemill, and CS6 oven. All the tools necessary to manufacture same-day, minimally invasive, esthetic restorations. Digital dentistry is amazing!

An example of a basic everyday case. Cold-sensitive tooth with leaking and cracking old and fairly deep (gingivally and ...
07/13/2025

An example of a basic everyday case. Cold-sensitive tooth with leaking and cracking old and fairly deep (gingivally and pulpally) metal restoration. Transformed in a blue oasis. Not sensitive anymore.
Top notch protocols - only the best for our patients.

IDS + Resin coat Clearfil SE Protect + majesty flow
Restored with Edelweiss Inspiro composite
for the framing

Even well-done modern dentistry can fail. What’s important is HOW therapies fail, when we catch it, and what it costs a ...
08/29/2024

Even well-done modern dentistry can fail. What’s important is HOW therapies fail, when we catch it, and what it costs a patient. This is a great example of a failure caught early. This restoration was replaced at minimal cost - with regard to finances and tooth structure. Because we caught it early, there was no time for decay or cracks to form. This contrasts dated dental therapy methods that often result in more damaging failure modes - resulting in more lost tooth structure, higher repair costs, and higher chances of losing a tooth.

Another example of an asymptomatic cracked tooth. As much as I would’ve liked to see a tooth with a relatively small exi...
07/18/2024

Another example of an asymptomatic cracked tooth. As much as I would’ve liked to see a tooth with a relatively small existing restoration like this get another direct (filling) solution, the dentin cracks were too deep for me to feel comfortable not covering the cusps. Patient and I discussed and we ended up going with the most conservative full coverage option we could do. Decent ceramic integration - single visit dentistry

IDS and resin coat, composite cemented ceramic (kuraray clearfil se protect, majesty flow, APX; ivoclar e.max)

Teeth with large fillings, especially metal fillings that aren’t bonded, often progress to cusp fractures - as seen with...
07/09/2024

Teeth with large fillings, especially metal fillings that aren’t bonded, often progress to cusp fractures - as seen with this tooth. In fact, the broken cusp often isn’t the only part of the tooth that is damaged by fractures. In this case we had some deeper interproximal decay to address as well.

Teeth like this one are often treated with traditional full coverage crowns. Modern adhesive approaches allow us to do full occlusal coverage “crowns” that similarly protect the tooth but are much less invasive - meaning they require less total tooth structure removal. This is often referred to as a “biomimetic approach.” The aims of this approach are to use nature as a model to restore teeth. We remove only enough tooth structure for crown thickness and to address diseased tissue. The result is more preserved enamel and more dentin thickness insulating the tooth nerve. This means less post operative complications like sensitivity or root canal treatment. It also means both the tooth and the restoration can be stronger, and we can extend the restorative life cycle of the tooth, all while maintaining a natural appearance.

This case was treated in a single appointment utilizing Cerec technology with the restoration manufactured in house.

#14 crown - IDS with Clearfil SE Protect and majesty flow. Restored with bonded e.Max C1 LT - APX warm composite cement



Address

5 Chenell Drive
Concord, NH
03301

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm

Telephone

+16032244200

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