PMC4137695_01
Appearance at presentation.
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A 51-year-old fit and healthy Nigerian male engineer presented himself to the emergency department of King's College Dental Institute complaining of a left-sided jaw ache, an "uneven bite," and being unhappy with the appearance of his front teeth (Figure 1).
Photograph of the scissors bite. Note the reduction in height of the lower anterior teeth.
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The patient had a class one incisal relationship with a right sided scissors bite. (Figure 2), and the UR6 and UR7 were partially overerupted.
Marked tooth surface loss affecting the upper incisors and left posterior teeth only.
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Marked tooth wear was evident on the upper and lower incisors and left-sided posterior teeth only (Figure 3).
Full mouth OPT.
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A full mouth OPT (Figure 5) was taken to assess any condylar abnormalities and to exclude any dental pathology.
Posterior teeth being used to grind and chew the tablets.
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The teeth were initially cleaned with pumice and water, etched with 37% phosphoric acid and then restored with direct composite resin (Gradia, Belgium) shades B2 and B3 to replace the lost tooth tissue (Figure 6).