The 28 year old patient came into our office complaining of tooth sensitivity. When doing the anamnesis, she denied any history of dental or facial trauma. But she declared that she has been eating lemons 2 times a day for the past 12 years. On examination, we found no TMJ, muscle or periodontal problems. As part of our protocol, we requested a panoramic x-ray and did facial and dental photos, on which we discussed the dental problems with the patient. Although her only chief complaint was tooth sensitivity, after seeing the facial photos she realized that  her issues are also related to esthetics. We performed the esthetic analysis described by Dr. Mauro Fradeani, and  what draw out attention the most was the reversed smile line due to altered tooth proportions. Apart from various carious lesions, old composites and one failing endo treatment, what we discovered were wear facetes on the occlusal surface of all posterior teeth and incisal margins of incisors, and extensive loss of tooth structure on the buccal side of upper incisors. The occlusal exam revealed a class I canine and molar relationship in  MIP. After 20 minutes of anterior deprogramming and bimanual manipulation in CR, the … Continue reading Full mouth non-prep adhesive rehabilitation for erosion and attrition – The award “Excellence in Prosthodontics” 2017 winning case