case_images: PMC4137695_01
case_images: Appearance at presentation.
case_images: CRID2014-485387.001.jpg
case_images: PMC4137695_01_CRID2014-485387.001.jpg
case_images: fig1
case_images: 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).
case_images: Photograph of the scissors bite. Note the reduction in height of the lower anterior teeth.
case_images: CRID2014-485387.002.jpg
case_images: PMC4137695_01_CRID2014-485387.002.jpg
case_images: fig2
case_images: The patient had a class one incisal relationship with a right sided scissors bite. (Figure 2), and the UR6 and UR7 were partially overerupted.
case_images: Marked tooth surface loss affecting the upper incisors and left posterior teeth only.
case_images: CRID2014-485387.003.jpg
case_images: PMC4137695_01_CRID2014-485387.003.jpg
case_images: fig3
case_images: Marked tooth wear was evident on the upper and lower incisors and left-sided posterior teeth only (Figure 3).
case_images: Full mouth OPT.
case_images: CRID2014-485387.005.jpg
case_images: PMC4137695_01_CRID2014-485387.005.jpg
case_images: fig5
case_images: A full mouth OPT (Figure 5) was taken to assess any condylar abnormalities and to exclude any dental pathology.
case_images: Posterior teeth being used to grind and chew the tablets.
case_images: CRID2014-485387.006.jpg
case_images: PMC4137695_01_CRID2014-485387.006.jpg
case_images: fig6
case_images: 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).