case_images: PMC10928413_01
case_images: Right buccal view of the worn teeth showing lack of occlusal compensation.
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case_images: This case report was prepared using the CARE guidelines described by Gagnier et al. which provides a 13-item checklist to improve reporting of case reports in the medical literature.    A 46-year-old Indo-Trinidadian male agriculturist, of South Asian descent, presented to a clinic of a dental teaching hospital with two main complaints of pain associated with tooth 1.1 and his enamel wearing away on several teeth, which started only three years previously ( Figure 1). There were moderate to severe erosive lesions involving the cervical to middle thirds of the facial surfaces of teeth 1.4, 1.3, 1.2, 1.1, and 2.1 ( Figure 1). Teeth 4.2, 4.3, 4.4, and 4.5 showed tooth surface loss from the cervical third of these teeth towards the middle third, with tooth 29 having the entire facial surface of the tooth involved ( Figure 1).
case_images: Maxillary view showing pronounced occlusal cupping on the right quadrants.
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case_images: Cupped-out erosive lesions were noted on the occlusal surface of mandibular and maxillary molars and the premolars ( Figure 2, Figure 4). Interestingly the premolars and molars on the upper left side showed only mild occlusal cupping ( Figure 2). Additionally, the palatal surfaces of teeth 6 and 11 showed evidence of intrinsic erosion ( Figure 2).
case_images: Anterior view of the worn teeth showing facial notching.
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case_images: Following this same pattern, milder wear was noted on the facial aspect of teeth 2.2 and 2.3 with two to three striations noted horizontally across the facial surface ( Figure 3).
case_images: Mandibular view showing pronounced occlusal cupping on all remaining teeth and carious lesions on the lower right.
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case_images: f4
case_images: Cupped-out erosive lesions were noted on the occlusal surface of mandibular and maxillary molars and the premolars ( Figure 2, Figure 4). Cupping was noted on the incisal edges of the lower incisors ( Figure 4).
case_images: Bitewing radiographs confirming proximal caries.
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case_images: f5
case_images: Proximal caries was noted clinically and on bitewing radiographs of several teeth on both the upper and lower arches ( Figure 5).