A Pragmatic Approach to the Management of Severe Awake Bruxism in an Adolescent with Cerebral Palsy and Global Developmental Delay

Figure 4

(a) Intraoperative upper occlusal views of cemented of stainless-steel crown on tooth 16 and tooth 26. (b) Intraoperative lower occlusal view showing mandibular first premolars were extracted and indentation on incisal edge of fusion teeth 31 and 32 was restored with composite resin. (c) Upper occlusal view after 7-month follow-up showing intact stainless-steel crowns (SSCs) on tooth 16 and tooth 26 with evidence of attritted crown on 26. (d) Intraoral pictures focusing on tooth 26 revealed that palatal cusp of tooth 26 is severely attritted and exposing the cement of the crown after 7-month follow-up.

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