Figs. 16a-o Once all the build-ups were completed, a rubber dam was placed from teeth #4-#13-premolar to premolar. Cut back was completed on teeth #5-#12. Tints were placed on teeth for translucency and characteristics. Gray and violet tints from Cosmedent were used on the incisal edge of the teeth. Pink opaque tint from Cosmedent was used to create a halo eff ect on the incisal edge. Tokuyama Estelite composite shade BL2 was used to build up incisal lobes. Cosmedent microfi ll composite in incisal light was used as a fi nal layer on all teeth because a microfi ll would have better polish ability and would hold the polish better over time. Secondary and tertiary anatomy were created on the anterior teeth using a red-striped fl ame-shaped bur. Clinician's Choice A.S.A.P. dental polishers were used to polish composites. A leaf gauge was used to equilibrate the bite. We had the patient bite on the leaf gauge until the posterior teeth touched and slowly decreased the amount of leaves on the gauge until the bite was balanced (Fig. 17a-17g). A leaf gauge was used to open the bite before it was scanned. Th e STL fi le was exported to Exocad. A nightguard for the upper arch was designed and printed with SprintRay Flex resin. Predicted occurrences: As we do a treatment, we always want to lower any potential risks. I would predict that the patient is still a high biomechanical risk due to his diet, which is causing erosion. He is still at a high functional risk due to his parafunctional habit. Th e composite can fracture and recurrent caries are possible. When this is the case, the composite can easily be repaired or transitioned DECEMBER 2024 | 40 | DENTALTOWN.COMhttp://www.DENTALTOWN.COM