show your work Ceramic is not dead and occlusion is important by Dr Christopher Leech Christopher Leech is a partner at the award winning Clear Dentistry (www.cleardentistry. co.uk) and on the board of directors for the British Academy of Cosmetic Dentistry (www.bacd.co.uk). If you are interested in developing your skills then please see the full BACD Academic Calendar Chris presents a case detailing the importance of a comprehensive pre-operative assessment and careful execution of a previously failing cosmetic case. Introduction Th is pleasant patient came to see me following a friend's recommendation as she had previously had two sets of veneers elsewhere that were not getting her the result she wanted. The first thing we had to ascertain was why the restorations were failing and why this had happened more than once. On examination, the ceramic seemed to be breaking away in sections from the teeth leading to concerns over the bonding process and perhaps, the fabrication of the veneers themselves. Also, in the absence of any habits putting undue stress on the restorations, the occlusion needed to be assessed. The BACD offers it members a fantastic assessment document that I often utilise and would thoroughly recommend to ensure a comprehensive assessment of patients. The occlusal clinical photographs highlight the signs of incisal edge wear on both the upper and lower arches. These seem to have an erosive nature as well due to the cupping of the wear lesions and there were interferences in excursions also. Fig 1 Fig 2 Fig 3 dentaltownuk.com \\ MAY 2018 11https://www.cleardentistry.co.uk https://bacd.com/meetings http://www.dentaltownuk.com