Joe had an old porcelain fused to metal bridge that he felt was unattractive. He had a destructive bite that had caused significant wear on his front teeth. He also had receding gums. He underwent a six month course to open up his destructive bite. Using TENS and an orthotic, we were able to move bite into a comfortable position where balanced forces would protect the teeth. He received a full mouth of porcelain restorations. Sedation dentistry helped make the entire procedure more comfortable.