Esthetical and Functional Rehabilitation of Severely Worn out Dentition: A Case Report

Abstract

Restoring occlusion in patients with severely worn dentition presents a significant challenge, as each case is unique and requires a tailored approach. Setting clear and achievable goal is the foundation for any successful full-mouth rehabilitation. Severe tooth wear is commonly observed in patients whose teeth have been subjected to prolonged functional interference and in most of the cases, these patients have faced a complete collapse of their occlusion, leading to the need for restoration of occlusal harmony. As age advances, the occlusal surfaces of teeth inevitably degrade and excessive wear can lead to a range of complications, like pulpal damage, occlusal instability, functional limitations of teeth, and aesthetic concerns. Advancements in dental technology, materials, and equipments have made it easier for clinicians to restore and rehabilitate damaged dentition. With these innovations, Practitioners are now better equipped to diagnose and restore the function of the dentition. Achieving optimal oral health should be the primary goal of all rehabilitation efforts. Maintaining a healthy stomatognathic system is essential for long-term success of the treatment. This case report describes a complete oral rehabilitation of severely worn-out dentition to restore the lost vertical dimension and achieving functional and esthetical harmony with porcelain fused to metal restorations.