A systematic approach to full-mouth reconstruction of the severely worn dentition.

Aesthetic and functional restoration of the severely worn dentition represents a significant clinical challenge. One of the most demanding aspects of such cases involves the development of sufficient restorative space, while simultaneously fulfilling aesthetic, occlusal, and functional parameters essential to long-term success. When evaluating and diagnosing a patient with severely worn dentition, emphasis must be placed on the occlusal prematurities preventing condylar seating into the centric relation position. Success in maintaining severe wear cases depends on the development of proper anterior guidance to allow for posterior disclusion within the patient's envelope of function.