Summary

Restoring extremely abraded dentition is considered as one of the most demanding and time consuming clinical challenges. Patients are often unaware of the complexity of these treatment plans and are usually reluctant to accept major prosthetic interventions. Proper coordination of the clinicians involved in the treatment plan is essential and saves valuable clinical time. This clinical report describes thoroughly a complicated treatment plan that involves periodontic and endodontic treatment, dental implants, orthodontic extrusion and a full-mouth rehabilitation with a combination of all-ceramic and metal-ceramic restorations. In this case report the role of temporary restorations in increased VDO is emphasized and with an extended discussion on clinical steps.

Keywords:Abraded dentition; VDO; Bruxism; Metal-ceramic; All-ceramic

Abbreviations: TMJ: Temporomandibular Joint; VDO: Vertical Dimension of Occlusion; RPD: Removable Partial Denture