Complete rehabilitation of a patient with occlusal wear: a case report

Prosthodontic management of occlusal wear problems is a demanding task on the part of the prosthodontist. Various factors such as vertical dimension of occlusion, centric relation, occlusal contact pattern, esthetics and phonetics need to be considered simultaneously for both anterior and posterior teeth during occlusal rehabilitation. This may be further complicated by existing restorations, pulpal exposure, missing teeth and tooth sensitivity. Different philosophies have been documented for rehabilitation of such cases and the choice of the treatment plan depends on the skill and experience of the clinician. This case report gives an overview of the different philosophies used for rehabilitation of such cases and a report which utilises Hobo's twin stage technique for the same.