Severe dental wear patients may exhibit a multitude of challenges from aesthetics concerns, muscle or TMJ pain, lack of structural integrity, and even physical limitations. This presentation evaluates etiologies of severe wear and guides through the diagnosis, treatment planning, and restorative principles that allows for success. You will learn:

• The possible etiologies of severe wear
• How to take a simple CR record
• Why the diagnostic wax-up is so important
• Which occlusal scheme is best for predictability?
• How to evaluate VDO and angle of disclusion
• How to test the case before final restorations are placed
• Other physical considerations of severe wear such as obstructed airway
• Which type of splint to use pre and post reconstruction
• Prep design and restorative materials indications for severe wear