One of the most difficult and mismanaged of all dental treatment results in the esthetic reconstruction of complex wear cases. Many mechanical factors must be respected for a restoration to survive the rigors of chewing, clenching and grinding. Occasionally this can be managed with proper understanding of jaw mechanics and restored directly, but often other disciplines are required to improve the mechanical situation before treatment.

This case required orthodontics to level gum-line and help In improvident the posterior x-bite and bite mechanics.