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.

(Complex wear case managed with age appropriate restorative treatment only). Notice there is minimal to no display of anterior teeth.