Tooth wear occurs as a natural process during lifetime. In some cases tooth wear is severe. Most patients with severe tooth wear are unaware of its severity and the consequences of delayed treatment. In such cases, the role of the clinician is essential for proper treatment.

For the therapeutic management of patients with tooth wear, the extent of tooth wear, the dental and periodontal condition, the vertical dimension of occlusion, the need to increase the vertical dimension, the extent of the increase in vertical dimension, the etiology of tooth wear and the patient’s habits and expectations are important for treatment selection. Minimally invasive techniques are often selected for the management of tooth wear, though there are certain tooth wear cases that necessitate management with more invasive treatment approach incorporating fi xed dental prostheses. Alternative treatment options should be presented to the patient and the clinician should help the patient select the proper treatment. It should be taken into consideration that certain treatment approaches are more demanding and time consuming.

The aim of the present case report was to analyze the therapeutic management of a patient presenting generalized severe tooth wear in the mandibular dentition, following basic prosthodontic principles. The treatment included fi xed dental prostheses, posts and increase of the vertical dimension of occlusion.