Innovative Staged Treatment of a Dentition Worn From the Effects of GERD and Occlusal Dysfunction.

Often patients adapt to a decline in their oral condition over time and choose to live in discomfort, and sometimes pain, until it becomes intolerable. Ongoing parafunctional habits and other disease conditions may contribute to and exacerbate the problems. This case report illustrates an innovative approach to a full-mouth rehabilitation by staging complex treatment planning in the restoration of teeth severely damaged by the effects of gastroesophageal reflux disease compounded by clenching. Occlusal landmarks were identified and maintained, which allowed for both case completion and accommodation of the patient's travel commitments. The successful outcome resulted in a grateful patient who could chew comfortably with a stable occlusion and a pleasing, confident smile.