Partial Mock‐Up–Guided Rehabilitation of Severe Tooth Wear: A Clinical Technique

ABSTRACT Objective This article describes a staged temporary occlusal protocol for selected patients with severe tooth wear and altered mandibular closure, illustrated through a clinical case. Clinical Considerations Advanced tooth wear may be associated with a protrusive mandibular posture, reduced posterior support, and incisal‐dominant function. A structured temporary occlusal phase based on a bonded resin mock‐up can be used to progressively re‐establish posterior support while controlling anterior contacts. Clinical evaluation, combined with adjunctive functional monitoring when available, may help assess adaptation and guide refinement of the occlusal scheme before definitive treatment. Conclusions A structured temporary phase may provide a clinical option for reassessing occlusal relationships and refining the definitive rehabilitation plan in selected complex situations. Clinical Significance Temporary occlusal rehabilitation may serve as a reversible evaluative phase in the management of selected patients with severe tooth wear associated with reduced posterior support, persistent anterior contacts, and a protrusive mandibular closure pattern.

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Publication Details

Journal
Journal of Esthetic and Restorative Dentistry
Published
2026-09-19
DOI
https://doi.org/10.1111/jerd.70272
Primary Topic
Temporomandibular Joint Disorders
Type
article
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article

Partial Mock‐Up–Guided Rehabilitation of Severe Tooth Wear: A Clinical Technique

Etienne Olivier, Xavier van Bellinghen, Tatiana Roman, Bérangère Cournault
Journal of Esthetic and Restorative Dentistry
Temporomandibular Joint Disorders
article

Partial Mock‐Up–Guided Rehabilitation of Severe Tooth Wear: A Clinical Technique

Etienne Olivier, Xavier van Bellinghen, Tatiana Roman, Bérangère Cournault
article en

Abstract

ABSTRACT Objective This article describes a staged temporary occlusal protocol for selected patients with severe tooth wear and altered mandibular closure, illustrated through a clinical case. Clinical Considerations Advanced tooth wear may be associated with a protrusive mandibular posture, reduced posterior support, and incisal‐dominant function. A structured temporary occlusal phase based on a bonded resin mock‐up can be used to progressively re‐establish posterior support while controlling anterior contacts. Clinical evaluation, combined with adjunctive functional monitoring when available, may help assess adaptation and guide refinement of the occlusal scheme before definitive treatment. Conclusions A structured temporary phase may provide a clinical option for reassessing occlusal relationships and refining the definitive rehabilitation plan in selected complex situations. Clinical Significance Temporary occlusal rehabilitation may serve as a reversible evaluative phase in the management of selected patients with severe tooth wear associated with reduced posterior support, persistent anterior contacts, and a protrusive mandibular closure pattern.

Journal of Esthetic and Restorative Dentistry
Inserm (FR), Biomatériaux et Bioingénierie (FR), Université de Strasbourg (FR)
Openalex Percentile: Top 7%
Temporomandibular Joint Disorders
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Partial Mock‐Up–Guided Rehabilitation of Severe Tooth Wear: A Clinical Technique — Etienne Olivier, Xavier van Bellinghen, et al. · Journal of Esthetic and Restorative Dentistry (2026) | TGRS Research Map | TGRS