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Peer-reviewedCC BY-NC-ND 4.0Journal of Esthetic and Restorative Dentistry

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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BibTeX
@article{cournault2026partial,
  title = {{Partial Mock‐Up–Guided Rehabilitation of Severe Tooth Wear: A Clinical Technique}},
  author = {Bérangère Cournault and Tatiana Roman and Xavier van Bellinghen and Olivier Etienne},
  journal = {Journal of Esthetic and Restorative Dentistry},
  year = {2026},
  month = sep,
  doi = {10.1111/jerd.70272},
  url = {https://hal.science/hal-05850554v1},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Partial Mock‐Up–Guided Rehabilitation of Severe Tooth Wear: A Clinical Technique
AU  - Bérangère Cournault
AU  - Tatiana Roman
AU  - Xavier van Bellinghen
AU  - Olivier Etienne
PY  - 2026
DA  - 2026/09/19
JO  - Journal of Esthetic and Restorative Dentistry
DO  - 10.1111/jerd.70272
UR  - https://hal.science/hal-05850554v1
AB  - 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.
SN  - 1496-4155
SN  - 1708-8240
ER  -