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This presentation covers the importance of a differential diagnosis for the worn dentition. The speakers highlight in a step-by-step approach how to diagnose, treatment plan and sequence esthetic rehabilitation of patients with severe worn dentition. Including smile design, shell technique for fabrication of full arch provisional, all ceramic system selection based on functional needs, adhesive system selection, and bonding sequence, with a focus on occlusal management in order to minimize porcelain fractures and complications.