Occlusal disease is the most common destructive dental disorder, leading to a myriad of potentially worsening problems.The solutions to these problems only become more complicated as the destructive nature of occlusal disease progresses. For the dental practitioner, this poses a diagnostic and treatment planning challenge. If our treatment goal is to correct all of the functional problems of our patients, satisfy their esthetic concerns, and do so with the least amount of dentistry, then knowing when and how to treat is of utmost importance. Early intervention can prevent the worsening of preventable problems and allow for more conservative treatment. The comprehensive examination and identification of signs of instability is paramount to this process. The following case illustrates this dilemma.
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