Abstract: Objective To develop a protocol of fixed occlusal rehabilitation for severely worn permanent dentition. Methods Severely worn permanent dentition with no sign of tension/pain of temporomandibular joint and muscles when loading was included. On the pathway of hinge movement at centric relation position, the minimal thickness required by restoration materials was used to determine the vertical dimension of occlusion and construct intercuspal occulusion. The occlusion contact was designed by the principle of aesthetic prosthodontics and the simplified therapeutic occlusion. Results Ten patients with fixed prosthesis followed up for 1 to 5 years were satisfied with its aesthetics and function. The occlusion was stable with no occlusal interference. There were no signs of tension/pain of temporomandibular joint and muscles. The stomatognathic system was healthy and comfortable. Conclusion The easy-controlled protocol of full-dentition rehabilitation may achieve the coordination in stomatognathic system.

Key words: occlusal rehabilitation, attrition, temporomandibular joint, occlusion, vertical dimension, stomatognathic function