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Abstract

Dental fluorosis and occlusal wear present a restorative challenge, particularly when they coexist in posterior teeth. The present case report describes the prosthetic rehabilitation of a 34-year-old female patient who presented with sensitivity and discoloration in posterior teeth due to moderate fluorosis and generalized wear facets. Clinical evaluation revealed a reduced vertical dimension, and a treatment plan involving a combination of overlays and full-coverage crowns was devised to restore function and esthetics conservatively. Overlays were employed where enamel preservation was possible, and crowns were limited to severely affected or RCT-treated teeth. Final restorations were fabricated in monolithic zirconia and bonded using adhesive cement. Post-operative results demonstrated functional stability, esthetic satisfaction, and resolution of sensitivity. This case emphasizes the effectiveness of minimally invasive prosthodontics in managing complex conditions involving fluorosis and attrition.