Acknowledgment
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Conclusion
In this case, the occlusion was established using provisional restorations over several months, and the provisionals served as a template for the final restorations. The shallow anterior guidance resulting from opening the vertical dimension helped protect the patient's dentition against his parafunction, and the centric relation position stabilized his TM joints, which made his muscles comfortable. The anterior teeth were hollow ground to give him room for his parafunction as part of the final adjustments, for a long centric. Ultimately, a nightguard will protect him against his nocturnal parafunction.
The overall transformation for the patient was astounding. His mouth was rejuvenated with modern metal-free restoration that "seemingly grow from the gums" (his words). After 6 months, he said he smiles more and shows his teeth to everyone. He has become a passionate emissary for modern dental technology (Figures 19 and 20).