Full mouth rehabilitation of natural dentition that is worn severely with pseudo maintenance of vertical dimensions of occlusion pose challenge in diagnosis and need to be identified for treatment varies with different conditions of vertical dimension alterations. As more number of patients turn up in a dental clinic seeking treatment for their grossly non carious destroyed dentitions, this case of a 58 year old patient presents a case of a full mouth rehabilitation with metal-ceramic crowns where existing vertical dimensions were not altered since one sided palatal incline of canine was untouched by wear and it was thus easy to reestablish the previous anterior guidance. The article also highlights the issue of occupational stress among bureaucrats in developing nations like India. 

Keywords: occlusion, metal - ceramic, retainer, attrition, occupational stress.

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Khurshid A Mattoo

Assistant Professor, Department of Prosthodontics, College of Dentistry, Jazan University, (KSA)