ObjectiveTo evaluate the feasibility of treating severe tooth wear through occlusal reconstruction with a fixed partial denture.MethodsOcclusal splints were used for 3 months in a patient with severe tooth wear, and the interim restorations were observed for 1 year. After a year, the dentitions were rehabilitated using a fixed partial denture to reconstruct the occlusion.ResultsAfter 2-year follow-up, the patient with severe tooth wear appeared satisfied with the prosthetic treatment outcome.ConclusionAlthough treatment of severe tooth wear through occlusal reconstruction with fixed partial denture is a complicated procedure, therapeutic effects of such procedure is better.