Occlusal reconstruction aims to restore the compromised dentition and rehabilitate its function; which is demanding and challenging, even to the well experienced prosthodontists. Analyzing the sophisticate clinical information gives fundamental validity to the subsequent treatment planning. In the whole process, the applied workflow should ensure the transmission of diagnostic information without compromise or error. Certain procedures predetermine the clinical outcome, and they should be given due attention. In this review, the key considerations, including analyzing the pathogenesis for the worn dentition, were briefly addressed to better understand the occlusal reconstruction.