A severely mutilated dentition itself poses a huge challenge for specialists, right from its diagnosis, treatment planning till its treatment. Since its etiology is multifactorial, therefore it is essential for the dentist to diagnose it and treat them so that it doesn’t affect the restoration again. This case report describes a 46 year old male patient who is suffering from severe generalized attrition and reduction in vertical dimension of occlusion. Occlusal full coverage acrylic crowns were used as provisional restoration for raising the reduced occlusal vertical dimension (OVD). Once the compatibility of the new vertical dimension was confirmed, final Prosthesis of choice was Porcelain Fused to Metal (PFM) Crowns with occlusal metal coverage.