Restoration of worn-out dentition often poses a challenge to clinicians. Tooth wear can be of various types i.e. attrition, abrasion, erosion depending on its cause, or any combination of these. Treatment involves a Multidisciplinary approach and evaluation of existing teeth, occlusal, functional, and esthetic factors. The development of adhesion to hard tissues of the tooth marked a watershed moment in dentistry, ushering in a new era. Enamel and dentin are the most commonly available substrates for adhesion in restorative dentistry. Adhesive dentistry is evolving in recent times which had led to the development of Minimal invasive dentistry. It is important for clinicians to recognize the early signs of worn-out teeth and can prevent further damage to the teeth through adequate treatment. In severe worn-out dentition, treatment involves full mouth rehabilitation restoring the compromised occlusal loss and aesthetics.