Planning and executing the restorative rehabilitation of a decimated occlusion is probably one of the most intellectually and technically demanding tasks facing a restorative dentist. The term "occlusal rehabilitation has been defined as the restoration of the functional integrity of the dental arches by the use of inlays, crowns, bridges and partial dentures". Occlusal rehabilitation therefore involves restoring the dentate or a partially dentate mouth. The aim is to provide an orderly pattern of occlusal contact and articulation that will optimize oral function, occlusal stability and esthetics. Occlusal adjustment by grinding may be required, as part of the rehabilitation but does not constitute rehabilitation per se. In this review occlusal rehabilitation is discussed in the context of cases where restorations are supported by natural teeth and doesn't include the restoration of the fully edentulous arch or maxillofacial defects, nor does it include the use of osseointegrated implants.