Cephalometric analysis for accurately determining the vertical dimension: a case report

Wiro, Wahipa; Habar, Ike Damayanti

doi:10.15562/jdmfs.v2i1.458

J Dentomaxillofac Sci

2017

DOI: 10.15562/jdmfs.v2i1.458

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Cephalometric analysis for accurately determining the vertical dimension: a case report

Wahipa Wiro

Ike Damayanti Habar

Abstract: Objective:Determination of the vertical dimension of occlusion (DVO) tends to changes throughout the human life. The vertical dimensionis determined by the interocclusal point of the upper and lower teeth contact so the application is limited when the natural teet was missing. Methods:A 50 year old female patient, partially edentulous on the upper and lower jaw with the remaining teeth were 12 (residualroot), 11, 21, 23, 33 and 43. The remaining teeth were endodontically treated prior the complete denture proc… Show more

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2024

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Myths surrounding vertical dimension of occlusion in restorative dentistry: A scoping review

Lassmann,

Calamita,

Manfredini

2024

J Esthet Restor Dent

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ObjectiveThis scoping review aims to clarify the concept of vertical dimension of occlusion (VDO) in prosthetic dentistry, addressing prevalent myths, and controversies regarding its clinical management and impact on the stomatognathic system.MethodsThis paper critically examines common beliefs about VDO alteration and its effects on temporomandibular disorders (TMD) through an extensive literature review and an international survey. The survey included 862 general dentists and prosthodontists and explored their approaches to altering VDO and their perceptions of the clinical implications. The literature review provided a thorough analysis of existing research on VDO modification techniques, the adaptability of the stomatognathic system, and the relationship between VDO changes and TMD.ResultsThe survey revealed insights into dentists' perspectives on VDO, showing that while many practitioners test a new VDO due to concerns about patient adaptation, a significant majority observed that patients typically adjust well to a new VDO regardless of the technique used. The survey highlighted differing beliefs about the need for a gradual process and trial phase for VDO alteration, as well as the stability of modified VDO. Literature review suggests the stability and adaptability of VDO changes due to muscle adaptability and indicates no direct causal or curative link between VDO changes and TMD. Traditional methods for determining VDO in complete dentures may not be suitable for worn dentition, underscoring the need for tailored approaches.ConclusionThis paper suggests that the traditional belief in the need for a prolonged trial phase for VDO alterations may be reconsidered in light of evidence supporting the adaptability of the stomatognathic system. Moreover, it emphasizes the importance of distinguishing between methods suitable for complete dentures and those for managing cases of worn dentition. The purported link between VDO alterations and TMD is also found to lack scientific evidence, highlighting the need for individualized patient care based on current evidence and clinical judgment.

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Myths surrounding vertical dimension of occlusion in restorative dentistry: A scoping review

Lassmann,

Calamita,

Manfredini

2024

J Esthet Restor Dent

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The “Smile Design and Space” Concept for Altering Vertical Dimension of Occlusion and Esthetic Restorative Material Selection

Lassmann,

Calamita,

Blatz

2024

J Esthet Restor Dent

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ObjectiveThis article introduces the smile design and space (SDS) concept for managing the vertical dimension of occlusion (VDO) in full‐mouth reconstructions and its influence on the selection of esthetic restorative materials. Limitations of traditional VDO adjustment methods are being addressed through a facially driven treatment approach that enhances esthetics improves function and minimizes invasiveness.Clinical ConsiderationsThe SDS concept involves detailed evaluations of the incisal edges of the maxillary central incisors in relation to the upper lip at rest and at full smile. This includes analyzing variations in incisal exposure due to differing lip mobility, which can significantly impact gingival esthetics, particularly in cases with gingival exposure during smiling. The concept employs a strategic formula to determine the necessary alterations in VDO based on specific dental relationships and wear patterns.ConclusionsThe SDS concept provides guidelines for full‐mouth reconstructions, emphasizing minimal invasiveness and the integration of esthetics with functional dynamics to enhance the predictability of clinical outcomes and reduce complications associated with traditional restoration techniques.Clinical SignificanceThe SDS concept enhances the precision of full‐mouth reconstructions through individualized adjustment of the VDO, tailored to the esthetic and functional requirements of each patient.

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Cephalometric analysis for accurately determining the vertical dimension: a case report

Cited by 2 publications

References 2 publications

Myths surrounding vertical dimension of occlusion in restorative dentistry: A scoping review

Myths surrounding vertical dimension of occlusion in restorative dentistry: A scoping review

The “Smile Design and Space” Concept for Altering Vertical Dimension of Occlusion and Esthetic Restorative Material Selection

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