scholarly journals Cephalometric Approach to the Occlusal Vertical Dimension Reestablishment

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
João César Zielak ◽  
David Gulin Neto ◽  
Leonardo Fernandes da Cunha ◽  
Tatiana Miranda Deliberador ◽  
Allan Fernando Giovanini
Keyword(s):  
Case Report ◽  
Vertical Dimension ◽  
Clinical Implications ◽  
Cephalometric Analysis ◽  
Oral Rehabilitation ◽  
Individual Pattern ◽  
The Face ◽  
Occlusal Vertical Dimension ◽  
Facial Proportions ◽  
Edentulous Patients

The occlusal vertical dimension (OVD) refers to the length of the face as determined by the amount of separation of the jaws. Its determination is important for the manufacture of restorations. However, defining the correct occlusal vertical dimension for edentulous patients is one of the most important steps for function and esthetics rehabilitation. Cephalometry is a standardized method of assessing dental and facial proportions and their interrelation. Additionally, cephalometric analysis of the facial vertical dimension can establish an individual pattern for each patient. This analysis should become a permanent part of each patient’s record. Hence, this study presented a case report with the use of cephalometry as an auxiliary tool in the rehabilitation of OVD. Clinical relevance showed that cephalometric analysis can be an accurate and convenient instrument to treatment planning and prognostic of oral rehabilitation. The reader should understand the clinical implications of using cephalometry as a tool in the rehabilitation of OVD.

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

2017 ◽  
Vol 2 (1) ◽  
pp. 52
Author(s):  
Wahipa Wiro ◽  
Ike D. Habar
Keyword(s):  
Case Report ◽  
Bone Growth ◽  
Human Life ◽  
Vertical Dimension ◽  
Cephalometric Analysis ◽  
Stomatognathic System ◽  
Orofacial Region ◽  
Natural Teeth ◽  
Growth Changes ◽  
Edentulous Patients

Objective : Determination of the vertical dimension of occlusion (DVO) tends to changes throughout the human life. The vertical dimension is determined by the interocclusal point of the upper and lower teeth contact so the application is limited when the natural teeth was missing. As the result, many functional and aesthetic changes are occurred in the whole orofacial region and stomatognathic system. DVO is one of the difficult stages in prosthodontic treatment. Most of the techniques to determine DVO in edentulous patients are based on the soft tissue references, which can cause the different measurements. Cephalometric analysis allows the evaluation of bone growth changes and can be used as a diagnostic tool in prosthodontics to evaluate the results of prosthodontic rehabilitation.Methods : The purpose of this case report was to find out the results of the vertical dimension of occlusion measurements in maxillomandibular relation by using cephalometric photo in patients who have been long lost their teeth and have never been using denture.Results : A 50 year old female patient, partially edentulous on the upper and lower jaw with the remaining teeth were 12 (residual root), 11,21,23,33 and 43. The remaining teeth were endodontically treated prior the complete denture procedure. Cephalometric photo was done in patients after making bite rim, upper and lower bite rim were given metal marker, the image was traced, then measured between metal to get the vertical dimension of occlusion.Conclusion : The measurement results of the vertical dimension of occlusion by using cephalometric photo on making full denture were more accurate, so it could improve and restore the masticatory function, aesthetic function and phonetics.

scholarly journals Determination of the Vertical Dimension and the Position of the Occlusal Plane in a Removable Prosthesis Using Cephalometric Analysis and Golden Proportion

2021 ◽  
Vol 11 (15) ◽  
pp. 6948
Author(s):  
Gabriele Cervino ◽  
Sergio Sambataro ◽  
Chiara Stumpo ◽  
Salvatore Bocchieri ◽  
Fausto Murabito ◽  
...  
Keyword(s):  
Vertical Dimension ◽  
Occlusal Plane ◽  
X Rays ◽  
Common Procedure ◽  
Lower Incisor ◽  
Golden Proportion ◽  
The Face ◽  
Removable Prosthesis ◽  
Edentulous Patients

The aim of this study is to demonstrate the use and the effectiveness of cephalometry and golden proportions analysis of the face in planning prosthetic treatments in totally edentulous patients. In order to apply this method, latero-lateral and posterior-anterior X-rays must be performed in addition to the common procedure. Two main concerns for totally edentulous patients are the establishment of the vertical dimension and the new position of the occlusal plane. The divine proportion analysis was carried out by the use of a golden divider. The prosthetic protocol was divided into three steps and a case was selected for better understanding. Referring to the golden relations, if the distance from the chin to the wing of the nose is 1.0, the distance from the nose to eye is 0.618. This proportion is useful and effective in determining the correct prosthetic vertical dimension. The incisal margin of the lower incisor must be positioned between Point A (A) and protuberance menti (Pm) according to the gold ratio 0.618 of the total height A-Pm. Posteriorly the occlusal plane must be placed 2 mm below the divine occlusal plane (traced from the incisal margin of lower incisors to Xi point). A prosthesis made in accordance with cephalometric parameters and divine proportions of the face helps to improve the patient’s aesthetics, function and social personality.

Management of Localized Anterior Tooth Wear Using a Modified Sandwich Technique and the Dahl Concept: A Case Report

2022 ◽  
Author(s):  
TW Lim ◽  
J Roffie
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Tooth Wear ◽  
Vertical Dimension ◽  
Anterior Tooth ◽  
Sandwich Technique ◽  
Composite Restorations ◽  
Occlusal Vertical Dimension

SUMMARY This case report illustrates a minimally invasive segmental rehabilitation of localized anterior tooth wear using a modification of the sandwich technique, a combination of indirect palatal composite veneers and direct labial composite restorations, at an increased occlusal vertical dimension (the Dahl concept).

scholarly journals Morphological and Functional Parameters in Patients with Tooth Wear before and after Treatment

2013 ◽  
Vol 7 (1) ◽  
pp. 55-61 ◽  
Author(s):  
Teresa Sierpinska ◽  
Joanna Kuc ◽  
Maria Golebiewska
Keyword(s):  
Tooth Wear ◽  
Post Treatment ◽  
Vertical Dimension ◽  
Cephalometric Analysis ◽  
Activity Levels ◽  
Facial Skeleton ◽  
Facial Aesthetics ◽  
Facial Height ◽  
Occlusal Vertical Dimension ◽  
Pre Treatment

Advanced tooth wear often results in lost vertical dimension and impacts facial aesthetics. Complex restorative treatment can replace the lost tooth structure and improve functional occlusal and facial skeleton parameters. Purpose: The aim of the study is to assess changes in the morphological and functional occlusal parameters of the facial skeleton after prosthetic rehabilitation that increased lost occlusal vertical dimension. Material and Methodology: 50 patients with advanced tooth wear were clinically examined, to assess the degree of wear. Each subject underwent cephalometric analysis, digital occlusal analysis, and electromyographic analysis, of the anterior temporalis, superficial masetter, anterior digastric, and the sternocleidomastoid muscles. Prosthodontic treatment was performed to restore the occlusal vertical dimension of each subject’s occlusion, which was followed by repeating the pretreatment analyses. Pre and post treatment parameters were statistically compared. Results: Pre-treatment cephalometric analysis showed that lost vertical dimension reduced anterior facial height and resulted in small angular skeletal parameters. Post treatment anterior facial height increased from the increased occlusal vertical dimension. The mean value of functional electrical activity during clenching post treatment, increased compared to pretreatment. Conclusion: Increasing the vertical dimension of occlusion improved facial aesthetics by positively affecting facial skeletal angles. The restored occlusal surface morphology changed the pre treatment flat broad occlusal contacts into more point contacts. The increased vertical dimension of occlusion after treatment also increased muscle activity levels over the pretreatment levels after three months period of adaptation.

scholarly journals Application of cephalometric analysis for determination of vertical dimension of occlusion: A literature review

2012 ◽  
Vol 65 (5-6) ◽  
pp. 217-222 ◽  
Author(s):  
Ljiljana Strajnic ◽  
Darinka Stanisic-Sinobad
Keyword(s):  
Precise Determination ◽  
Complete Denture ◽  
Vertical Dimension ◽  
Cephalometric Analysis ◽  
Rest Position ◽  
Clinical Methods ◽  
Extraction Period ◽  
Edentulous Patients ◽  
Clinical Determination

Introduction. Optimal reconstruction of vertical dimension of occlusion is crucial for functional and physiognomic rehabilitation of edentulous patients. This article is aimed at presenting attitudes and studies on application of cephalometric analysis in obtaining optimal vertical dimension of occlusion. The review of literature presents the studies which analyse the possibilities of cephalometric analysis aimed at improving the clinical methods for vertical dimension of occlusion determination in treatment of edentulous patients. The research carried out so far can roughly be divided into: cephalometric vertical dimension of occlusion evaluation in dentulous patients performed to determine precise indicators of vertical dimension of occlusion and to establish cephalometric standards for practical application in prosthodontics; the method of producing pre-extraction cephalometric registries involves the production of cephalometric radiographs for potential prosthodontic patients in dental pre-extraction period which are kept for reference to be used in later therapy; the cephalometric method of registering the position of physiologic rest position of the mandible involves measuring cephalometric parameters in cephalometric radiographs made when the mandible is in physiologic rest position; cephalometric evaluation of vertical dimension of occlusion in complete denture therapy after clinical determination of intemaxillary relationship is recommended for timely detection of possible mistakes, with a possibility of correction in the process of complete denture production; and cephalometric analysis in edentulous patients with old complete dentures for a planned vertical dimension of occlusion extension. Conclusion. Data from the literature give no proof of a scientific and universally accepted method for precise determination of vertical dimension of occlusion, which is a point many authors agree upon. Different methods proposed for vertical dimension of occlusion determination in everyday practice are usually recommended in combination with other methods. Determination of individual, morphological vertical dimension of occlusion indicators by cephalometric analysis is, in this sense, one of the directions for finding a better solution when planning an artificial occlusion complex.

Direct restorative treatment of anterior weared teeth after re-establishment of occlusal vertical dimension: a case report

Gerodontology ◽  
2012 ◽  
Vol 29 (4) ◽  
pp. 299-307 ◽  
Author(s):  
Maria M.C. Humel ◽  
Jessica M.F.K. Takahashi ◽  
Luis A.M.S. Paulillo ◽  
Marcelo F. Mesquita ◽  
Luis R.M. Martins
Keyword(s):  
Case Report ◽  
Vertical Dimension ◽  
Restorative Treatment ◽  
Occlusal Vertical Dimension

scholarly journals Simplifying the Treatment of Bone Atrophy in the Posterior Regions: Combination of Zygomatic and Wide-Short Implants—A Case Report with 2 Years of Follow-Up

2016 ◽  
Vol 2016 ◽  
pp. 1-7
Author(s):  
Fernanda Faot ◽  
Geninho Thomé ◽  
Amália Machado Bielemann ◽  
Caio Hermann ◽  
Ana Cláudia Moreira Melo ◽  
...  
Keyword(s):  
Case Report ◽  
Large Diameter ◽  
Immediate Loading ◽  
Oral Rehabilitation ◽  
Short Implants ◽  
Atrophic Maxilla ◽  
Zygomatic Implants ◽  
Bone Atrophy ◽  
The Face ◽  
Maxilla And Mandible

The rehabilitation of maxillary and mandibular bone atrophy represents one of the main challenges of modern oral implantology because it requires a variety of procedures, which not only differ technically, but also differ in their results. In the face of limitations such as deficiencies in the height and thickness of the alveolar structure, prosthetic rehabilitation has sought to avoid large bone reconstruction through bone grafting; this clinical behavior has become a treatment system based on evidence from clinical scientific research. In the treatment of atrophic maxilla, the use of zygomatic implants has been safely applied as a result of extreme technical rigor and mastery of this surgical skill. For cases of posterior mandibular atrophy, short implants with a large diameter and a combination of short and long implants have been recommended to improve biomechanical resistance. These surgical alternatives have demonstrated a success rate similar to that of oral rehabilitation with the placing of conventional implants, allowing the adoption of immediate loading protocol, a decrease in morbidity, simplification and speed of the treatment, and cost reduction. This case report presents complete oral rehabilitation in a patient with bilateral bone atrophy in the posterior regions of the maxilla and mandible with the goal of developing and increasing posterior occlusal stability during immediate loading.

scholarly journals An Alternative Technique for Fabrication of Frameworks in an Immediate Loading Implant Fixed Mandibular Prosthesis

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
André Gustavo Paleari ◽  
Cristina Dupim Presoto ◽  
Juliano Alencar Vasconcelos ◽  
José Maurício dos Santos Nunes Reis ◽  
Lígia Antunes Pereira Pinelli ◽  
...  
Keyword(s):  
Case Report ◽  
Immediate Loading ◽  
Safe Procedure ◽  
Alternative Technique ◽  
Oral Rehabilitation ◽  
Short Period ◽  
Passive Fit ◽  
High Predictability ◽  
Edentulous Patients ◽  
And Function

The oral rehabilitation of edentulous patients with immediate loading has become a safe procedure with high predictability. The success is related to immediate fabrication of a passive fit framework to attach the implants. Based on these considerations, this case report shows an alternative technique for mandibular rehabilitation using implants immediately loaded, where the framework was fabricated using cylinders with internal reinforcement and precast pieces, electrowelding, and conventional welding providing esthetics and function to the patient in a short period of time.

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