scholarly journals Estimation of Vertical Dimension of Occlusion in Edentuleous Patients Using Cephalometric Analysis

2017 ◽  
Vol 05 (01) ◽  
pp. 030-038
Author(s):  
Ritu Batra ◽  
Sanjay Kalra ◽  
Ajay Bansal ◽  
Siddharth Nerula ◽  
Rajat Dang
Keyword(s):  
Diagnostic Tool ◽  
Treatment Modality ◽  
Complete Denture ◽  
Vertical Dimension ◽  
Cephalometric Analysis ◽  
Complete Dentures ◽  
Functional Rehabilitation ◽  
Non Invasive ◽  
Facial Height ◽  
Supporting Structures

Abstract“The best of friends fall out with time and so do teeth.”Thus, there is a need to replace the lost teeth and the supporting structures for the patient's social demands and functional rehabilitation. Prosthetic treatment with complete dentures is a very common treatment modality; the biggest challenge in its fabrication is to duplicate the normal vertical dimension. Failure can be avoided by completing the treatment without changing the vertical dimension and obtaining an optimal facial proportion. There are many methods to record VD. Radiographic cephalometry has been used as a diagnostic tool in Prosthodontics for over five decades and numerous authors, like Ricketts (1981), McNamara (1984) and Slavicek (1984) developed and computerized these techniques to co-relate and record VD in patients. However cephalometric analysis can help to visualize skeletal and facial proportion relation. The present study was done to use the lateral radiographs with cephalometric analysis, as it could be a simple, non-technique sensitive, non-invasive and atraumatic way to determine VD for complete denture patients and also to compare physiologic methods (swallowing/phonetics) with cephalometric method to record lower facial height.

scholarly journals Computerized cephalometric evaluation of changes following treatment with complete dentures

2012 ◽  
Vol 65 (3-4) ◽  
pp. 163-167
Author(s):  
Ljiljana Strajnic ◽  
Branka Miskovic
Keyword(s):  
Longitudinal Analysis ◽  
Computer Software ◽  
Complete Denture ◽  
Cephalometric Analysis ◽  
Complete Dentures ◽  
Longitudinal Evaluation ◽  
Facial Height ◽  
Cephalometric Radiograph ◽  
Edentulous Patients ◽  
Diagnostics And Therapy

The aim of this study was to provide longitudinal evaluation of the changes after complete dentures therapy and the rate of residual ridge resorption through a six-year period of denture wearing. The authors presented the case of a 76-year-old patient, edentulous for twelve years, wearing complete dentures for six years, with the eugnat jaw relationship. Cephalometric radiograph was carried out in the process of new complete denture production, while the evaluation was carried out after six years. Cephalometric analysis was performed by using ?Dr. Ceph? computer software (FYI Technologies, GA, USA). After six years, the reduction of anterior total facial height was 5.5 mm and the anterior lower facial height was 5.5 mm, the vertical residual ridge reduction of the maxilla was 1.4 mm and the reduction of the mandible was 3mm. The study confirms the reliability and advantages of cephalometric analyses and reveals their application possibilities in prosthetic diagnostics and therapy, as well as in evaluation of rehabilitative results in edentulous patients and longitudinal analysis of changes on the orofacial complex tissues and intemaxillary relationships.

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.

scholarly journals Comparison of vertical dimension of occlusion on edentulous and dentulous patients

2004 ◽  
Vol 51 (1) ◽  
pp. 7-11
Author(s):  
Ljiljana Strajnic
Keyword(s):  
Vertical Dimension ◽  
Class I ◽  
Control Group ◽  
Cephalometric Analysis ◽  
Complete Dentures ◽  
Skeletal Class ◽  
Clinical Methods ◽  
Natural Teeth ◽  
Edentulous Patients ◽  
Experimental Group

One of the existing methods for analysis of the vertical dimension of occlusion or occlusal face height is the cephalometric analysis of the distance from nasion to menton (N-Me). The vertical dimension of occlusion was measured in 30 lateral cephalometric radiographs of edentulous patients (experimental group), with models of complete dentures after clinical methods of determining the vertical and horizontal intermaxillary relation and 30 lateral cephalometric radiographs of participants with natural teeth (control group). The aims of the present study were: to analyse the vertical dimension of occlusion in participants with natural teeth skeletal class I, to cephalometrically evaluate the reconstructing vertical dimension of occlusion of edentulous patients skeletal class I , to compare examined variables between individuals with natural teeth and edentulous patients. The results indicated a remarkable correlation in the vertical dimension of occlusion established initially for the edentulous patients when compared with the measurements made for dentulous patients. The results showed the vertical dimension of occlusion span a range between 106,7 - 138 mm (X _ =122,24) in subjects with natural teeth. In edentulous patients the values of vertical dimension of occlusion span ranged between 109,8 - 141,6 mm (X _ =122,46). The vertical dimension of occlusion in male participans was increased in the group of persons with natural teeth as well as in edentulous patients. The results of t-test proved that there were no statistically significant differences in examined variables between persons with natural teeth and edentulous patients (p>0,01).

TOOTH SUPPORTED OVER DENTURE - AN APPROACH TO PREVENTIVE PROSTHODONTIC: A CASE REPORT

2011 ◽  
Vol 3 (2) ◽  
pp. 31-33
Author(s):  
Manasali Bheema Setty ◽  
Nadiger K. Ramesh ◽  
Shaik A Saquib
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
Treatment Modality ◽  
Sensory Feedback ◽  
Complete Denture ◽  
Alveolar Ridge ◽  
Complete Dentures ◽  
Denture Base ◽  
The Stability ◽  
Mandibular Complete Denture

ABSTRACT Over denture is favoured treatment modality for an elderly patient with few remaining teeth, because of adaptation to wearing is facilitated. Roots maintained under the denture base preserve the alveolar ridge, provide sensory feedback and improve the stability of the dentures. In comparison with complete dentures, overdentures may provide better functions. The most common problem of mandibular complete denture is retention & stability and alveolar ridge resorption; hence care must be taken to preserve it.

scholarly journals Effect of Patient’s Personality on Satisfaction with Their Present Complete Denture and after Increasing the Occlusal Vertical Dimension: A Study of Edentulous Egyptian Patients

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Shaimaa M. Fouda ◽  
Mohamed S. Al-Attar ◽  
Jorma I. Virtanen ◽  
Aune Raustia
Keyword(s):  
Personality Traits ◽  
Complete Denture ◽  
Vertical Dimension ◽  
Average Score ◽  
Eysenck Personality Questionnaire ◽  
Complete Dentures ◽  
Before And After ◽  
Occlusal Vertical Dimension ◽  
Edentulous Patients ◽  
Patients Acceptance

Complete denture wearers often find it difficult to accept a new denture. Personality traits are among the factors that possibly affect patient satisfaction with a complete denture. Our aim was to investigate the influence of patients’ personality on satisfaction with their present denture and after an increase in the occlusal vertical dimension (OVD). Sixty edentulous patients with complete dentures (22 men and 38 women, mean age 66 years, and range 50–75 years) participated in the study. The age of their complete dentures ranged from 5 to 16 years. Patients’ personalities were evaluated using the Arabic version of the Eysenck Personality Questionnaire. Their satisfaction with their dentures before and after restoration of the OVD and relining of the mandibular denture was evaluated using two questionnaires (I and II), Patients with a high score of neuroticism were less satisfied with their original dentures and after relining and an increase of OVD compared with patients with an average score in that trait. The personality trait of psychoticism was significant to patients’ acceptance of an increase in OVD; that is, patients with a high score were less satisfied with their dentures after increase of OVD than patients with an average score. It is concluded that personality traits affect patients’ acceptance of their complete dentures.

scholarly journals Changes in vertical dimension: Extraction versus non-extraction

2019 ◽  
Vol 9 (1) ◽  
pp. 19-27
Author(s):  
Khulood Alhajeri ◽  
Pratik Premjani ◽  
Ahmed Ismail ◽  
Donald Ferguson
Keyword(s):  
Orthodontic Treatment ◽  
Vertical Dimension ◽  
Cephalometric Analysis ◽  
Forward Movement ◽  
Linear Measurements ◽  
Premolar Extraction ◽  
Facial Height ◽  
Extraction Therapy ◽  
Lateral Cephalograms ◽  
Vertical Changes

Introduction: To evaluate and compare the vertical changes in patients treated orthodontically with or without different patterns of premolars extraction. Materials & Method: The lateral cephalograms of 112 orthodontically treated patients were categorized into four groups of 28 each based upon extraction strategy. Cephalometric analysis comprised of 3 angular and 8 linear measurements were used to analyze vertical changes from pre- to post treatment. Result: Active orthodontic treatment with or without various premolar extraction therapies led to a statistically significantly increase in the anterior facial height. Second premolar extraction resulted in significantly greater forward movement of the maxillary and mandibular first molars compared to non-extraction therapy. Conclusion: Active orthodontic treatment resulted in no significant changed in maxillary to mandibular (MM) angle with or without extraction therapy.

scholarly journals Cephalometric Evaluation of the Effect of Complete Dentures on Retropharyngeal Space and Its Effect on Spirometric Values in Altered Vertical Dimension

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Prachi Gupta ◽  
Ram Thombare ◽  
A. J. Pakhan ◽  
Sameer Singhal
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Patient ◽  
Complete Denture ◽  
Vertical Dimension ◽  
Retropharyngeal Space ◽  
Complete Dentures ◽  
Obstructive Sleep ◽  
Custom Made

Role of complete dentures in reducing apnea-hypoapnea index in edentulous obstructive sleep apnea patient has shown promising results in previous studies. This study was undertaken to ascertain the role of complete denture and complete denture with slight increase in vertical dimension using custom made occlussal jig, on retropharyngeal space, posterior airway space, pharyngeal depth, and spirometric readings in comparison with those in edentulous group. Significant changes were observed in both intervention groups and thus, paving the way for doing further research for the consideration of using complete denture with modifications as an oral appliance in edentulous obstructive sleep apnea patient.

scholarly journals Reestablishment of Occlusal Vertical Dimension in Complete Denture Wearing in Two Stages

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Danny Omar Mendoza Marin ◽  
Andressa Rosa Perin Leite ◽  
Norberto Martins de Oliveira Junior ◽  
Marco Antonio Compagnoni ◽  
Ana Carolina Pero ◽  
...  
Keyword(s):  
Complete Denture ◽  
Vertical Dimension ◽  
Clinical Report ◽  
Complete Dentures ◽  
Facial Esthetics ◽  
Long Time ◽  
Occlusal Vertical Dimension ◽  
Edentulous Patients ◽  
Two Stages ◽  
Artificial Teeth

The assessment and reestablishment of the occlusal vertical dimension (OVD) are considered important factors in the treatment of complete denture wearers. The long-time use of a complete denture can result in jaw displacement due to abrasion of the artificial teeth and residual ridge resorption, causing esthetic complications. Most patients with old dentures and incorrect OVD accept reestablishment of the OVD with new complete dentures, even if they were used to their old dentures. The present clinical report describes a method of gradual reestablishment of OVD using a diagnostic acrylic splint on artificial teeth in old complete dentures before the manufacture of new complete dentures.Clinical Significance. The use of a reversible treatment for reestablishment of the OVD in old complete dentures with a diagnostic occlusal acrylic splint allows for the reestablishment of the intermaxillary relationship, providing physiological conditions of masticatory performance associated with the recovery of facial esthetics in edentulous patients.

scholarly journals A Time-saving method for Transferring Occlusal Vertical Dimension and Centric Relation of Complete Denture to a Full Arch Implant Prosthesis

2014 ◽  
Vol 15 (5) ◽  
pp. 672-675
Author(s):  
Fereidoun Parnia ◽  
Elnaz Moslehifard ◽  
Negar Motayagheni ◽  
Alireza Pournasrollah
Keyword(s):  
Complete Denture ◽  
Vertical Dimension ◽  
Clinical Report ◽  
Complete Dentures ◽  
Time Saving ◽  
Simple Method ◽  
Advantages And Disadvantages ◽  
Centric Relation ◽  
Occlusal Vertical Dimension ◽  
Implant Prosthesis

ABSTRACT Aim This clinical report describes a time-saving recording procedure for implant prosthesis. Background In implant prosthodontics, a few procedures have been suggested to record jaw relationships. Record bases with occlusion rims supported by healing abutments, or screw retained bases are the conventional methods used for mounting definitive implant casts in the articulator. Technique This article describes a simple method that enables the clinician to transfer the existing occlusal vertical dimension (OVD) and centric relation (CR) of acceptable complete denture to final fixed prostheses. Advantages and disadvantages of this procedure are also discussed. Conclusion The method described in this article reduces the chair time and is comfortable for both the patient and clinician. Clinical significance In this article, a chair side technique is presented for articulating the definitive implant casts that maintains the established OVD and CR of the patient's existing complete dentures. How to cite this article Parnia F, Moslehifard E, Motayagheni N, Pournasrollah A. A Time-saving method for Transferring Occlusal Vertical Dimension and Centric Relation of Complete Denture to a Full Arch Implant Prosthesis. J Contemp Dent Pract 2014;15(5):672-675.

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