scholarly journals The Law of Minimum Vertical Dimension: Evidence for Improvement of Dental Occlusion

2021 ◽  
Author(s):  
Silvana Silveira ◽  
Patricia Valerio ◽  
Almiro J. Machado Júnior
Keyword(s):  
Vertical Dimension ◽  
Occlusal Plane ◽  
Dental Occlusion ◽  
Predisposing Factor ◽  
Temporomandibular Joint Dysfunction ◽  
Occlusal Contact ◽  
Scientific Databases ◽  
Centric Relation ◽  
The Law ◽  
Based Medicine

AbstractThe law of minimum vertical dimension (MVD) states that “when the mandible moves to reach the maximum intercuspal position, this always involves bringing the mandible and maxilla as close together as possible.” Therefore, after the first occlusal contact is made, the MIP will be reached through reduction of the vertical dimension. Our objective of this study, through an integrative review of the literature review, was to determine whether ignoring this law is a factor that contributes to malocclusion, temporomandibular joint dysfunction, and recurrences of functional orthodontic and orthopedic treatments.We conducted a search of the literature in five of the main electronic scientific databases. The following medical subject heading terms were used in our search: centric relation, dental occlusion, malocclusion, vertical dimension, and mastication. We cross-referenced the descriptors in the following four groups: centric relation and maximum intercuspation; occlusal plane and malocclusion; neuro-occlusal rehabilitation; and vertical dimension and unilateral chewing. From this, we selected 277 potentially eligible articles. Out of these, 209 were excluded in accordance with the exclusion criteria already described. Thus, 65 studies were included in the qualitative synthesis.The articles were also classified according to their impact factor and degree of recommendation, in conformity with the table of the Oxford Centre for Evidence-Based Medicine. The scientific interest in the scope of the articles was also assessed by using three charts developed according to year and country of publication and the percentage of publication. Unilateral chewing creates a vicious cycle of damage that leads to an ever-increasing masticatory deficiency. Most of the articles chosen for this review confirmed that noncompliance with law of MVD was a predisposing factor in cases of relapse, in functional orthodontic and orthopedic treatments, as well as a causal factor in malocclusion and in functional and morphological TMJ dysfunctions.

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.

Understanding Posturo-Occlusal Interrelationships by Combining Digital Occlusal and Posture Diagnostic Technologies

2020 ◽  
pp. 1175-1242
Author(s):  
Patrick Girouard, DMD MS
Keyword(s):  
Contact Force ◽  
Positional Information ◽  
Body Posture ◽  
Whole Body ◽  
Dental Occlusion ◽  
Occlusal Contact ◽  
Research Software ◽  
Stomatognathic System ◽  
Combined Use ◽  
Mapping Technology

The nature of the interrelationship between whole body posture and the quality of the dental occlusion has not yet to date been clearly documented within the dental or posture literature, as the findings of published studies within both fields have been scarce and inconclusive. The combined use of digital diagnostic occlusal and postural assessment technologies has not been widely employed in these research projects, which has mired both fields' ability to study, to understand, and to clearly ascertain how posture and dental occlusion affect each other physiologically. As such, the specific aims of this chapter are to outline how posture and dental occlusion interrelate through the stomatognathic system's afferent neural inputs into the central nervous system (CNS), which communicate important occlusal contact force distribution information, and equally as important, mandibular spatial positional information within the posture and balance regions of the brain. The concept that the dental occlusion is a capteur for posture (which in English means, a sensor of posture health), is further explored with the inclusion of three differing clinical posturo-occlusal cases, diagnosed and treated with the combined use of the T-Scan 9 computerized occlusal analysis technology, the MatScan/MobileMat foot pressure mapping technology, and the Footmat Research software version 7.10. These presented clinical cases illustrate that improved right-to-left occlusal contact force balance, and improved center of force location within the dental arches, improve a number of measurable sway parameters. Together, the implementation of the T-Scan and the MatScan exquisitely demonstrate to the clinician the significance of the physiologic interrelationship between body posture and the dental occlusion. The presented cases emphasize there exists a whole-body concept that depends upon a variety of differing systems, whereby changes in the dental occlusion produce a phenomenon of bio-functional neuro-reprogramming for the stomatognathic system and the whole body.

scholarly journals Consequences of Dental Occlusion Enhancement by Means of Metal Crowns on the Animal Model

2019 ◽  
Vol 69 (12) ◽  
pp. 3517-3519
Author(s):  
Ana Ispas ◽  
Antarinia Craciun ◽  
Liana Lascu ◽  
Marcela Elisabeta Barbinta Patrascu ◽  
Mariana Constantiniuc
Keyword(s):  
Oxidative Stress ◽  
Animal Model ◽  
Free Radicals ◽  
Wistar Rats ◽  
Vertical Dimension ◽  
Dental Occlusion ◽  
Control Group ◽  
Experimental Group ◽  
Plasma Malondialdehyde

The purpose of this study was to determine whether there is a correlation between induced occlusal trauma and the occurrence of oxidative stress in the hippocampus. Twenty Wistar rats were randomized into three experimental groups and one control group. Animals in the experimental group were cemented modified crowns on molars to induce occlusal trauma in 7, 14 and 30 days. To evaluate the oxidative stress, blood was drawn from the hippocampus at 7, 14 and 30 day intervals. Oxidative stress was evaluated using the following specific tests: determination of plasma malondialdehyde and serum glutathione values. The results of the study demonstrate that malocclusion experienced by raising the vertical dimension in rats resulted in significant reductions in antioxidants and increase level of free radicals.

scholarly journals Use of occlusal digital splint for treating the patients with temporomandibular joint dysfunction and planning orthopedic treatment

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Mikhail A. Postnikov ◽  
Dmitry A. Trunin ◽  
Aleksandr M. Nesterov ◽  
Mukatdes I. Sadykov ◽  
Vladimir P. Potapov ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Analogue Scale ◽  
Original Method ◽  
Orthopedic Treatment ◽  
Temporomandibular Joint Dysfunction ◽  
Occlusal Contact ◽  
Study Results ◽  
Mandibular Position ◽  
Pre Treatment ◽  
Mandibular Movements

Objective of the study: to develop and assess the occlusal digital splint for treating patients with temporomandibular joint dysfunction (TMJD). Material and Methods — 17 patients between the ages of 30 and 49 diagnosed with TMJD were admitted for treatment. To normalize mandibular position, an occlusal digital splint for all patients was manufactured in accordance with our original method. An intensity of pain sensations in all patients prior to, and after, the treatment was assessed by a visual analogue scale, along with the changes in the mandibular movements’ amplitude, and the signs of splint wear and stability of occlusal contacts. Results — Patients have adapted themselves well to the splint and found it convenient in use. The study results showed that it was sufficiently effective in treatment of TMJD. Reduction in pain intensity and restoration of mandibular movements’ amplitude were detected with certainty. Only in 2 (11.7%) cases, the signs of wear on the splint were found, as evidenced by the changes in pre-treatment occlusal contacts. In all other cases throughout the study, a stable occlusal contact has been encountered. Conclusion — Our results indicated that proposed occlusal digital splint may be considered as a treatment option for the patients with TMJ disorders.

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