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 ◽  
...  

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.

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Shaimaa M. Fouda ◽  
Mohamed S. Al-Attar ◽  
Jorma I. Virtanen ◽  
Aune Raustia

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.


2014 ◽  
Vol 15 (5) ◽  
pp. 672-675
Author(s):  
Fereidoun Parnia ◽  
Elnaz Moslehifard ◽  
Negar Motayagheni ◽  
Alireza Pournasrollah

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.


2012 ◽  
Vol 69 (12) ◽  
pp. 1055-1060 ◽  
Author(s):  
Srdjan Postic

Background/Aim. Balanced occlusal arrangement of artificial teeth and balanced occlusion is a specific type of occlusion that preserves the stability of complete dentures. Balanced occlusion comprises realization of tooth contacts at the working side as well as at the balancing side, at the same time. The aim of this study was to assess the influence of balanced occlusal arrangement of artificial teeth on the decrease in reduction of edentulous alveolar ridge. Methods. A longitudinal study on 91 fully edentulous patients was conducted using their panoramic radiographs and parameters of vertical dimension of edentulous ridges. All the patients were clinically examined by the same and a qualified dental practitioner. Numerical values of parameters of vertical dimensions of edentulous ridges and lines were statistically processed and compared using the Student?s t-test. Results. Vertical dimensions and heights of edentulous ridges were different after comparison of parameters in complete denture wearers with balanced occlusion and complete denture wearers without bilaterally balanced occlusion, as well as between male and female edentulous patients. Statistically significant differences of heights were established in complete denture wearers? with a set of artificial teeth without balanced occlusion, at the baseline and 12 months after wearing of complete dentures. Conclusion. Balanced occlusion is a favored occlusal design in setting of artificial teeth in conventional complete dentures, which preserves edentulous ridge and influence the stability of dentures.


2013 ◽  
Vol 60 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Srdjan Postic

Introduction. Complete denture reinforced with metal bases is fabricated in cases of fracture risk as well as in selected patients with neuromuscular disorders. The aim of this report was to present different designs of metal framework for complete denture and their advantages in the treatment of edentulous patients. Material and Methods. The study included 116 edentulous patients who received complete dentures. The respondents were divided into two groups according to the type of denture used. Thirty one patients were rehabilitated with complete dentures reinforced with metal base, whereas 85 patients received conventional complete acrylic dentures. Metal bases were fabricated using Co-Cr-Mo alloy. Two designs different in regards to the vibrating line were fabricated: metal frame extended to the vibrating line and acrylic resin extended to the vibrating line. After investing and casting, metal bases were electropolished. Subsequent processes of arranging artificial teeth, waxing, flasking and finishing completed the fabrication process of dentures. Results. Denture base fractures were prevented in majority of patients. The design of upper denture where metal frame was extended to the vibrating line and metal base with elongation over the convex edentulous ridge in lower jaw were the most favored and successful in prosthetic rehabilitation of experimental group of edentulous patients. There was no need for rebasing of complete dentures reinforced with metal base. Conclusion. Complete denture reinforced with metal base presents a favorable design for rehabilitation of edentulous patients with well pronounced edentulous ridges and low tendency to resorption.


2011 ◽  
Vol 12 (2) ◽  
pp. 84-90
Author(s):  
Parsa Atashrazm ◽  
Leila Zamani Alavijeh ◽  
Maryam Sadat Sadrzadeh Afshar

ABSTRACT Aim Occlusal errors during acryl processing affect the retention and stability of complete dentures. The aim of the present study was to assess the influence of a short curing technique on the number of occlusal contacts and the occlusal vertical dimension (OVD) of complete dentures. Materials and methods Complete dentures were prepared. The number of occlusal contacts was recorded in centric relation (CR) using 60 ì articulation paper. The OVD was recorded with the waxed trial denture in place. Dentures were then invested and processed with compression molding and short cure water bath technique. The number of occlusal contacts was recorded again. The amount of pin opening was measured for all of the complete dentures on the articulator. Data were analyzed with paired t-test to determine the alterations. Results The mean number of occlusal contacts before and after processing was 10.9 ± 2.4 and 6.3 ± 3.1 respectively (4.7 ± 1.9 decrease; p < 0.001). A 2 mm mean increase in OVD was observed in 47.7% of the dentures with < 6 occlusal contact changes and 88.9% of the dentures with > 6 occlusal contact changes (p < 0.003). A significant change in the number of occlusal contacts was associated with an OVD increased up to two times. Conclusion The short curing technique seems to be related to the decreased occlusal contacts and increased OVD. Clinical significances More time is needed to adjust the occlusal errors of this method, because it has a negative effect on the morphologic pattern of artificial teeth of complete dentures and thus should be used carefully. How to cite this article Atashrazm P, Alavijeh LZ, Afshar MSS. Influence of the Fast-processing Technique on the Number of the Occlusal Contacts and Occlusal vertical Dimension of Complete Dentures. J Contemp Dent Pract 2011;12(2):84-90.


2012 ◽  
Vol 65 (5-6) ◽  
pp. 217-222 ◽  
Author(s):  
Ljiljana Strajnic ◽  
Darinka Stanisic-Sinobad

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.


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