scholarly journals A Study on the Criterion of the Best Vertical Dimension in Edentulous Patients

1998 ◽  
Vol 19 (2) ◽  
pp. 242-249
Author(s):  
Jiro Abe
2021 ◽  
Vol 11 (15) ◽  
pp. 6948
Author(s):  
Gabriele Cervino ◽  
Sergio Sambataro ◽  
Chiara Stumpo ◽  
Salvatore Bocchieri ◽  
Fausto Murabito ◽  
...  

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.


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.


2004 ◽  
Vol 51 (1) ◽  
pp. 7-11
Author(s):  
Ljiljana Strajnic

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).


2021 ◽  
Vol 9 (D) ◽  
pp. 108-112
Author(s):  
Ayman A. Elmorsy ◽  
Mohamed Zaki ◽  
Hafiz Elbahnaswi ◽  
Amani R. Moussa ◽  
Asmaa N. Elboraey

BACKGROUND: The establishment of appropriate vertical dimension of occlusion (VDO) is paramount for successful and functioning complete dentures (CDs). AIM: The aim of this study was to assess the effect of alteration of VDO on the brain activity in CD wearers. MATERIALS AND METHODS: Ten completely edentulous patients participated in this study. Each patient received three sets of CDs: one control set and two duplicates’ CDs. The control CDs was designed with appropriate VDO (control - VDO), while the duplicate CDs were designated as followed: one with VDO lowered by –3 mm (low - VDO) the other one VDO was increased by +5 mm (high - VDO). The effect of alteration of VDO on brain activity was assessed by measuring alpha waves changes using electroencephalogram (EEG) before and after chewing gum. Statistical analysis was carried out using one-way ANOVA and dependent t-test. The significance level was set at p < 0.05. RESULTS: There was a significant increase in the alpha waves mean values after chewing (p < 0.05) gum compared to before except for low - VDO CDs (p > 0.05). The control-VDO revealed a statistically significant higher mean values compared to the duplicate dentures. CDs with high - VDO showed higher mean value than low - VDO dentures, however, it was statistically insignificant (p > 0.05). CONCLUSION: Appropriate determination of VDO is not only important for the success of CDs but also for the functional augmentation of brain activity.


2021 ◽  
Vol 14 (1) ◽  
pp. 43
Author(s):  
Kartika Kajal ◽  
Masoud Mohammadnezhad ◽  
Gowri Sivaramakrishnan ◽  
Kritesh Bhai ◽  
Sabiha Khan

BACKGROUND: Wearing dentures helps rehabilitate the oral health status for the older people. Due to lack of previous data, this objective of this study was to determine the level of utilization and satisfaction of complete denture treatment at dental clinics in Fiji. MATERIALS &amp; METHODS: A cross sectional descriptive study was conducted on 85 edentulous patients and dentures at the Fiji National University (FNU) teaching dental clinic from 2010-2016.Patients who utilized the dentures fabricated at FNU and identified as complete denture patients from 2010-2016 were included in this study. Data was collected using the denture assessment form and Oral Health Impact Profile for Edentulous Patients (OHIP-EDENT) questionnaire. Correlation test was done and p less than 0.05 was considered as level of significance. RESULTS: Participants were between the age range of 40-79 years with majority being male (54%). Greater level of satisfaction noted among 60-69 years male participants and those wearing the dentures for 3-4 years than other groups. Difficulty in chewing (40%) and food catching underneath the denture (33%) were common denture related complains. One thirds of participants reported of uncomfortable dentures while 24% had sore spots due to their dentures. More than two thirds of them, (71%) were unable to eat and enjoy food and for most patients, the vertical dimension (94%), esthetics assessment (94%), tooth selection (91%), boarder extension (78%), posterior seal (99%) and centric relation (99%) were acceptable. Patients with acceptable vertical dimension (46.1&plusmn;7.6), acceptable esthetics (45.8&plusmn;7.9) and boarder extension (48.0&plusmn;7.2) showed greater satisfaction level compared to those with unacceptable denture characteristics. CONCLUSION: This study highlighted that satisfaction among recent denture wearers was low and majority participants portrayed poor understanding regarding denture aftercare and hygiene. It can be recommended for the teaching institutes and dental clinics to evaluate the quality of treatments and help to improve the quality of services being provided to the patients. Further study is needed to determine the in- depth perceptions of denture wearers. It also can be recommended for the patients to take heed of the post operative denture hygiene instructions being given.


1976 ◽  
Vol 35 (3) ◽  
pp. 259-266 ◽  
Author(s):  
J.D. van Willigen ◽  
A.L. de Vos ◽  
M.L. Broekhuijsen

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