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

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.

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).


2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
João César Zielak ◽  
David Gulin Neto ◽  
Leonardo Fernandes da Cunha ◽  
Tatiana Miranda Deliberador ◽  
Allan Fernando Giovanini

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.


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.


2019 ◽  
Vol 1 (1) ◽  
pp. 13
Author(s):  
Edy Machmud ◽  
Sitti Arpa

Objective: According to the manufacture, fewer than 1 in 10 capsule associated with overdentures on natural teeth separated from the denture base during an 8-year clinical trial; more interestingly, none experience loss of magnetic attraction.Methods: A 50 year old female patient came to Dental Hospital Makassar Hasanuddin University wanted to fix a loose denture, which has been used for 9 years. Chief complaint was a mobile mandibular denture. Treatment for the restoration of oral function, including mastication, using mandibular implant-retained overdenture with magnets in total edentulous. Implant supported retained with magnetic attachment constitute an accurate and predictable treatment option and achieve a higher patients satisfaction.Results: The surface of both magnet and attachment keeper were coated with titanium nitride (TiN). Self-curing resin was used for luting between  magnets and denture base resin.Conclusion: Magnetic attachments can be used to retain mandibular implant overdenture.Key words: Implant supported overdenture with magnets, resorbed alveolar ridge, total edentulous


2011 ◽  
Vol 2 (4) ◽  
pp. 346-349
Author(s):  
V Chandrakala

ABSTRACT A basic concern of edentulous patients is retention of their dentures. This has led to considerable experimentation and research in efforts to perfect dentures that compensate for the loss of natural teeth. The use of multiple miniature suction cups made from a soft material lining the denture satisfies the requirements of retention and stability. A technique describing the fabrication of a maxillary and mandibular multicup dentures which are more beneficial than conventional complete dentures is discussed below with case report.


2009 ◽  
Vol 35 (6) ◽  
pp. 303-309 ◽  
Author(s):  
Gregory-George Zafiropoulos ◽  
Oliver Hoffmann

Abstract Various implant-supported restorations have been used successfully for several decades to rehabilitate edentulous patients. Telescopic crowns are a common treatment modality used to connect dentures to natural teeth. Although previous findings indicate that telescopic crowns can be placed successfully on implants to support overdentures, only limited data are available on this treatment approach. Eight months after extraction of all nonsalvageable teeth and socket preservation, 11 implants were inserted into the mandible and maxillae of one patient. These implants were restored 4 months later using telescopic crown–supported dentures. Bleeding on probing (BOP), plaque index (PI), clinical attachment (PAL), and radiographic bone level were evaluated over 5 years. All implants remained in function over the 5-year evaluation period. Radiography showed stable bone levels for all implants. No changes in BOP or PI (range, 2%–4% for both parameters) were observed over this time. The PAL deteriorated by 1.5 mm during the first 3 years, with no subsequent changes. We conclude that telescopic crowns can be used successfully as attachments for overdentures supported by implants in regenerated bone.


Author(s):  
Rahul S Kulkarni ◽  
Ravindra S Pawar ◽  
Sandeep K Pimpale

ABSTRACT A decrease in occlusal vertical dimension (OVD) may result from tooth structure loss and extraction of posterior teeth, and it affects the esthetics, function, comfort, and lower facial height (LFH). Rehabilitation of patients with worn dentitions may require increase in OVD and interarch distance to create space for restorative materials, improve esthetics, and develop physiologic occlusion. It is usually advisable to assess esthetics, function, LFH, and response of the stomatognathic system to increased OVD by means of removable or fixed provisional appliances before definitive treatment. The following case report presents the multitude of factors considered in planning amount of OVD increase keeping in view its impact on LFH and facial esthetics, during rehabilitation of a patient with severely attrided dentition. How to cite this article Pawar RS, Kulkarni RS, Pimpale SK. Clinical Considerations while increasing Occlusal Vertical Dimension. Int J Prosthodont Restor Dent 2017;7(3):103-107.


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.


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