Clinical Considerations while increasing Occlusal Vertical Dimension

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.

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Training Patient for Definite Treatment with the Pre-Definitive Treatment Prosthesis or the Rehabilitation Device - A Case Report

10.46619/crds.2020.1-1009 ◽

2020 ◽

Vol 1 (2) ◽

pp. 40-45

Author(s):

Dewan Harisha ◽

Keyword(s):

Case Report ◽

Nutritional Status ◽

Morphological Changes ◽

Vertical Dimension ◽

Definitive Treatment ◽

Complete Dentures ◽

Present Case Report ◽

Occlusal Vertical Dimension ◽

Harmful Effects ◽

Definite Treatment

Severe morphological changes and the reduction of the residual ridge in old denture wearers can pose major challenges like providing optimum retention, stability, support and restoring the lost vertical dimensions in the new dentures. In addition, wearing such dentures with decreased or poor function can impair mastication and lead to harmful effects on the nutritional status of the patients. A rehabilitation device, often called a transitional denture or pre-definitive treatment prosthesis often provides a fine springboard from which to construct the second set of dentures. The present case report describes a method to restore the lost occlusal vertical dimension with a pre-definitive treatment prosthesis using the old complete dentures for a patient for him to adapt to the changes before the fabrication of the new complete dentures.

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A multidisciplinary approach to restoration of severely worn dentition: a case report

Journal of Research in Dentistry ◽

10.19177/jrd.v4e1201627-30 ◽

2016 ◽

Vol 4 (1) ◽

pp. 27

Author(s):

A V Sreekumar ◽

Mohammed Sajeer PC ◽

Levin Chengappa

Keyword(s):

Case Report ◽

Multidisciplinary Approach ◽

Vertical Dimension ◽

Treatment Procedure ◽

Posterior Teeth ◽

Anterior Teeth ◽

Anterior Guidance ◽

Occlusal Vertical Dimension ◽

Crown Lengthening

Severe caries, attrition and developemental anomalies of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of occlusion. To gain the space for esthetic rehabilitation in these cases is challenging task. The required space can be achieved by crown lengthening and increasing the vertical dimension of occlusion within physiologic limits. We hereby have presented a case report showing the treatment procedure of a patient with severly worn dentition in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics, that also remains in harmony with the entire gnathostomatic system.

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A multidisciplinary approach to restoration of severely worn dentition: a case report

Journal of Research in Dentistry ◽

10.19177/jrd.v4e2201663-66 ◽

2016 ◽

Vol 4 (2) ◽

pp. 63

Author(s):

A V Sreekumar ◽

Mohammed Sajeer P C ◽

Levin Chengappa

Keyword(s):

Case Report ◽

Multidisciplinary Approach ◽

Vertical Dimension ◽

Treatment Procedure ◽

Posterior Teeth ◽

Developmental Anomalies ◽

Anterior Teeth ◽

Anterior Guidance ◽

Occlusal Vertical Dimension ◽

Crown Lengthening

Severe caries, attrition and developmental anomalies of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of occlusion . To gain the space for esthetic rehabilitation in these cases is challenging task. The required space can be achieved by crown lengthening and increasing the vertical dimension of occlusion within physiologic limits..We, hereby have presented a case report showing the treatment procedure of a patient with severely worn dentition in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics , that also remains in harmony with the entire gnathostomatic system.

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Rehabilitation of a Severely Worn Dentition with Partial Lithium-disilicate Glass Ceramic Restorations: A Case Report

European Annals of Dental Sciences ◽

10.52037/eads.2021.0009 ◽

2021 ◽

Author(s):

Ece İrem Oğuz ◽

Semih Berksun

Keyword(s):

Case Report ◽

Glass Ceramic ◽

Treatment Options ◽

Lithium Disilicate ◽

Vertical Dimension ◽

Posterior Teeth ◽

Anterior Teeth ◽

Occlusal Vertical Dimension ◽

Ceramic Restorations ◽

Laminate Veneers

Rehabilitation of worn dentition is a challenging task because several predisposing factors may be included in the pathogenesis. The treatment options and process should be carefully considered based on the clinical condition and patients’ requirements. This case report represents the esthetic rehabilitation of a 68-year-old patient who exhibited severely worn teeth caused by attrition and erosion. After clinical evaluation, 3 mm increase in occlusal vertical dimension was planned with partial lithium-disilicate ceramic restorations as laminate veneers for anterior teeth and vonlays (onlays with veneer extentions) for posterior teeth in maxilla. The adaptation of the patient to the increased occlusal vertical dimension was tested for 1 month by provisional direct composite restorations. As the patient did not show any discomfort, definitive restorations were completed. The patient was satisfied with the esthetics and functionality of her new dentition.

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Changes in Lower Facial Height and Facial Esthetics with Incremental Increases in Occlusal Vertical Dimension in Dentate Subjects

The International Journal of Prosthodontics ◽

10.11607/ijp.4288 ◽

2015 ◽

Vol 28 (4) ◽

pp. 363-370 ◽

Cited By ~ 7

Author(s):

Noah Orenstein ◽

Avinash Bidra ◽

John Agar ◽

Thomas Taylor ◽

Flavio Uribe ◽

...

Keyword(s):

Vertical Dimension ◽

Facial Height ◽

Facial Esthetics ◽

Occlusal Vertical Dimension

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A case report of increased occlusal vertical dimension and occlusal reconstruction for a patient with ill-fitting prosthesis

Annals of Japan Prosthodontic Society ◽

10.2186/ajps.9.387 ◽

2017 ◽

Vol 9 (4) ◽

pp. 387-390

Author(s):

Shuji Mizuno

Keyword(s):

Case Report ◽

Vertical Dimension ◽

Occlusal Vertical Dimension

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Management of Localized Anterior Tooth Wear Using a Modified Sandwich Technique and the Dahl Concept: A Case Report

Operative Dentistry ◽

10.2341/20-172-t ◽

2022 ◽

Author(s):

TW Lim ◽

J Roffie

Keyword(s):

Case Report ◽

Minimally Invasive ◽

Tooth Wear ◽

Vertical Dimension ◽

Anterior Tooth ◽

Sandwich Technique ◽

Composite Restorations ◽

Occlusal Vertical Dimension

SUMMARY This case report illustrates a minimally invasive segmental rehabilitation of localized anterior tooth wear using a modification of the sandwich technique, a combination of indirect palatal composite veneers and direct labial composite restorations, at an increased occlusal vertical dimension (the Dahl concept).

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Morphological and Functional Parameters in Patients with Tooth Wear before and after Treatment

The Open Dentistry Journal ◽

10.2174/1874210601307010055 ◽

2013 ◽

Vol 7 (1) ◽

pp. 55-61 ◽

Cited By ~ 8

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.

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