Complete morphofunctional oral rehabilitation by physiological increase of occlusal vertical dimension according to computerized mandibular scanner

Constantinescu, Florin; Savastano, Fabio; Perlea, Paula; Constantinescu, Marian Vladimir

doi:10.47162/rjme.63.1.28

Cited by 6 publications

(3 citation statements)

References 28 publications

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“…A study by Constantinescu et al [32] indicates that restoring the lost OVD can improve occlusal relationships and aesthetics without necessarily exacerbating TMDs. The study highlights a case where a 7 mm increase in OVD harmonized the facial profile and functional occlusion, with no adverse TMD symptoms reported.…”

Section: Tmj Healthmentioning

confidence: 99%

A Literature Review of Vertical Dimension in Prosthodontics Theory and Practice - Part 1: Theoretical Foundations

Fayad

2024

Cureus

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Vertical dimension (VD) is a critical factor in prosthodontics, playing a pivotal role in the functional and aesthetic outcomes of dental treatments. This literature review explores theoretical foundations and the various aspects of VD, including its definition, measurement, and clinical significance in prosthodontics. The relationship between VD and temporomandibular disorders (TMDs) is examined. Additionally, the impact of VD on facial proportions and aesthetics is significant, as it affects the lower third of the face and influences the patient's overall appearance and self-esteem. In conclusion, understanding the intricate relationship between VD, TMDs, facial aesthetics, and psychological well-being is essential for effective prosthodontic treatment. This comprehensive review provides valuable insights into the multifaceted role of VD in enhancing both functional and aesthetic outcomes, ultimately improving patient satisfaction and quality of life.

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Section: Tmj Healthmentioning

confidence: 99%

A Literature Review of Vertical Dimension in Prosthodontics Theory and Practice - Part 1: Theoretical Foundations

Fayad

2024

Cureus

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“…Loss of OVD can also affect patient function, comfort, and esthetics. 23 Therefore, it is prudent to determine the magnitude of OVD loss. The latter is traditionally done with a set of calipers or a Willis gauge; alternative methods have been described that may provide a higher level of accuracy for this estimate.…”

Section: Introductionmentioning

confidence: 99%

Clinical Assessment of the Effectiveness of Esthetic Restoration of Anterior Teeth

Tatintsyan,

Poghosyan,

Shaginyan

et al. 2023

JBSMFS

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Purpose: Clinical evaluation of the effectiveness of the aesthetic restoration of the anterior teeth. Materials and Methods: The study included 128 adult patients in need of aesthetic restoration of the anterior teeth. Digital information about the patient's teeth surrounding the soft tissues was captured by a digital camera and scanner. Aesthetic analysis and design were performed using 3shape software and demonstrated to patients. Through communication with patients, an optimized treatment plan was provided. After the aesthetic restoration, the design, color of the restoration, and patient satisfaction were evaluated. Aesthetic evaluation was performed according to the form of anterior aesthetic evaluation. Patient satisfaction scores were recorded on a questionnaire containing six items of aesthetic index and doctor-patient communication. Patients were interviewed and reviewed at 1, 3, 6 and 12 months, respectively, and the clinical effects of the restorations were assessed. Results: All 128 patients had satisfactory clinical results. Aesthetic defects of patients were effectively eliminated using a minimally invasive approach to the restoration protocol for the restoration of anterior teeth with a composite material using adhesive systems. All procedures met the requirements of preoperative digital design. Conclusions: Results data indicate that the functional and aesthetic restoration of anterior teeth defects can be restored without the removal of healthy tooth tissue Proper choice of indications, accurate design of the restoration, contributes to a satisfactory aesthetic restoration of the anterior teeth. For patients with anterior aesthetic defect, digital design plays an important role in optimizing the treatment plan and guiding the entire treatment process. This design can help clinicians achieve predictable, satisfactory esthetic results.

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“…A recent literature review indicates that there is strong clinical evidence that Rest Mandible Position (RMP), Rest Vertical Dimension (RVD), and the Interocclusal Dimension (IOD) are to be found within a three-dimensional spatial "range" largely determined by the active adaptation of the neuromuscular system [15]. This adaptation is extensive, but in specific cases, probably associated with other not necessarily occlusal components, dimensional variations may go beyond the limits of muscular compensation and induce occlusal instability and/or acute and chronic suffering [16,17].…”

Section: Introductionmentioning

confidence: 99%

Use of Tens in the Diagnosis of Functional Mandibular Lateral Deviation

Ortu,

Di Nicolantonio,

Mummolo

et al. 2023

Applied Sciences

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Introduction: The traditional diagnosis of functional lateral deviation is based on a clinical evaluation and dental casts, supported by an instrumental analysis through X-rays; however, these diagnostic techniques do not provide any information about the neuromuscular system. Several years ago, some authors stressed the importance of the mandibular rest position and its reproducibility as a diagnostic reference, and this became possible with the development of the Myomonitor, TENS. Aim: The aim of this study was to compare mandible position before and after the use of ultra-low-frequency transcutaneous electric nervous stimulation (ULFTENS) in children with diagnosed functional mandibular lateral deviation. Methods: This study was performed on 60 children, aged between 8 and 13 years, with a mean age of 10.1 years (SD 0.81), and with functional mandibular lateral deviation diagnosed clinically, who were referred to the dental clinic for pediatric dental care. Diagnostic neuromuscular registrations were made for all children, and their casts were mounted on a Galetti articulator at the myocentric position. These casts were then compared to those provided by a wax bite registration in the intercuspidal position. Results: Compared with the existing intercuspidal position, neuromuscular registration showed improvement in 30 (50%) patients, 18 patients (30%) showed no changes, and worsening of the tooth midline discrepancy was assessed in the remaining 12 (20%). The molar relationship did not follow the same trend of the midline because of the three-dimensional changes in the maxillo–mandibular relationship induced by TENS. After TENS, there was a significant correlation between the midline and right side deviation (r > 0.65); there was no correlation between the midline and the left side (r < 0.65). Furthermore, the right molar movement showed no correlation with the contralateral molar (r < 0.65). The posterior areas of the arch moved in a very unpredictable way, resulting in the diagnosis and prognosis of mandibular lateral deviation as absolutely individual and unpredictable. Conclusions: This study suggests that TENS-recorded occlusion is an interesting diagnostic approach in orthodontics since it allows for visualizing the trends of the neuromuscular system.

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Complete morphofunctional oral rehabilitation by physiological increase of occlusal vertical dimension according to computerized mandibular scanner

Cited by 6 publications

References 28 publications

A Literature Review of Vertical Dimension in Prosthodontics Theory and Practice - Part 1: Theoretical Foundations

A Literature Review of Vertical Dimension in Prosthodontics Theory and Practice - Part 1: Theoretical Foundations

Clinical Assessment of the Effectiveness of Esthetic Restoration of Anterior Teeth

Use of Tens in the Diagnosis of Functional Mandibular Lateral Deviation

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