“…Some of these alterations are caused by alveolar ridge resorption and changes in biting forces that modify condyle positions inside the articular fossa 8 . Those changes are related to increased mechanical tooth surface wear and may progress to pathological tooth wear (PTW) because of parafunctional mandibular movements which modify masticatory muscle tone, and generate facial pain and aesthetic and phonetic disorders [8][9][10][11][12][13][14] . These alterations plus missing teeth lead to decreased or increased VDO, which is visualized by changes in the distance between the nasal spine (Subnasale, "Sn") and the most anterior inferior point of the chin (Soft Tissue Menton, "Me").…”
The masticatory system changes as time passes. The vertical dimension of occlusion (VDO) undergoes alterations due to temporomandibular joint disorders which in turn may be caused by related muscle modifications or pathological tooth wear. There are many methods to measure VDO. Among these, the anthropometric method and Knebelman’s craniometric method have been shown to be the most closely related to facial biotype. The aim of this study was to compare data recorded with those two methods. A descriptive cross-sectional study was performed with a total 200 patients. A vernier caliper was used to measure facial landmarks. Results were analyzed using paired t-test, setting the level of significance at p<0.05. There was no significant difference between the two methods but Knebelman’s method had less variability. Results suggest that Knebelman’s method should provide more reliability for determining VDO in all the facial biotypes studied.
“…Some of these alterations are caused by alveolar ridge resorption and changes in biting forces that modify condyle positions inside the articular fossa 8 . Those changes are related to increased mechanical tooth surface wear and may progress to pathological tooth wear (PTW) because of parafunctional mandibular movements which modify masticatory muscle tone, and generate facial pain and aesthetic and phonetic disorders [8][9][10][11][12][13][14] . These alterations plus missing teeth lead to decreased or increased VDO, which is visualized by changes in the distance between the nasal spine (Subnasale, "Sn") and the most anterior inferior point of the chin (Soft Tissue Menton, "Me").…”
The masticatory system changes as time passes. The vertical dimension of occlusion (VDO) undergoes alterations due to temporomandibular joint disorders which in turn may be caused by related muscle modifications or pathological tooth wear. There are many methods to measure VDO. Among these, the anthropometric method and Knebelman’s craniometric method have been shown to be the most closely related to facial biotype. The aim of this study was to compare data recorded with those two methods. A descriptive cross-sectional study was performed with a total 200 patients. A vernier caliper was used to measure facial landmarks. Results were analyzed using paired t-test, setting the level of significance at p<0.05. There was no significant difference between the two methods but Knebelman’s method had less variability. Results suggest that Knebelman’s method should provide more reliability for determining VDO in all the facial biotypes studied.
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