Reestablishment of Occlusal Vertical Dimension in Complete Denture Wearing in Two Stages

Abstract

The assessment and reestablishment of the occlusal vertical dimension (OVD) are considered important factors in the treatment of complete denture wearers. The long-time use of a complete denture can result in jaw displacement due to abrasion of the artificial teeth and residual ridge resorption, causing esthetic complications. Most patients with old dentures and incorrect OVD accept reestablishment of the OVD with new complete dentures, even if they were used to their old dentures. The present clinical report describes a method of gradual reestablishment of OVD using a diagnostic acrylic splint on artificial teeth in old complete dentures before the manufacture of new complete dentures. Clinical Significance. The use of a reversible treatment for reestablishment of the OVD in old complete dentures with a diagnostic occlusal acrylic splint allows for the reestablishment of the intermaxillary relationship, providing physiological conditions of masticatory performance associated with the recovery of facial esthetics in edentulous patients.

Correlation of Vertical Dimension of Occlusion and Various Soft Tissue Landmarks Using Lateral Profile Photographs

“…In a study by Piancinothe et al reported the interlink between facial structures, muscle activity and chewing forces. 24 Inadvertent increase or decrease of lower facial height may interfere with these association and may affect the quality of life. 25 While conventional methods for VDO determination often lack precision and can be interventional, our study highlights the potential of lateral profile photographs as a non-interventional, accessible, and cost-effective alternative.…”

Prosthodontic Rehabilitation of Hypodontia – A Team Approach

“…For this reason an initial adaptation period with a provisional prosthesis at appropriate occlusal vertical height is required before final restoration. 16 This allows a prudent assessment of patient's tolerance, functioning and esthetics at the proposed occlusal vertical dimension. An increase of upto 5mm in occlusal vertical dimension is an achievable alteration, as physiologic OVD occurs at a range, known as the comfort zone, rather than a specified value.…”

Unveiling the Realm of Denture Fabrication: Revitalizing Aesthetics and Optimizing Efficiency for Geriatric Patients

“…According to Kelly, extensive maxillary and mandibular ridge resorption and alveolar bone loss can result in the "flabby ridge," a mobile piece of tissue mainly seen on rugae and the tuberosity region in the maxilla, as well as the anterior crest of the ridge and retromolar area in the mandibular denture [6]. This type of soft tissue is mostly present in denture wearers in the long run, leading to discomfort and ill-fitting dentures [7][8][9]. In today's image-conscious society, dentures restore a natural appearance, encouraging patients' confidence and facilitating easier social interactions.…”