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Clinical considerations for increasing occlusal vertical dimension: a review

Identifieur interne : 001140 ( Istex/Checkpoint ); précédent : 001139; suivant : 001141

Clinical considerations for increasing occlusal vertical dimension: a review

Auteurs : J. Abduo [Australie] ; K. Lyons [Nouvelle-Zélande]

Source :

RBID : ISTEX:7D381BA90AC8B286F5A5F79713A5FE3CA6741C84

English descriptors

Abstract

The purpose of this article is to discuss the clinical considerations related to increasing the occlusal vertical dimension (OVD) when restoring a patient’s dentition. Thorough extraoral and intraoral evaluations are mandatory to assess the suitability of increasing OVD. In the literature, multiple techniques have been proposed to quantify OVD loss. However, the techniques lack consistency and reliability, which in turn affects the decision of whether to increase the OVD. Therefore, increasing OVD should be determined on the basis of the dental restorative needs and aesthetic demands. In general, a minimal increase in OVD should be applied, though a 5 mm maximum increase in OVD can be justified to provide adequate occlusal space for the restorative material and to improve anterior teeth aesthetics. The literature reflects the safety of increasing the OVD permanently, and although signs and symptoms may develop, these are usually of an interim nature. Whenever indicated, the increase in OVD should be achieved with fixed restorations rather than a removable appliance, due to the predictable patient adaptation. The exception to this is for patients with TMD, where increasing the OVD should still be achieved using removable appliances to control TMD‐associated symptoms before considering any form of irreversible procedure.

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DOI: 10.1111/j.1834-7819.2011.01640.x


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ISTEX:7D381BA90AC8B286F5A5F79713A5FE3CA6741C84

Le document en format XML

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<term>Aesthetic display</term>
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<term>Anterior dentition</term>
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<term>Clinical techniques</term>
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<term>Complete arch coverage</term>
<term>Composite resin restorations</term>
<term>Comprehensive rehabilitation</term>
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<term>Dent assoc</term>
<term>Dental arch group</term>
<term>Dental arches</term>
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<term>Dentate individuals</term>
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<term>Dentoalveolar maturation</term>
<term>Denture</term>
<term>Facial</term>
<term>Facial aesthetics</term>
<term>Facial appearance</term>
<term>Facial measurements</term>
<term>Facial morphology</term>
<term>Facial tissues</term>
<term>Generalized loss</term>
<term>Gingival tissues</term>
<term>Gonial angle</term>
<term>Greater increase</term>
<term>Implant</term>
<term>Implantsupported prostheses</term>
<term>Incisal</term>
<term>Incisal edges</term>
<term>Intraoral assessments</term>
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<term>Prosthet dent</term>
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<term>Removable</term>
<term>Removable appliance</term>
<term>Removable appliances</term>
<term>Resin restorations</term>
<term>Rest position</term>
<term>Restorative material</term>
<term>Retrospective study</term>
<term>Same study</term>
<term>Sensory feedback</term>
<term>Survival rate</term>
<term>Teeth display</term>
<term>Temporomandibular</term>
<term>Temporomandibular disorder</term>
<term>Temporomandibular disorders</term>
<term>Tooth guidance</term>
<term>Tooth height</term>
<term>Tooth structure</term>
<term>Vertical dimension</term>
<term>Vertical tooth height</term>
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<term>Actual loss</term>
<term>Adhesive restorations</term>
<term>Aesthetic crown</term>
<term>Aesthetic display</term>
<term>Aesthetics</term>
<term>Anterior</term>
<term>Anterior dentition</term>
<term>Anterior teeth</term>
<term>Anterior tooth relationship</term>
<term>Aust dent</term>
<term>Available studies</term>
<term>Carlsson</term>
<term>Ceramic onlays</term>
<term>Clinical considerations</term>
<term>Clinical crown height</term>
<term>Clinical evaluation</term>
<term>Clinical performance</term>
<term>Clinical perspective</term>
<term>Clinical rest position</term>
<term>Clinical techniques</term>
<term>Compelling evidence</term>
<term>Complete arch coverage</term>
<term>Composite resin restorations</term>
<term>Comprehensive rehabilitation</term>
<term>Conservative management</term>
<term>Dent</term>
<term>Dent assoc</term>
<term>Dental arch group</term>
<term>Dental arches</term>
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<term>Facial aesthetics</term>
<term>Facial appearance</term>
<term>Facial measurements</term>
<term>Facial morphology</term>
<term>Facial tissues</term>
<term>Generalized loss</term>
<term>Gingival tissues</term>
<term>Gonial angle</term>
<term>Greater increase</term>
<term>Implant</term>
<term>Implantsupported prostheses</term>
<term>Incisal</term>
<term>Incisal edges</term>
<term>Intraoral assessments</term>
<term>Iors</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Masticatory</term>
<term>Masticatory muscles</term>
<term>Masticatory system</term>
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<term>Maxillary teeth</term>
<term>Multiple teeth</term>
<term>Muscle activity</term>
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<term>Occlusal appliance</term>
<term>Occlusal face height</term>
<term>Occlusal interferences</term>
<term>Occlusal stability</term>
<term>Occlusal surface</term>
<term>Occlusal therapy</term>
<term>Occlusal tooth</term>
<term>Occlusion</term>
<term>Oral biol</term>
<term>Oral maxillofac implants</term>
<term>Oral rehabil</term>
<term>Ormianer</term>
<term>Orofac pain</term>
<term>Patient adaptation</term>
<term>Patient maladaptation</term>
<term>Periodontal ligament</term>
<term>Pilot study</term>
<term>Posterior teeth</term>
<term>Posterior tooth support</term>
<term>Preparation height</term>
<term>Prosthesis</term>
<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthodont</term>
<term>Prosthodontic</term>
<term>Prosthodontic terms</term>
<term>Prosthodontic treatment</term>
<term>Rehabil</term>
<term>Removable</term>
<term>Removable appliance</term>
<term>Removable appliances</term>
<term>Resin restorations</term>
<term>Rest position</term>
<term>Restorative material</term>
<term>Retrospective study</term>
<term>Same study</term>
<term>Sensory feedback</term>
<term>Survival rate</term>
<term>Teeth display</term>
<term>Temporomandibular</term>
<term>Temporomandibular disorder</term>
<term>Temporomandibular disorders</term>
<term>Tooth guidance</term>
<term>Tooth height</term>
<term>Tooth structure</term>
<term>Vertical dimension</term>
<term>Vertical tooth height</term>
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<front>
<div type="abstract" xml:lang="en">The purpose of this article is to discuss the clinical considerations related to increasing the occlusal vertical dimension (OVD) when restoring a patient’s dentition. Thorough extraoral and intraoral evaluations are mandatory to assess the suitability of increasing OVD. In the literature, multiple techniques have been proposed to quantify OVD loss. However, the techniques lack consistency and reliability, which in turn affects the decision of whether to increase the OVD. Therefore, increasing OVD should be determined on the basis of the dental restorative needs and aesthetic demands. In general, a minimal increase in OVD should be applied, though a 5 mm maximum increase in OVD can be justified to provide adequate occlusal space for the restorative material and to improve anterior teeth aesthetics. The literature reflects the safety of increasing the OVD permanently, and although signs and symptoms may develop, these are usually of an interim nature. Whenever indicated, the increase in OVD should be achieved with fixed restorations rather than a removable appliance, due to the predictable patient adaptation. The exception to this is for patients with TMD, where increasing the OVD should still be achieved using removable appliances to control TMD‐associated symptoms before considering any form of irreversible procedure.</div>
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