Open AccessIncreased Vertical Dimension of Occlusion: Signs, Symptoms, Diagnosis, Treatment and Options
Author(s) -
José Augusto César Discacciati,
Eduardo Lemos de Souza,
Walison Arthuso Vasconcellos,
Sérgio Carvalho Costa,
Vinícius de Magalhães Barros
Publication year - 2013
Publication title -
the journal of contemporary dental practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.3
H-Index - 43
ISSN - 1526-3711
DOI - 10.5005/jp-journals-10024-1284
Subject(s) - vertical dimension of occlusion , medicine , occlusion , swallowing , dentistry , orthodontics , surgery
During the planning of oral rehabilitation, the vertical dimension of occlusion (VDO) is one of the first parameters to be measured since its improper restoration can lead to the failure of any prosthetic rehabilitation. A decreased VDO can lead to the appearance of lesions, such as angular cheilitis, facial disharmony, and temporomandibular disorders; meanwhile, an increased VDO may lead to the onset of joint and muscle pain, tension in functional speech, difficulty in swallowing, impaired chewing, tooth sensitivity due to traumatogenic forces, pathologic bone resorption, abnormal wearing of teeth, the appearance of an elongated face, and a facial expression of fatigue. Most scientific articles deal with methods and techniques for re-establishing VDO in edentulous patients or those who have lost their tooth reference due to prosthetic preparations. However, patients with increased VDO are also found in everyday practice. One treatment option for these patients is occlusal adjustment by selective tooth wear; it is still possible to perform orthodontic intrusion and/or orthognathic surgery in severe cases. The aim of this study was to discuss signs, symptoms, diagnosis, and treatment, and to report a clinical case of a patient with increased VDO. How to cite this article Discacciati JAC, de Souza EL, Vasconcellos WA, Costa SC, Barros VM. Increased Vertical Dimension of Occlusion: Signs, Symptoms, Diagnosis, Treatment and Options. J Contemp Dent Pract 2013;14(1): 123-128.