Article Type : Short commentary
Authors : Lehl MS
Keywords : Vertical dimension of occlusion; OVD; Occlusion; Dentition; Teeth; Periodontium; TMJs; Mastication; Crowns; Bridges; Dentures; Orthodontic treatment; Risks; Benefits
The vertical dimension of occlusion (OVD) is the distance between the
maxillary and mandibular teeth in maximum intercuspal contact. It is a complex
and dynamic system that is influenced by a variety of factors, including the
teeth, the periodontium, the temporomandibular joints (TMJs), and the muscles
of mastication. In some cases, it may be necessary to increase the OVD. This
can be done using a variety of methods, such as crowns, bridges, dentures, and
orthodontic treatment. There is some controversy in the literature regarding the
risks and benefits of increasing the OVD. However, other studies have shown
that increasing the OVD is generally safe and that patients can adapt to the
new OVD without any problems. When considering whether or not to increase the
OVD, it is important to weigh the potential risks and benefits of the
procedure. It is also important to consider the patient's individual needs and
goals
The vertical dimension of occlusion (OVD) is a
fundamental concept in dentistry. It is defined as the distance between two
selected anatomic points when the mandibular teeth are in the maximum
intercuspal position (MIP). The OVD plays an important role in facial
esthetics, masticatory function, and phonetics [1]. A decrease in OVD can occur
due to a variety of factors, including tooth wear, tooth loss, and resorption
of the alveolar ridges [2]. This can lead to a number of problems, including
decreased facial height, changes in facial appearance, and temporomandibular
disorders (TMDs) [2]. In some cases, it may be necessary to increase the OVD in
order to restore proper function and esthetics [3]. This can be done using a
variety of methods, such as crowns, bridges, dentures, and orthodontic
treatment [3]. The decision of whether or not to increase the OVD is a complex
one. There are a number of factors to consider, such as the patient's age,
overall health, and dental history. It is also important to weigh the potential
benefits of increasing the OVD against the risks, such as the development of
TMDs [4].
This review article will discuss the following aspects of the OVD
This review aims to provide a comprehensive overview of the OVD in the maxillofacial region, drawing on the latest research findings.
Review of the literature
on increasing the occlusal vertical dimension
The vertical dimension of occlusion (OVD) is the
distance between two selected anatomic points when the mandibular teeth are in
the maximum intercuspal position (MIP). The OVD plays an important role in
facial esthetics, masticatory function, and phonetics [1]. A decrease in OVD
can occur due to a variety of factors, including tooth wear, tooth loss, and
resorption of the alveolar ridges [2,3]. This can lead to a number of problems,
including decreased facial height, changes in facial appearance, and
temporomandibular disorders (TMDs) [2,3]. In some cases, it may be necessary to
increase the OVD in order to restore proper function and esthetics [3]. This
can be done using a variety of methods, such as crowns, bridges, dentures, and
orthodontic treatment [3,4].
The
methods used to increase the OVD vary depending on the individual patient's
needs and the specific clinical situation. Some common methods include:
Considerations involved in the
decision of whether or not to increase the OVD
There
are a number of factors to consider when deciding whether or not to increase
the OVD. These factors include:
Risks and benefits of increasing
the OVD
The potential benefits of
increasing the OVD include
The
vertical dimension of occlusion (OVD) is the vertical distance between the
maxillary and mandibular teeth in maximum intercuspal contact. It is a complex
and dynamic system that is influenced by a variety of factors, including the
teeth, the periodontium, the temporomandibular joints (TMJs), and the muscles
of mastication [1]. In some cases, it may be necessary to increase the OVD.
This can be done using a variety of methods, such as crowns, bridges, dentures,
and orthodontic treatment [1]. There is some controversy in the literature
regarding the risks and benefits of increasing the OVD. Some authors have
expressed concern that increasing the OVD can lead to problems such as
temporomandibular disorders (TMDs) and muscle pain. However, other studies have
shown that increasing the OVD is generally safe and that patients can adapt to
the new OVD without any problems [2].
Clinical considerations
When
considering whether or not to increase the OVD, it is important to weigh the
potential risks and benefits of the procedure. It is also important to consider
the patient's individual needs and goals [1, 2].
Some
factors to consider when making the decision of whether or not to increase the
OVD include:
Points from the given articles
The vertical dimension of occlusion (OVD) is a complex
and dynamic system that is essential for proper facial esthetics, masticatory
function, and phonetics. A decrease in OVD can occur due to a variety of
factors, and can lead to a number of problems. In some cases, it may be
necessary to increase the OVD in order to restore proper function and
esthetics. There are a number of methods that can be used to increase the OVD,
including diagnostic occlusal acrylic splints, crowns and bridges, dentures,
and orthodontic treatment. The best method for increasing the OVD will vary
depending on the individual patient's needs and the specific clinical
situation. When considering whether or not to increase the OVD, it is important
to weigh the potential risks and benefits of the procedure. Some of the
potential risks include temporomandibular disorders (TMDs), muscle pain and
tension, headaches, changes in facial appearance, and difficulty closing the
lips or speaking. However, the potential benefits of increasing the OVD can
include improved facial esthetics, improved masticatory function, reduced risk
of TMDs, and improved speech. The decision of whether or not to increase the
OVD is a complex one that should be made on a case-by-case basis. It is
important to weigh the potential risks and benefits of the procedure, and to
consider the patient's individual needs and goals. In addition to the points
discussed in the article, it is important to note that there is no single,
universally accepted method for determining the VDO. However, cephalometric
studies have shown a strong correlation between the VDO determined by different
methods. Overall, increasing the OVD can be a safe and effective way to improve
facial esthetics, masticatory function, and speech. However, it is important to
carefully consider the potential risks and benefits of the procedure before
making a decision.