Rehabilitation of partially edentulous patient with loss of vertical dimension

A case of rehabilitation of an edentulous patient with loss of vertical dimension is presented here. This patient presents with a Class III dental and skeletal malocclusion with an anterior cross-bite. The objective of this case report is to demonstrate that an accurate assessment of vertical dimension is necessary for good rehabilitation. The original vertical dimension was determined by a series of tests including, kinesiographic, electromyographic and transcutaneous electronic neural stimulation (TENS). Subsequently, the lost vertical dimension was re-established orthodontically. These examinations revealed a general hypertonicity of masticatory muscles due to the lost vertical dimension. Additionally, radiographs of the temporomandibular joint showed anteriorly displaced condyles. Following the completion of orthodontic treatment osseointegrated implants were placed to restore the dental arches.