Increasing vertical dimension: considerations and steps in reconstruction of the severely worn dentition

Clinicians often encounter dental patients who have lost tooth structure or demonstrate an insufficient vertical dimension of occlusion (VDO). While reconstructing the proper VDO for such patients can be challenging, the use of a systematic approach can facilitate a successful and predictable treatment outcome. Presented herein are a series of considerations involved in managing and/or restoring the VDO and a reproducible clinical protocol aimed at improving the dentist's ability to increase the VDO while reconstructing severely worn dentition.