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Clinical considerations for increasing occlusal vertical dimension: a review
1Faculty of Dentistry, The University of Western Australia, Crawley, Western Australia, Australia. jaafar_abduo@hotmail.com
Australian Dental Journal
|February 29, 2012
Summary
Increasing occlusal vertical dimension (OVD) requires careful clinical evaluation. While generally safe, OVD increases should prioritize restorative needs and patient aesthetics, with fixed restorations preferred for adaptation.
Area of Science:
- Dental Restorations
- Occlusal Vertical Dimension
Background:
- Assessing the need for increasing occlusal vertical dimension (OVD) in dental restorations is complex.
- Existing literature offers varied and inconsistent techniques for quantifying OVD loss.
Purpose of the Study:
- To discuss clinical considerations for increasing occlusal vertical dimension (OVD) during dental restoration.
- To evaluate the decision-making process and safety of OVD increase.
Main Methods:
- Review of clinical considerations and literature regarding OVD increase.
- Assessment of diagnostic techniques for OVD loss.
- Evaluation of restorative material requirements and aesthetic demands.
Main Results:
- Thorough extraoral and intraoral evaluations are essential for determining OVD increase suitability.
- A minimal OVD increase is generally recommended, with up to 5 mm justifiable for restorative space and aesthetics.
- Permanent OVD increase is considered safe, with typically temporary adverse signs and symptoms.
Conclusions:
- OVD increase decisions should be based on dental restorative needs and aesthetic goals.
- Fixed restorations are generally preferred for OVD increase due to better patient adaptation.
- Removable appliances are recommended for patients with Temporomandibular Disorders (TMD) to manage symptoms before irreversible procedures.
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