Controlling anomalies of vertical dimension and speech

In this article, definite ways and means have been discussed for controlling the the verticale dimension of occlusion by using certain tooth-to-tooth and tooth-to-tissue relations that exist in normal speech. The primary emphasis is placed on managing the problems encountered in the most troublesome types of patients--those with Class II occlusions, the tongue thrusters, and those who lisp. It is not easy to identify those patients in whom these problems previously existed after they become edentulous. An Analytical Control Chart has been introduced which can be used to separate these problem patients from the normal ones, and a step-by-step procedure for their management can be followed. Also the phases of this approach which are beneficial in restorative dentistry are reviewed.