Abstract

PINEDA GOMEZ, Ariana; RIOS SZALAY, Enrique  and  HERNANDEZ AYALA, Alinne. Considerations for the increase of occlusal vertical dimension. Report of a case. Rev. Odont. Mex [online]. 2018, vol.22, n.4, pp.235-244. ISSN 1870-199X.

Occlusal vertical dimension (OVD) is represented by the distance between two points, which is not lost, however, can be increased or decreased. Depends to a good extent on the present dentition. Pathological entities such as severe attrition can influence their condition. Clinical route to arrive at the determination to perform an increase of OVD is a meticulous process, part of a correct diagnosis, quantifi cation of the same, as well as the way to perform the procedure. There are multiple methods for this treatment: removable or fi xed devices. Choice of treatment will be based on the particularities of each patient. There is no universal treatment but an ideal for each specific situation. This case describes the considerations prior to the increase of OVD in a 68-year-old male patient with generalized attrition. Magnitude of OVD reduction, facial and aesthetic profi le was evaluated by means of photographic and video analysis; the occlusal scheme and the dental structure present. Literature consulted proposes to calculate with different methods the reestablishment of OVD, before choosing one it is necessary to defi ne and to speculate how much it is diminished, for it is not enough a static analysis or of simple appreciation must consider the facial aspect, as well as the mandibular dynamics. Increasing OVD in a single intention, through provisional restorations, maintained within the parameters of comfort, is an excellent resource to execute it, the patient undergoes a phase of favorable adaptation and without symptomatic complications.

Keywords : Increase; quantifi cation or reduction of vertical dimension of occlusion; attrition; facial profile; provisional restorations.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )