Determination of final occlusal vertical dimension by cephalometric analysis
RSBO (Impr.)
;
12(2): 143-150, Apr.-Jun. 2015. ilus, tab
Artículo
en Inglés
| LILACS
| ID: lil-792036
ABSTRACT
Introduction:
Most of techniques for determining the occlusal vertical dimension (OVD) of edentulous patients are based on soft tissues references, which lead to measurement discrepancies.Objective:
To propose a method to obtain the OVD of edentulous patients during the confection of complete dentures considering the lower facial height established by Ricketts (LFHr) or the lower facial height obtained from cephalometric analysis of dentulous patients (LFHd). Material andmethods:
The OVD of 11 edentulous patients was determined by the association of 3 clinical methods. On each patient's bite plates a metallic ball was fixed and the patient was submitted to lateral radiographic to obtain the lower facial height (LFHe) from cephalometric analysis. Additionally, from 40 lateral cephalograms of dentulous patients the LFHd was obtained. After that, the distance between metallic balls (DMB, in mm) was calculated to verify the linear difference when LFHe was changed to LFHd or LFHr, which provided the amount of wax to be added or removed from the bite plates, establishing a new method of OVD determination. LFHe, LFHd and LFHr values were submitted to t e z statistical tests and DMB differences were analyzed by Student's t-test (α=0.05).Results:
LFHr (47.0±4.0o a) was statistically higher than LFHd (44.9±5.6o b) and LFHe (43.5±3.5o b). There was statistical difference on linear discrepancies calculated between the LFHe and LFHd (1.7±4.1mm a) or LFHr (4.2±4.1mm b).Conclusion:
The use of the cephalometric analysis showed to be a useful auxiliary tool in determining the intermaxillary relationship. However, this method must be associated with different clinical methods of OVD determination and it is recommended that regional references are used to calculate the linear discrepancies.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Idioma:
Inglés
Revista:
RSBO (Impr.)
Asunto de la revista:
Odontología
Año:
2015
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Positivo University/BR
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