Myths surrounding vertical dimension of occlusion in restorative dentistry: A scoping review.

TMD VDO full‐mouth rehabilitation occlusal reconstruction stomatognathic system temporomandibular joint disorders vertical dimension of occlusion

Journal

Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]
ISSN: 1708-8240
Titre abrégé: J Esthet Restor Dent
Pays: England
ID NLM: 101096515

Informations de publication

Date de publication:
27 Aug 2024
Historique:
received: 29 07 2024
accepted: 05 08 2024
medline: 27 8 2024
pubmed: 27 8 2024
entrez: 27 8 2024
Statut: aheadofprint

Résumé

This scoping review aims to clarify the concept of vertical dimension of occlusion (VDO) in prosthetic dentistry, addressing prevalent myths, and controversies regarding its clinical management and impact on the stomatognathic system. This paper critically examines common beliefs about VDO alteration and its effects on temporomandibular disorders (TMD) through an extensive literature review and an international survey. The survey included 862 general dentists and prosthodontists and explored their approaches to altering VDO and their perceptions of the clinical implications. The literature review provided a thorough analysis of existing research on VDO modification techniques, the adaptability of the stomatognathic system, and the relationship between VDO changes and TMD. The survey revealed insights into dentists' perspectives on VDO, showing that while many practitioners test a new VDO due to concerns about patient adaptation, a significant majority observed that patients typically adjust well to a new VDO regardless of the technique used. The survey highlighted differing beliefs about the need for a gradual process and trial phase for VDO alteration, as well as the stability of modified VDO. Literature review suggests the stability and adaptability of VDO changes due to muscle adaptability and indicates no direct causal or curative link between VDO changes and TMD. Traditional methods for determining VDO in complete dentures may not be suitable for worn dentition, underscoring the need for tailored approaches. This paper suggests that the traditional belief in the need for a prolonged trial phase for VDO alterations may be reconsidered in light of evidence supporting the adaptability of the stomatognathic system. Moreover, it emphasizes the importance of distinguishing between methods suitable for complete dentures and those for managing cases of worn dentition. The purported link between VDO alterations and TMD is also found to lack scientific evidence, highlighting the need for individualized patient care based on current evidence and clinical judgment.

Identifiants

pubmed: 39189329
doi: 10.1111/jerd.13303
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 Wiley Periodicals LLC.

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Auteurs

Łukasz Lassmann (Ł)

Independent Researcher, One & Only Institute, Gdánski, Poland.

Marcelo A Calamita (MA)

Department of Restorative Dental Sciences, University of Florida, Gainesville, Florida, USA.

Danielle Manfredini (D)

Department of Medical Biotechnology, School of Dentistry, University of Siena, Siena, Italy.

Classifications MeSH