Loss of Vertical Dimension

Vertical dimension is the space between the upper and lower jaws. In a normal occlusion with a full dentition the space is ideal with the teeth and jaw working in harmony. Over time, especially in older patients this space can diminish if the natural teeth are worn down  from bruxism or lost due to decay or periodontal disease.

This loss of vertical dimension or bite collapse can result in damage to the jaw joints, severe pain or dysfunction in the jaw joints, frequent muscle tension headaches, tooth fractures and tooth loss, and aggravation of periodontal disease if present. Other resulting issues are shortening of the lower face height, an inverted smile (corners of the mouth sag), a toothless smile, frequent cracking or chapping at the corners of the mouth (angular cheilitis), and problems chewing.

Restoring the proper vertical dimension and associated cosmetic and functional problems can be obtained by proper treatment planning. In the case of a full dentition with worn teeth, the teeth can be crowned and returned to their natural size. For partial or fully edentulous patients implants can be utilized along with removable or hybrid appliances. Below are some before and after pictures depicting loss of vertical dimension and its correction.

by Dr. H. Kopel, DDS

 

 

What Lawyers Must Learn From Dentists About The Unauthorized Practice Of Law

What Lawyers Must Learn From Dentists About The Unauthorized Practice Of Law
No wonder groups like the National Council of Examiners for Engineering and Surveying, the Federation of State Boards of Physical Therapy, and the American Association of Nurse Anesthetists filed amicus briefs with the Supreme Court. If the Court …
Read more on Above the Law

Blinn Dental Hygiene Students Earn Top Award, Scholarships at State Conference
Blinn's student chapter of the American Dental Hygienists' Association recently attended a joint conference of the Texas Dental Hygienists' Association Student Annual Session and the Texas Dental Hygiene Educators Association Annual Session in San …
Read more on KBTX

Latest California Dentist Association News

Engel Family Dentistry Announces Grand Opening and Participation in CDA
Engel Family Dentistry in Folsom, California, announces the grand opening of their dental office, which provides comprehensive dental care for patients in the Sacramento area. The office has also volunteered with the California Dental Association to …
Read more on PR Web (press release)

Assam in need of more dental colleges: Governor
He was speaking at the 43rd Annual Dental Conference organized by the Assam Branch of Indian Dental Association (ABIDA) in Dispur. Patnaik said dental health services in the country were grossly inadequate and that this inadequacy was more evident in …
Read more on Times of India

Dental Implants in One Day – Is This Really Possible?

Dental Implants in One Day – Is This Really Possible?
Dental implants are also a great alternative to wearing dentures. Dentures are made of acrylic, cast metal and flexible plastic for the base and plastic or porcelain for the actual teeth. Dental implants are significantly stronger, being made of titanium.
Read more on WorlDental.org

What are Dental Implants?
Replacing missing teeth can be achieved using dentures, bridges or dental implants. Dentures are a removable appliance usually constructed of acrylic and they provide a cost effective method of tooth replacement. The downside with dentures is that they …
Read more on WorlDental.org

New Procedure Offers Implants Instead Of Dentures
PITTSBURGH (KDKA) — Are you constantly bothered by your dentures? Irritated because they don't fit right or annoyed with how they look? There's a new procedure being offered by local dentists that could finally put an end to your denture drama.
Read more on CBS Local

State GOP sues Dem group for 'deceptive' tactics in East Bay race

State GOP sues Dem group for 'deceptive' tactics in East Bay race
But Republican political consultant Rob Stutzman calls the Asian American PAC actions “sloppy” and “a huge misstep,” even in the bare-knuckled world of California politics. “The net effect of it has been helpful to Glazer,” he says. “I think he's doing …
Read more on SFGate

Skeletons Reveal Tuscan Life in the Time of Cholera
The skeletons reveal a millennium of hardship and poor health starting in the 11th century, with bone infections, dental cavities, and poor diets fueled mainly by carbohydrates. One of the oldest sections of the site contains … "To our knowledge …
Read more on National Geographic

Toothpaste startup hopes to brush away competition
To prove it, Goswamy commissioned a clinical trial at the University of California Irvine. When Petra Wilder-Smith, director of dentistry at the university's Beckman Laser Institute first saw the … The American Dental Association calls the product …
Read more on CBS News