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

IF 3.2 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Łukasz Lassmann, Marcelo A Calamita, Danielle Manfredini
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引用次数: 0

Abstract

Objective: 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.

Methods: 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.

Results: 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.

Conclusion: 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.

关于牙科修复中咬合垂直度的误区:范围综述。
目的:这篇范围综述旨在澄清修复牙科中咬合垂直维度(VDO)的概念,探讨有关其临床管理和对口颌系统影响的普遍误解和争议:本文通过广泛的文献综述和国际调查,批判性地研究了有关 VDO 改变及其对颞下颌关节紊乱症 (TMD) 影响的常见观念。调查对象包括 862 名普通牙科医生和修复科医生,探讨了他们改变 VDO 的方法及其对临床影响的看法。文献综述透彻分析了有关 VDO 更改技术、口颌系统适应性以及 VDO 更改与 TMD 之间关系的现有研究:调查揭示了牙医对 VDO 的看法,表明虽然许多从业者因担心患者不适应而测试新的 VDO,但绝大多数人认为,无论使用哪种技术,患者通常都能很好地适应新的 VDO。调查强调了对改变 VDO 需要循序渐进的过程和试验阶段以及修改后 VDO 的稳定性的不同看法。文献回顾表明,由于肌肉的适应性,VDO 变化具有稳定性和适应性,并表明 VDO 变化与 TMD 之间没有直接的因果或治疗联系。确定全口义齿 VDO 的传统方法可能不适合磨损牙,这就强调了定制方法的必要性:本文认为,鉴于有证据支持口颌系统的适应性,传统上认为 VDO 改变需要长时间试验阶段的观点可能需要重新考虑。此外,文章还强调了区分适用于全口义齿的方法和适用于管理磨损牙的方法的重要性。研究还发现,所谓的 VDO 改变与 TMD 之间的联系缺乏科学依据,这就强调了根据现有证据和临床判断对患者进行个体化护理的必要性。
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来源期刊
Journal of Esthetic and Restorative Dentistry
Journal of Esthetic and Restorative Dentistry 医学-牙科与口腔外科
CiteScore
6.30
自引率
6.20%
发文量
124
审稿时长
>12 weeks
期刊介绍: The Journal of Esthetic and Restorative Dentistry (JERD) is the longest standing peer-reviewed journal devoted solely to advancing the knowledge and practice of esthetic dentistry. Its goal is to provide the very latest evidence-based information in the realm of contemporary interdisciplinary esthetic dentistry through high quality clinical papers, sound research reports and educational features. The range of topics covered in the journal includes: - Interdisciplinary esthetic concepts - Implants - Conservative adhesive restorations - Tooth Whitening - Prosthodontic materials and techniques - Dental materials - Orthodontic, periodontal and endodontic esthetics - Esthetics related research - Innovations in esthetics
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