[OCCLUSION MONTH] Vertical Dimension – Don’t Be Scared! – PDP197

Protrusive Dental Podcast

Treatment Planning Symposium 16th November Hybrid event: https://www.protrusive.co.uk/rx

Are you still afraid of raising the Vertical Dimension? You cannot break free from the shackles of single tooth Dentistry if you don’t get comfortable with vertical dimensions changes in Restorative Dentistry.

https://youtu.be/Nb-LTyzRKuU

Watch PDP197 on Youtube

In this episode, Dr. Jaz Gulati and Dr. Mahmoud Ibrahim simplify the complex topic of increasing vertical dimension.

What is a safe limit of increasing the vertical dimension?

They cover the essentials of joint health, muscle stability, and the importance of centric relation (does it actually matter?)

Protrusive Dental Pearl: Use Duralay copings for guide planes to ensure stable dentures with a single path of insertion. While eyeballing the prep can be challenging, he suggests requesting acrylic copings from the lab for precise preparation. He explains that technicians survey models to identify undercuts and determine the path of insertion, and instead of manual prepping, he advises using lab-created reduction copings and acrylic jigs to simplify and accurately guide the preparation process.

Highlights of this episode:

• 02:05 Protrusive Dental Pearl Acyrlic Copings for Guide Planes
• 03:57 Dr. Mahmoud Ibrahim’s Introduction
• 06:05 Personal Experiences with Vertical Dimension
• 08:45 Challenges and Techniques in Vertical Dimension
• 14:17 Clinical Considerations (Restorative Dentistry) and Research
• 21:15 How to Assess OVD Loss?
• 24:35 Factors to Consider in Increasing the Vertical Dimension
• 28:41 Treatment Planning: Orthodontics vs. Restorative Management
• 32:21 Assessing Cases for Vertical Dimension
• 34:39 Joint Position and Vertical Dimension
• 39:47 Occlusal Appliances Prior to Increasing Vertical Dimension
• 45:26 Joint Relationship
• 50:49 Reproducibility and Stability in Occlusal Planning
• 53:00 Summary and Final Thoughts on Vertical Dimension

This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.

AGD code: 180 Occlusion (Occlusal therapy)

This episode meets GDC Outcomes A and C.

Dentists will be able to:

1. Explore key clinical considerations and current research in restorative dentistry related to vertical dimension, enhancing your ability to make informed decisions.

2. Understand the relationship between joint position and vertical dimension, and how to assess and manage this relationship effectively.

3. Recall the guidelines for assessing the vertical dimension and the safe limit for this in dentate patients.

If you liked this, you will also like Functionally Generated Path Technique – Conforming to Funky Occlusions – PDP168