CASE REPORT Journal of Dentomaxillofacial Science (J Dentomaxillofac Sci ) April 2017, Volume 2, Number 1: 41-44 P-ISSN.2503-0817, E-ISSN.2503-0825 41 http://jdmfs.org © 2017 JDMFS. Published by Faculty of Dentistry, Hasanuddin University. All rights reserved. CrossMark Objective: Determination of the vertical dimension of occlusion (DVO) tends to changes throughout the human life. The vertical dimensionis determined by the interocclusal point of the upper and lower teeth contact so the application is limited when the natural teet was missing. Methods: A 50 year old female patient, partially edentulous on the upper and lower jaw with the remaining teeth were 12 (residualroot), 11, 21, 23, 33 and 43. The remaining teeth were endodontically treated prior the complete denture procedure. Cephalometric photo was done in patients after making bite rim, upper and lower bite rimwere given metal marker, the image was traced, then measured between metal to get the vertical dimension of occlusion. Results: Many functional and aesthetic changes are occurred in the whole orofacial region and tomatognathic system. DVO is one of the difficult stages in prosthodontic treatment. Most of the techniques to determine DVO in edentulous patients are based on the soft tissue references, which can cause the different measurements. Cephalometric analysis allows the evaluation of bone growth changes and can be used as a diagnostic tool in prosthodontics to evaluate the results of prosthodontic rehabilitation. Conclusion: Tooth loss without replacement may cause alteration of vertical dimension. Measurement of VD is one of important step in making denture. Keywords: Cephalometric, Determining the vertical dimension Cite this Article: Wiro W, Habar ID. 2017. Cephalometric analysis for accurately determining the vertical dimension (case report). Journal of Dentomaxillofacial Science 2(1): 41-44. DOI:10.15562/jdmfs.v2i1.458 Cephalometric analysis for accurately determining the vertical dimension (case report) Wahipa Wiro, * Ike D. Habar Abstract Introduction Te relation of lower jaw and upper jaw can be seen in 2 directions for either in vertical or horizontal. Horizontal relation is a centric relation while verti- cal relation is vertical dimension (VD). 1 Tooth loss may cause the alteration of vertical dimension. Tis alteration occurs in hard and sof tissue of face and jaw region. Tus, there are many functional and aesthetical changes in all orofacial region and stomatognathic system. Te exact determination of upper and lower jaw relation is important to be considered before determining the diagnosis or fabricating of the prosthodontic rehabilitation. 2,3 Vertical dimension is a relation determined by distance between upper and lower jaw, in specifc condition such as occlusion, it is called occlusal verti- cal dimension (OVD), yet when resting it is called rest vertical dimension/physiology. Determination of OVD is determined by natural teeth when still exist in oral cavity and when occluded. 4 Vertical dimension can be restored with a denture fabrication. Te stage of VD determination has been an important step in a successful treat- ment of removable denture because it can infuence the phonetics as well as its function. Te failure in determining VD will cause many kinds of aberra- tion such as: temporomandibular joint disorder, muscular dysfunction, atrophy and trauma of sof tissue, disturbance in phonetic, aesthetic, swallowing and chewing, and alveolar bone resorbtion. 4,5 Method used in the stage of DVI/DVF measure- ment till now has not been able to produce the most exact of DVI/DVF prediction although we know that this stage is very important to obtain a good occlusion. 6 Tere are many kinds of determi- nation of VD measurement, such as two dots, willis bite gauge, swallowing, phonetics, biting forces and tactile. Although many advancement in prost- hodontic, particularly in technique and material, however there is no method that does not have any weakness in producing patient’s OVD. 7 Tere are many measurement techniques of VD expected to be able to produce an accurate measurement of VD, however apparently some errors in measurement are remain occured. 10 Continued error of measurement of VD may cause changes to the function and aesthetic of all orofacial region and stomatognathic system. Further, it will also increase the duration of treatment and will lead to a higher cost spent by the patient. Department of Prosthodontic, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia * Correspondence to: Wahipa Wiro, Department of Prosthodontic, Faculty of Dentistry, HasanuddinUniversity, Makassar, Indonesia wahipadrg@yahoo.co.id Received 30 June 2016 Revised 28 August 2016 Accepted 03 January 2017 Available online 01 April 2016