THIEME
1 Original Article
Cephalometric Evaluation of Vertical Dimension of
Occlusion in Varying Malocclusions
Isha Aggarwal
1
Anindita Mallik
1,
Sanjay Mittal
1
Mandeep Bhullar
1
Divya Singla
1
Merry Goyal
1
1
Department of Orthodontics and Dentofacial Orthopedics, Bhojia
Dental College, Baddi, Himachal Pradesh, India
received
July 24, 2019
accepted
July 30, 2019
Address for correspondence Anindita Mallik, Room No. 409, Girls
Hostel, Bhojia Dental College and Hospital, Baddi 173205, Solan,
Himachal Pradesh, India (e-mail: mallik.ani3@gmail.com).
Introduction The aim of modern cephalometrics is to evaluate the relationship of
skeletal and dental functional units of the face and to implement treatment to estab-
lish the position of the units horizontally and vertically. Establishing a correct occlusal
vertical dimension is considered one of the most important aspects of facial esthetics
for patients in need of orthodontic treatment.
Aim The aim of this study is to evaluate the vertical dimension of occlusion in varying
dental malocclusions in Solan population.
Materials and Methods The sample consisted of pretreatment lateral cephalograms
of 100 patients (50 Class I and 50 Class II div 1), aged 15 to 30 years; six angular and one
linear parameters were measured to determine the vertical dimension of occlusion.
Results All the parameters (Frankfort-mandibular plane angle [FMA], Occl/Frankfort
horizontal plane [FHA], angle of Y-axis, Occl/SN, GoGn/SN, and ANS-Me) were found
to be decreased in Class I than in Class II div 1 malocclusion except (ANS-Xi-Pm). All
the parameters were found to be statistically significant (p < 0.05) when compared
between groups. When cephalometric norms of the present study were compared with
Moroccan population, all parameters (ANS-Xi-Ptm, FMA, Occl/FH, Occl/SN, GoGn/SN,
and ANS-Me) were found to be decreased in Solan population except angle of Y-axis.
All the parameters were clinically significant (p < 0.05) except ANS-Xi-Pm and FMA that
were found to be clinically nonsignificant (p > 0.05).
Conclusion Solan population has distinct cephalometric characteristics, which
should be used as the reference in future orthodontic treatments.
Abstract
Keywords
► Moroccan
► Solan
► vertical dimension of
occlusion
DOI https://doi.org/
10.1055/s-0039-1698357
ISSN 2321-1482.
©2019 Bhojia Dental College and
Hospital affiliated to Himachal
Pradesh University
Introduction
The aim of modern cephalometrics is to evaluate the rela-
tionship of skeletal and dental functional units of the face
and to implement treatment to establish the position of the
units horizontally and vertically (profit and field 2000) estab-
lishing a correct occlusal vertical dimension. Vertical dimen-
sion of occlusion (VDO) is defined as the height of the lower
face when the dental arches are in centric occlusion and it
is measured in between two arbitrary sagittal points located
above the upper lip and beneath the lower lip according to
Batarec.
1
Specifically, it is the height of the lower face when
the dental arches are in maximum intercuspation.
2
The loss
of VDO leads to unavoidable pathogenesis in respect to the
esthetics, functional efficacy, and structural balance. Several
clinical situations such as tooth loss, posterior occlusal col-
lapse, periodontal diseases, and occasionally bruxism require
VDO correction.
Correct determination of VDO is of utmost importance for
the functional and physiognomic rehabilitation of patients.
Current knowledge on the morphological and functional
aspects of maxillofacial complex, knowledge on genetic com-
plexity of certain morphological structures, knowledge on
inseparable association between morphology and function,
Dent J Adv Stud
Published online: 18.10.2019