29. Occlusion + VD

29/08/2020 4 min
29. Occlusion + VD

Listen "29. Occlusion + VD"

Episode Synopsis

VERTICAL DIMENSION- Will’s gauge- If VD error happens – then the only option is new denture!- VD at rest – VD at occlusion = 2-4mm ( freeway space )- Mandible should be at a physiologic position- Errors are noted on VD at – occlusionIncreased VD- Reduced inter-occlusal space ⸫ TMJ pain- Tenderness of muscle ⸫ difficulty in swallowing- Increase in lower facial height- Erythema at denture-bearing sight, which occurs within a week- Cheek bite ( due to decreased horizontal overlap between the teeth ⸫ to manage – trim buccal cusp of mandibular teeth- Clicking of teeth during speech ( also seen in ceramic crowns, no retention of dentures )Decreased VD1. Increase in Freeway space drooping of corners of the mouth angular cheilitis other reasons----Candidiasis----iron deficiency anemia----riboflavin deficiency2. Decreased lower facial height--> thinning of lips3. TMJ pain