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Cephalometric analysis for accurately determining the vertical dimension: a case report


Objective : Determination of the vertical dimension of occlusion (DVO) tends to changes throughout the human life. The vertical dimension is determined by the interocclusal point of the upper and lower teeth contact so the application is limited when the natural teeth was missing. As the result, many functional and aesthetic changes are occurred in the whole orofacial region and stomatognathic 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.Methods : The purpose of this case report was to find out the results of the vertical dimension of occlusion measurements in maxillomandibular relation by using cephalometric photo in patients who have been long lost their teeth and have never been using denture.Results : A 50 year old female patient, partially edentulous on the upper and lower jaw with the remaining teeth were 12 (residual root), 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 rim were given metal marker, the image was traced, then measured between metal to get the vertical dimension of occlusion.Conclusion : The measurement results of the vertical dimension of occlusion by using cephalometric photo on making full denture were more accurate, so it could improve and restore the masticatory function, aesthetic function and phonetics.


  1. Phoenix RD, Cagna DR, DeFreest CF. Stewart’s clinical removable partial prosthodontics. 3rd ed. Chicago: Quintessence; 2003. p. 367-370.
  2. Delic Z, Soskic MS, Grzic RP, et al. Evaluation of craniometric methods for determination of vertikal dimension of occlusion. Coll Antropol 2000;1: 31-35.
  3. Strajnic L, Sinobad DS, Marcovic D, et al. Cephalometric indicators of the vertical dimension of occlusion. Coll Antropol 2008;2: 535-541.
  4. Zarb GA, Bolender CL, Hickey JC. Buku ajar prostodonsi untuk pasien tak bergigi menurut Boucher. Jakarta: EGC; 1990. p. 214-239.
  5. Rikmasari R. Pengukuran antropometrik bagian tengah dan bawah muka untuk menentukan dimensi vertical. Bandung: FKG UNPAD; 1999. p. 1.
  6. Toolson LB, Smith DE. Clinical measurementand evaluation of vertical dimension. J Prosthet Dent 2006.
  7. Mehta JD, Joglekar AP. Vertikal jaw relation as a factor in partial dentures. J Prosthet Dent 1969;2: 618-625.
  8. Wirahadikusumah A. Analisis foto digital untuk memprediksi dimensi vertical fisiologis FKGUI. Jakarta; 2012. p. 2.
  9. Tuncay OC, Thomson S, Abadi B, et al. Cephalometric evaluation of the changes in patients wearing complete dentures. A 10-year longitudinal study. J Prosthet Dent 1984;51: 169-180.
  10. Basker RM, Davenport JC. Prosthetic treatment of edentulus patients. Copenhagen: Blackwell Munksgaard; 2002. p. 172-176.
  11. Caregnato MCH, Ornaghi B, Paula A, et al. Determination of final occlusal vertical dimension Bycephalometric analysis. RSBO 2015;12: 143-150.
  12. Ciftci Y, Kocadereli I¸ Canay S, et al. Cephalometric Evaluation of Maxillomandibular Relationships in Patients Wearing Complete Dentures: A Pilot Study. Angle Orthod 2005;75: 821-825.
  13. Itjingnigsih WH. Geligi tiruan lengkap lepas. Jakarta: EGC; 1996. p. 69.
  14. Beckket LS. Accurate occlusal relations in partial denture construction. J Prosthet Dent 1954;4: 487-495.
  15. Sharry JJ. Complete denture Prosthodontic. 3rd ed. New York: McGraw Hill Book; 1974. p. 211.

How to Cite

Wiro, W., & Habar, I. D. (2017). Cephalometric analysis for accurately determining the vertical dimension: a case report. Journal of Dentomaxillofacial Science, 2(1), 52–57.




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