Dentaltown January 2025 - 35

Fig. 18
though, because the patient's teeth
could become too long to satisfy the
VDO changes chosen. Over-lengthening
teeth would result in issues
with speech, aesthetics, mastication
and disclusion. For this reason, it is
important to start the vertical dimension
process with the result in mind.
Using this step-by-step process
will allow one to predictably start the
rehabilitation process at an increased
vertical dimension. Once proven in
provisionals, the fi nal lengths and
occlusal design can be transferred to
ceramics for a predictable aesthetic
and functional rehabilitation (Figs.
17-18).26, 27
DT
References
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JANUARY 2025 | 35 | DENTALTOWN.COM
Dr. John Nosti practices in Mays Landing
and Somers Point, New Jersey, with
an emphasis on functional cosmetics,
full-mouth rehabilitations and TMJ
dysfunction. Nosti is a member of
Dentaltown's editorial advisory board
and the clinical director of the Clinical
Mastery Series, geared toward advancing
knowledge in occlusion, aesthetics and
restorative dentistry.
23. Crins, Luuk A. M. J., et al. " Randomised Controlled Trial on
Testing an Increased Vertical Dimension of Occlusion Prior
to Restorative Treatment of Tooth Wear. " Journal of Oral
Rehabilitation, vol. 50, no. 4, 2023, pp. 267-275.
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of Occlusion: A Multicenter Retrospective Clinical
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Mixed, and Implant-Supported Full-Arch
Rehabilitations. " International Journal of Periodontics &
Restorative Dentistry, vol. 38, no. 3, 2018.
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27. Abduo, Jaafar. " Safety of Increasing Vertical Dimension
of Occlusion: A Systematic Review. " Quintessence
International, vol. 43, no. 5, 2012.
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