Vertical dimension of occlusion: the keys to decision

We may play with the VDO if we know some game's rules
  • M. Rebibo
  • L. Darmouni
  • J. Jouvin
  • J. D. OrthliebEmail author
Position paper


During an extensive prosthetic reconstruction, the choice of the vertical dimension of occlusion (VDO) is frequently presented as the main point to obtain a success of treatment. Probably, it is a sensible opinion to think that there is an optimal adaptive space concerning the vertical dimension (VD) rather than a magic point. The practitioner may play with the VD, if a strict rotation around the hinge axis is utilized, if the facial type is not worsened and if lip closure is kept in a natural position. In case of temporomandibular osteoarthritis, non progressive large changes of VD have to be avoided. The decision making will be described in relation to different factors, such as overjet, overbite, prosthetic space, mandibular morphology, profile, vertical and horizontal skeletal type. A decision-making table is proposed to visualize the trend of these different factors.


Vertical dimension Vertical dimension of occlusion Decision making Prosthodontic Cephalometry 


  1. Avril CM. The transfert of the information received by static mandibular position analysis in the latero-lateral cephalometric tracing. J gnatho 1988;1:105–16Google Scholar
  2. Berteretche MV, et Hue O. Dimensions verticales. In: Occlusodontie pratique. d'Occlusodontologie CN (ed) Cdp. Paris, 2000;31–40Google Scholar
  3. Collège National d'Occlusodontologie (CNO). Occlusodontologie: lexique. Quintessence International. Paris, 2001;55Google Scholar
  4. Dawson PE. Les problèmes de l'occlusion. Evaluation diagnostic et traitement. Julien Prélat; Paris, 1977Google Scholar
  5. Edwards CL, Richards MW, Billy EJ, Neilans LC. Using computerised cephalometrics to analyse the vertical dimension of occlusion. Int J Prosthodont 1993;6:371–6PubMedGoogle Scholar
  6. Gaspard M. Troubles de l'occlusion dentaire et SADAM. In Collection du chirurgien-Dentiste. Procodif editeur. Sévres, 1985Google Scholar
  7. Lee RL. Anterior guidance. In: Lundeen HC, Gibbs CH (eds) Advances in occlusion. J Wright Ed Boston 1982;51–79Google Scholar
  8. MacGee GF. Use of facial measurements in determining vertical dimension. J am Dent Assoc 1947;35:342–7Google Scholar
  9. Magnusson T. Signs and symptoms of mandibular dysfunction in complete denture wearers five years after receiving new dentures. Cranio 1985;3:267–72PubMedGoogle Scholar
  10. McHorris WH. Ajustement Occlusal par meulage sélectif (I). Rev Int Parodont Dentist Restaur 1985;5:9–25Google Scholar
  11. Niswonger ME. Obtaining the vertical relation in edentulous cases that existed prior to extraction. J Am Dent Asssoc 1938; 25:1842–7Google Scholar
  12. Okeson JP. Management of temporomandibular disorders and occlusion. The CV Mosby Cy. St Louis, 1998;637Google Scholar
  13. Orthlieb J-D. Bezzina S et Preckel EB. OCTA: Concept d'aide au plan de traitement en prothèse. Synergie prothétique 2001;3:87–97Google Scholar
  14. Orthlieb J-D, Laplanche O et Preckel EB. La fonction occlusale et ses dysfonctionnements. Réalités cliniques 1996;7:131–43Google Scholar
  15. Orthlieb JD. Diagnostic occluso-céphalométrique assisté par ordinateur (Occluso-cephalometric computerised diagnosis). In Odontologie. Thesis Université de la Meditérranée; Marseille, 1990Google Scholar
  16. Orthlieb JD, Laurent M, Laplanche O. Cephalometric estimation of occlusal vertical dimension. J Oral Rehabilitation 2000;9:802–7CrossRefGoogle Scholar
  17. Palla S. La Dimension Verticale: Les connaissances et les incertitudes. In La dimension verticale: mythes et limites. Collége National d'Occlusodontologie, Paris, 1995;3–12Google Scholar
  18. Ravon P. Rapports Morphologiques entre les organes dentaires et la face. Etude Statistique. Université de Montpellier, Montpellier, 1986Google Scholar
  19. Rivera-Morales WC, Mohl ND. Relationship of occlusal vertical dimension to the health of the masticatory system. J Prosthet Dent 1991;65:547–3PubMedCrossRefGoogle Scholar
  20. Rugh JD, Drago CJ. Vertical dimension: a study of clinical rest position and jaw muscle activity. J Prosth Dent 1981;45:670–5CrossRefGoogle Scholar
  21. Silverman M. Occlusion in prosthodontics and in the natural dentition. Mutual Publishing Company, Washington, 1962Google Scholar
  22. Slavicek R, Lucchini V. et Laplanche O. Vingt questions à Rudolf SLAVICEK. In: Provence C (ed) CNO Provence Marseille, 1994;62Google Scholar
  23. Spear FM. Occlusal consideration for complex restorative therapy. In: Mc neill C (ed) Science and practice of occlusion. Quintessence Publishing Co. Inc., Chicago, 1997;437–56Google Scholar
  24. Tallents RH, Macher DJ, Kyrkanides S, Katzberg RW, Moss ME. Prevalence of missing posterior teeth and intraarticular temporomandibular disorders. J Prosthet Dent 2002;87:45–50PubMedCrossRefGoogle Scholar
  25. Valentin C et Martineau C. La consultation en odontologie. SNPMD, Paris, 1984Google Scholar

Copyright information

© Springer 2009

Authors and Affiliations

  • M. Rebibo
    • 1
  • L. Darmouni
    • 2
  • J. Jouvin
    • 3
  • J. D. Orthlieb
    • 2
    Email author
  1. 1.NiceFrance
  2. 2.Faculté de Chirurgie-Dentaire de Marseille, Unité d OcclusodontologieUniversité de la MéditerranéeMarseilleFrance
  3. 3.Faculté de Chirurgie-Dentaire de Marseille, Unité de ProthèseUniversité de la MéditerranéeMarseilleFrance

Personalised recommendations