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Purpose: This study evaluated the effect of increasing occlusal vertical dimension (OVD)
on the face height in completely dentate young adults. Materials and Methods: Faces of
22 subjects were photographed in a standardized manner in an anterior view. Sequential
photographs were taken at intercuspation and clinical rest position, with four completearch
maxillary occlusal overlays increasing OVD in interincisal increments of 2, 4, 6, and
8 mm. Objective measurements were made from the photographs using facial reference
markers. Ten observers made subjective evaluations of the resulting changes in face
height using the sequential photographs randomly presented. Results: Measurements of
the facial markers showed that on increasing OVD, a corresponding change in lower face
height was 50% of the interincisal increase in intercuspation and 40% for clinical rest
position. ANOVA for repeated measures showed a statistically significant effect of the
intraoral increase in OVD on lower face height. However, subjective results showed that
observers were not capable of detecting changes in face height caused by an intraoral
increase in OVD (2 to 6 mm intrinsically). ANOVA for the difference between dentists
and nondentists showed a minimal, but significant, difference between the two groups,
with dentists erring slightly less. Conclusion: Attempts to alter face height by changing
OVD within the range of 2 to 6 mm for esthetic reasons may not be visually
distinguishable. Int J Prosthodont 2002;15:353–357.
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