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Current Issue - Volume 38, Issue 3, 2018

Journal Impact Factor: 1.113

Featured Article

Increasing the Vertical Dimension of Occlusion: A Multicenter Retrospective Clinical Comparative Study on 100 Patients with Fixed Tooth-Supported, Mixed, and Implant-Supported Full-Arch Rehabilitations
Giacomo Fabbri, DDS/Roberto Sorrentino, DDS, MSc, PhD/Giorgio Cannistraro, DDS/Francesco Mintrone, DDS/Leonardo Bacherini, DDS/Roberto Turrini, DDS/Tiziano Bombardelli, MD, DDS/Michele Nieri, MD, DDS/Mauro Fradeani, MD, DDS

Dr Giacomo Fabbri and colleagues present a multicenter retrospective study evaluating 100 patients managed by increasing the vertical dimension of occlusion (VDO) with fixed dental prostheses. Patients were subdivided for follow-up analysis according to whether they were dentate, partially edentulous, or fully edentulous, and whether implants provided the support for restorations. The new VDO was tested via a mock-up, fixed provisional, or removable prosthesis prior to final restoration. Functional and prosthetic complications after the VDO increase were not frequent and were statistically analyzed. Complications were most often seen with the implant-supported fully edentulous patients, and most were no longer evident after 2 weeks. No significant differences were evident between groups in terms of prosthetic complications and self-reported bruxism.

The case reports presented demonstrate the severity of the occlusal challenges for the patients treated and the exquisite level of dentistry provided. The report is a rare clinical analysis of a common, complex dental challenge.

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