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Journal of Prosthetic Dentistry
Classic Article| Volume 95, ISSUE 3, P175-180, March 2006

Vertical dimension measurements

      Methods of obtaining measurements of vertical dimension are many and varied as indicated by Turrell
      • Turrell A.J.
      Clinical assessment of vertical dimension.
      in a discussion of 29 such methods. While the considerable importance of a proper vertical dimension of occlusion is generally accepted,
      • Tench R.W.
      Dangers in dental reconstruction involving increase of vertical dimension of the lower third of the human face.
      • Niswonger M.E.
      The rest position of the mandible and centric relation.
      • Swerdlow H.
      Vertical dimension literature review.
      the means of obtaining it are considered unreliable by some investigators,
      • Berry D.C.
      The constancy of the rest position of the mandible.
      • McMillan D.R.
      • Barbenel J.C.
      • Quinn D.M.
      Measurement of occlusal face height by dividers.
      • Atwood D.A.
      A cephalometric study of the mandible. Part I. The variability of clinical rest position following the removal of occlusal contacts.
      • Vierheller P.G.
      A functional method for establishing vertical and tentative maxillo-mandibular relations.
      • Ismail Y.H.
      • George W.A.
      • Sassouni V.
      • Scott R.H.
      Cephalometric study of changes in height following prosthetic treatment.
      and some authors recommend the use of “clinical judgment.”
      • Turrell A.J.
      Clinical assessment of vertical dimension.
      • Vierheller P.G.
      A functional method for establishing vertical and tentative maxillo-mandibular relations.
      • Brewer A.A.
      Prosthodontic research in progress at the school of aerospace medicine.
      • Standard S.G.
      • Lepley J.B.
      The free-way space and its relation to the temporo-mandibular articulation.
      • Nagle R.J.
      • Sears V.H.
      Denture prosthetics.
      The importance of the problem seems incompatible with the great diversity of methods for obtaining the vertical dimension of occlusion and the reliance on the something as vague and uncommunicable as “clinical judgment.” Many factors have been suggested as responsible for the ambiguities associated with such measurements and calculations, which include difficulties in obtaining measurements on the skin of the face and the range of variability in physiologic and pathologic states.
      • Atwood D.A.
      A cephalometric study of the mandible. Part I. The variability of clinical rest position following the removal of occlusal contacts.
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      References

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