Diagnosis and treatment of an excess vertical dimension malocclusion

  • James L. Vaden Private Practice, Cookeville, TN
  • Richard A. Williams The University of Tennessee, TN

Abstract


The orthodontic clinician must use a careful differential diagnosis protocol for each patient who seeks his or her care. The diagnosis must analyze all three components of a malocclusion—facial, dental, and skeletal. Each component must be carefully studied andunderstood so that (1) the proper questions are asked and (2) the correct diagnostic decisions are made so that an effective treatment plan can be developed. Once the treatment plan is finalized, proper forces at appropriate treatment intervals must be utilized. If these concepts are used, most vertically compromised patients can be successfully treated with conventional orthodontics.

References

Pearson LE, Pearson BL: Rapid maxillary expansion with incisor intrusion: a study of vertical control. Am J Orthod Dentofacial Orthop. 1999;115(5):576-82.

Klontz HA: Facial balance and harmony: an attainable objective for the patient with a high mandibular plane angle. Am J Orthod Dentofacial Orthop. 1998;114(2):176-88.

Vaden JL: Alternative nonsurgical strategies to treat complex orthodontic problems. Semin Orthod. 1996;2(2):90-113.

Pearson LE: The management of vertical dimension problems in growing patients, from the enigma of the vertical dimension. In McNamaraJAJr (ed): Craniofacial Growth Series 36, Center for Human Growth and Development. Ann Arbor, MI, The University of Michigan, 2000.

Merrifield LL. Dimensions of the denture: Back to basics. Am J Orthod Dentofacial Orthop. 1994;106(5):535-42.

de la Cruz A, Sampson P, Little RM, Artun J, Shapiro PA: Long-term changes in arch form after orthodontic treatment and retention. Am J Orthod Dentofacial Orthop. 1995;107(5):518-30.

Strang RHW: The fallacy of denture expansion as a treatment procedure. Angle Orthod. 1949;19(1):12-22.

Nance H: The limitations of orthodontic treatment; diagnosis and treatment in the permanent dentition. Am J Orthod. 1947;33(5):253-301.

Tweed CH: Indications for the extraction of teeth in orthodontic procedures. Am J Orthod Oral Surg. 1944-1945;42:22-45.

El-Mangoury NH: Orthodontic relapse in subjects with varying degrees of anteroposterior and vertical dysplasia. Am J Orthod. 1979; 75(5):548-61

Vaden JL, Klontz HK, Dale JG: Standard edgewise: Tweed-Merrifield philosophy, diagnosis, treatment planning and force systems. Orthodontic: Current Principles and Techniques. Chapter 15, p 535.

Ibid, p533.

Tweed CH. The Frankfort-mandibular plane angle in orthodontic diagnosis, classification, treatment planning, and prognosis. Am J Orthod Oral Surg. 1946;32:175-230.

Merrifield LL. The systems of directional force. J Charles H. Tweed Int Found. 1982;10:15-29.

Published
2017/10/03
Section
Case Report