Showing posts with label vertical dimension. Show all posts
Showing posts with label vertical dimension. Show all posts

Friday, 5 September 2025

Exploring Facial Structure Variability and Freeway Space in Fully Dentate Adults: Findings from Clinical Study | Chapter 7 | Medical Research and Its Applications Vol. 8

 

Aim: This study aims to assess the average freeway space among fully dentate individuals during rest and occlusion across different facial forms.

 

Background: The freeway space (FWS), or interocclusal distance, is determined by the balance between the elevator and depressor muscles attached to the mandible, and the “elastic” nature of the surrounding soft tissue in natural dentition. Lower one-third of the face can have far-reaching effects on facial aesthetics, not only on the peri-oral areas but also on the entire face. Mandibular posture greatly depends on head posture.

 

Materials and Methods: Fifty subjects from each of three facial form groups- square, taper, and oval- with a complete set of maxillary and mandibular arch teeth, aged between 25 to 40 years, were included. Equal numbers of males and females were represented in all groups. Vertical height at rest and occlusion was recorded using standardized procedures and freeway space (FWS) was measured

 

Results: Statistical analysis of the collected data revealed mean and median values for each facial form: square (3, 2.32), taper (2.62, 2), and ovoid (2.68, 2), respectively. No significant differences were observed between these readings (P < 0.05). However, 9% of the individuals exhibited the FWS range of 5–6 mm with measurements ranging from 1 and 7 mm, respectively. Notably, the majority (56%) of the square facial form subjects displayed an FWS range of 3–4 mm.

 

Conclusion: This study provides insights into the average inter-arch space across various facial forms, indicating a measurement typically exceeding 3–4 mm. The future prospective of this study is that evaluating the FWS in edentulous patients with an increased number of subjects would definitely increase the clarity.

 

Author(s) Details

 

Anupama Aradya

Department of Prosthodontics, JSS Dental College and Hospital (A Constituent College of JSS Academy of Higher Education and Research), Mysore, India.

Ramesh Chowdhary

Department of Prosthodontics, Sri Siddhartha Dental College and Hospital, Bengaluru, Karnataka, India.

Ravi M B

Department of Prosthodontics, JSS Dental College and Hospital (A Constituent College of JSS Academy of Higher Education and Research), Mysore, India.

Sree Shyla H S

Department of Oral Pathology and Microbiology, JSS Dental College and Hospital (A Constituent College of JSS Academy of Higher Education and Research), Mysore, India.

Koduru Sravani

Department of Periodontics, Dayanand Sagar College of Dental Sciences, Bengaluru, Karnataka, India.

Narahari Ranganatha

Department of oral and Maxillofacial Surgery, Raja Rajeswari Dental college and Hospital, Bengaluru, Karnataka, India.

 

 

Please see the link:- https://doi.org/10.9734/bpi/mria/v8/12591F

Wednesday, 3 August 2022

Rehabilitation of Lost Vertical Dimension Using Pankey Mann Schuyler Concept | Chapter 1 | Current Practice in Medical Science Vol. 5

 

In the management of badly worn dentition, it is usual practice to raise the occlusal vertical dimension in order to have adequate repair space. The impact of this divisive belief on the odonto-stomatognathic system has generated discussion. Regarding the perception of an increase in the occlusal vertical dimension, there are fundamental uncertainties and false beliefs currently held. Reconstructing a weakened dentition is stressful due to the widely differing opinions on choosing a suitable occlusal plan for a successful complete mouth rehabilitation. There are numerous schools of thought to follow for occlusal rehabilitation, the two most well-known of which are Hobo's philosophy and Pankey Mann Schuyler's philosophy. The Pankey Mann Schuyler idea offers a straightforward, step-by-step process to follow in whole mouth rehabilitation instances. The case of a 38-year-old male patient who reported of pain in his left TMJ region and showed significant attrition upon oral inspection is covered in this paper. He underwent complete mouth occlusal rehabilitation. The Pankey Mann Schuyler principle underpinned the therapy, which also included an occlusal analysis using the Broadrick flag.

Author(s) Details:

Ajay Singh,
Department of Prosthodontics, HKES S. Nijalingappa Institute of Dental Sciences and Research, Gulbarga, Karnataka, India.

Kashif Noorani,
Department of Prosthodontics, HKES S. Nijalingappa Institute of Dental Sciences and Research, Gulbarga, Karnataka, India.

Yaiphaba Rajkumar,
Department of Prosthodontics, Saraswati Dental College and Hospital, Chinhat, Lucknow, India.

Nayar Islam,
MDS Prosthodontics and Implantologist, Dr. Rammanohar Lohia Avadh University, Lucknow, India.

Nilisha Shukla,
MDS Prosthodontics and Implantologist, Dr. Rammanohar Lohia Avadh University, Lucknow, India.

Please see the link here: https://stm.bookpi.org/CPMS-V5/article/view/7649