Patient perception.
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Biomedical subjects
Publications and source records attributed to N K Mohindra.
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AIM: To investigate the effect of increasing the vertical dimension of occlusion on facial aesthetics. SETTING: General practice. METHOD: Questionnaires were sent to 96 patients who had been treated in the practice during the period of July 1998 to December 2000, resulting in an overall 72% response rate. All these patients had had their occlusal vertical dimension increased. Photographs of patients were taken before, during and after treatment. The questionnaire asked their opinion on the effects of the treatment on their facial features. To obtain an objective view to substantiate the opinions of the patients, a panel of five judges reviewed the before and after photographs and filled in their own questionnaires. RESULTS: Of the patients who responded to the questionnaire, 79.7% said they looked younger after the treatment. The panel thought 81.2% of the patients treated whose photographs they reviewed looked younger. CONCLUSION: Increasing the vertical dimension of occlusion can have far reaching effects on facial aesthetics, not just on the peri-oral areas but on the whole face.
For dentists working in general practice, undertaking research is not an easy path to take. I know from my own experience that there are many problems, such as cost, time, and lack of training in methodology. However, I feel it is paramount that GDPs do carry out research and that originality of thought and individuality be allowed to flourish. The profession can only benefit from such challenges.
When constructing replacement complete dentures, trying to estimate the correct occlusion vertical dimension (OVD) can be difficult. This paper describes a method of using the swallowing method to estimate the correct OVD and to form occlusal pivots on old dentures prior to constructing new ones. The method has been used on 21 patients. The mean increase in the OVD was 9.7 mm with the largest increase being 19 mm and the smallest 3 mm. All the increases in OVD were done in one step, there were no gradual build-ups. New dentures were constructed to the height of the pivots once the patients were comfortable with the modified old dentures. In three cases the OVD had to be reduced once the dentures had been constructed but in all other cases the patients continued to wear their new dentures. All 21 patients answered a questionnaire about their new dentures. All of them were wearing their new dentures, and 18 out of 21 patients thought that their new dentures were better than their previous ones.
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