Okluzal Düzlem Oryantasyon Bozukluğunun Düzeltilmesi

Okluzyon dikey boyutu, dişler maksimum interküspidasyon durumundayken maksilla ve mandibula üzerinde belirlenen iki referans nokta arasındaki mesafe olarak tanımlanır. Diş aşınmaları, migrasyonları veya posterior diş kayıplarına bağlı olarak okluzyon dikey boyutunda değişimler gözlenebilir. Bazı olgularda nöromusküler sistemin dentoalveoler kompleks değişimlerine adaptasyon göstermesi sonucunda herhangi bir değişim belirlenmez. Böyle durumlarda restorasyon materyaline yer kazanmak ve doğru okluzal düzlem oryantasyonunu sağlamak amacıyla okluzyon dikey boyutunun artırılması gerekebilir. Okluzyon dikey boyutunun değiştirilmesi kas aktivitesinde artış, temporomandibuler eklem üzerinde kuvvet yoğunluğu ve ağrı konusunda endişeler yaratabilir. Dentoalveoler kompanzasyon gözlenen hastalarda stabilizasyon splinti ve/veya geçici restorasyonlar ile okluzyon dikey boyutundaki artışın tolere edilip edilemeyeceği değerlendirilebilir

Anahtar Kelimeler:

Okluzyon dikey boyutu, Okluzal düzlem oryantasyonu

Treatment of Occlusal Plane Disorientation

Vertical dimension of occlusion is defined as the distance between two refence points determined on maxilla and mandible when the teeth are in maximum intercuspidation. Changes in the vertical dimension of occlusion could be observed because of dental wear, teeth migration or the loss of posterior teeth. In some cases, any change could be determined related to neuromuscular system can adapt to the changes of the dento-alveolar complex. In such circumstances, vertical dimension of occlusion needs to be increased for gaining space to the restoration material and providing correct occlusal plane orientation. Some of the concerns with altering vertical dimension of occlusion is related to increasing muscle activity, increasing load to the TMJs and resulting pain. In patients with dentoalveolar compansation, increased vertical dimension of occlusion could be evaluated with stabilisation splint and/or temporary restorations whether the patient can tolerate or not

Keywords:

Vertical dimension of occlusion, Occlusal plane orientation,

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