Pissiotis A L, Kamalakidis S N, Kirmanidou Y, Zahari E, Karpouzi R, Michalakis K
Professor and Director of Graduate Prosthodontics, Department of Prosthodontics, Aristotle University Faculty of Health Sciences, School of Dentistry, Thessaloniki, Greece.
Faculty, Department of Prosthodontics, Aristotle University Faculty of Health Sciences, School of Dentistry, Thessaloniki, Greece and Adjunct Assistant Professor, Division of Postgraduate Prosthodontics, Tufts University School of Dental Medicine, Boston, MA, USA.
Eur J Prosthodont Restor Dent. 2023 Jun 1. doi: 10.1922/EJPRD_2487Pissiotis13.
The aim of this systematic review was to explore the dental literature to identify high quality clinical studies that introduced methods of determining the vertical dimension of occlusion (VDO), and additionally to find studies which assessed alterations in the VDO.
An electronic search of the literature was conducted through PubMed , Embase, and Cochrane Library databases referring to the determination and alteration of the VDO by 12/2021.
A total of 215 records were obtained from the initial search. After the first two screenings, 33 studies were selected for inclusion. Correlations in the morphometric group ranged between r=0.18-0.87, p⟨0.05-0.001, correlations in the cephalometric group ranged between r=0.28-0.92, p⟨0.05-0.001, and correlations in the mechanometric group ranged between r=0.21- 0.75, p⟨0.05-0.01. Regarding the alteration of VDO, in all studies the increase ranged between 1.8-8 mm and the patients adapted .
No clear guidelines can be established yet, in relation to the determination and alteration of the VDO. There is no apparent benefit in using more invasive and complex methods compared to the use of the facial anatomical landmarks. Patient adaptation seems to be successful when the range of VDO increase was 1.8-6.0 mm.
本系统评价旨在检索牙科文献，以识别介绍确定咬合垂直距离（VDO）方法的高质量临床研究，并另外查找评估VDO改变的研究。
截至2021年12月，通过PubMed、Embase和Cochrane图书馆数据库对有关VDO确定和改变的文献进行电子检索。
初始检索共获得215条记录。经过前两轮筛选，33项研究被选入。形态测量组的相关性范围为r = 0.18 - 0.87，p < 0.05 - 0.001；头影测量组的相关性范围为r = 0.28 - 0.92，p < 0.05 - 0.001；机械测量组的相关性范围为r = 0.21 - 0.75，p < 0.05 - 0.01。关于VDO的改变，在所有研究中增加范围为1.8 - 8毫米，且患者均能适应。
关于VDO的确定和改变，目前尚无法制定明确的指南。与使用面部解剖标志相比，使用侵入性更强和更复杂的方法并无明显益处。当VDO增加范围为1.8 - 6.0毫米时，患者适应似乎是成功的。
