Rehabilitation of Vertical Dimension Decreased Cases in Elderly Patients

  • Nova Adrian Department of Prosthodontics, Faculty of Dentistry, Trisakti University


Introduction: An elderly person is considered elderly when he or she reaches 60 years or more. Among the problems that occur in the elderly is the loss of teeth. Elderly patients who lose several teeth might decrease the vertical dimension; additional tooth migration causes extensive loss contact. Obtaining an ideal occlusal schema was challenging for dental practitioners. A suitable and efficient preprosthetic plan might be essential to acquire comfortable and good dentures for patients. Our objective is to organize a suitable and efficient preprosthetic, planning to acquire comfortable for patient. Case Report: A 69 year old man who had lost several teeth due to caries on teeth 15, 14, 13, 12, 11, 21, 24, 25, 26, 34, 37, 44, 46 and 47. He had used dentures over the last 15 years and needed a new one because the previous dentures was impaired. We determined the tentative vertical dimension and position to the articulator. Preprosthetic planning fixed the prosthesis on 36 and 27 with extraction on 18. A second impression was made and placed on the articulator, arranging the teeth and try in wax dentures continously. We used a definitive dentures and suggest a periodic control. Conclusion: The loss of several teeth decreased vertical dimensions, and existing tooth migration caused extensive loss contact. The systematic preprosthetic planning might be arranged on behalf of success prosthesis.


1. Orimo H, Ito H. Reviewing the definition of elderly. Geriatr Gerontl Int. 2006;6:149.
2. Indonesian Government. Republic of Indonesia law number 13 of 1998 concerning elderly welfare article 1. Jakarta: State Secretariat; 1998.
3. Abduo J, Lyons K. Clinical consideration for increasing occlusal vertical dimension : a review. Australian Dental Journal. 2012;57(1):2-10.
4. Toolson LB, Smith DE. Clinical measurement and evaluation of vertical dimension. J Prostet Dent. 1982;47(3):236-41.
5. McCord JF, Grant AA. Registration: stage II - intermaxillary relations. Br Dent J. 2000;188(11):601-6.
6. Mehta JD, Joglekar AP. Vertical jaw relation as a factor in partial dentures. J Prosthet Dent. 1969;21(6):618-25.
7. Phoenix RD, Chagna DR, Defreest C, editors. Establishing occlusal relationships. In Stewart’s clinical removable partial prosthodontics. 4th ed. Chicago: Quintessence Publishing Co; 2008. p. 367.
8. Ephros H, Klein R, Sallustio A. Preprosthetic Surgery. Oral Maxillofacial Surg Clin N Am. 2015;27:459-472.
9. Berteretche MV. Hue O. Monteil JP. Preprosthetic treatments of complex cases in removable prosthesis. Dental News. 1997;4(4):9-13.
10. McCord JF. Grant AA. Pre-definitive treatment : rehabilitation prostheses. Br Dent J. 2000;188(8):419-424.
11. Graber G, Wiehl P, Haensler U. Treatment planning for partial denture in color atlas of dental medicine 2. Rateitschak KH, editor. Removable partial denture. New York: Thieme Medical; 1986. pp.48-61.
12. Nallaswamy D. Complete dentures in textbook of prostodontics. New Delhi: Jaypee Brothers Medical; 2003. pp. 130-132. 9
13. Zarb GA, Bolender CL, Hickey JC. Buku ajar prostodonti untuk pasien tak bergigi menurut Boucher (terjemahan, Mardjono D, Koesmaningati H). Ed 10. Jakarta: EGC; 2001. p. 237.
14. Rahn AO, Ivanhoe JR, Plummer KD. Textbook of complete dentures. Shelton (CT): People’s Medical; 2009. p. 168.
15. Misch CE. Guidelines for maxillary incisal edge position, a pilot study : the key is the canine. J Prosthodont. 2008;17:130-134.
How to Cite
ADRIAN, Nova. Rehabilitation of Vertical Dimension Decreased Cases in Elderly Patients. Journal of Indonesian Dental Association, [S.l.], v. 2, n. 2, oct. 2019. ISSN 2621-6175. Available at: <>. Date accessed: 21 nov. 2019. doi:
Case Report