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Alveolar ridge atrophy related to facial morphology in edentulous patients

Authors Kuć J, Sierpińska T, Gołębiewska M

Received 1 May 2017

Accepted for publication 1 July 2017

Published 13 September 2017 Volume 2017:12 Pages 1481—1494

DOI https://doi.org/10.2147/CIA.S140791

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Richard Walker


Joanna Kuć,1 Teresa Sierpińska,2 Maria Gołębiewska1

1Department of Prosthodontics, 2Department of Dental Technology, Medical University of Bialystok, Bialystok, Poland

Objectives: The morphology of the alveolar process determines the retention and stability of prosthetic restorations, thereby determining the result of the therapy. Considering that the edentulous jaws may be affected by the atrophy process, it was hypothesized that the morphology of the alveolar process of the maxilla may be dependent on the anterior facial height and anatomy of the mandible.
Subjects and methods: Twenty-five healthy edentulous Caucasian individuals were randomly chosen. Each subject underwent a lateral cephalogram before and after prosthetic rehabilitation. During exposition, newly made prostheses were placed in the patient’s mouth. Teeth remained in maximal intercuspidation. Morphological parameters were evaluated according to the Ricketts, McNamara, and Tallgren’s method.
Results: An inversely proportional association was observed between patient age and the distal part of the maxilla. A statistically significant connection was noted between the vertical dimension of alveolar ridge and anterior total and lower facial height conditioned by prosthetic rehabilitation.
Conclusion:
The height of the lateral part of the alveolar ridge of the maxilla remains in connection with the anterior total and lower facial height obtained in the course of prosthetic rehabilitation. The vertical dimension of the alveolar ridge of the maxilla seems to be in close relationship with the morphology of the lower jaw.

Keywords: anterior facial height, cephalometric analysis, complete dentures, vertical occlusal dimension

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