Evaluasi Pengukuran Dimensi Vertikal Sebelum dan Sesudah Pemasangan  Gigi Tiruan Lengkap Lepasan: Studi Potong Lintang

Lisda Damayanti; Muhamad Firdaus Fuadi; Daisy Wulansari

doi:10.24198/pjdrs.v9i2.64890

Evaluasi Pengukuran Dimensi Vertikal Sebelum dan Sesudah Pemasangan Gigi Tiruan Lengkap Lepasan: Studi Potong Lintang

Lisda Damayanti, Muhamad Firdaus Fuadi, Daisy Wulansari

Abstract

ABSTRAK

Pendahuluan: Langkah penting pada rehabilitasi gigi tiruan yang berperan untuk mengembalikan fungsi dan estetik dari pasien yang kehilangan gigi adalah pengukuran dimensi vertikal yang terbagi menjadi Dimensi Vertikal Oklusi (DVO) dan Dimensi Vertikal Fisiologis (DVF). Tujuan dari penelitian ini adalah untuk menganalisis kesesuaian dimensi vertikal sebelum dan sesudah pemasangan gigi tiruan lengkap lepasan. Metode: Jenis penelitian ini merupakan metode observasional dengan desain cross sectional. Subjek pasien poliklinik Prostodonsia RSGM UNPAD. Data dimensi vertikal oklusi pasien sebelum pemasangan gigi tiruan (diukur dengan rumus Niswonger, DVO= DVF-2 mm freeway space pada posisi istirahat fisiologis) dan sesudah pemasangan gigi tiruan saat oklusi sentrik, diukur dengan mengukur jarak 2 titik subnation dan gnation. Hasil: Hasil nilai probabilitas p=0,000 menggunakan uji paired t-test menunjukan terdapat perbedaan yang signifikan pada pengukuran DVF dan DVO sebelum dan sesudah pemasangan gigi tiruan lengkap lepasan (p-value 0,000 ≤0,05). Simpulan: Terdapat perbedaan hasil pengukuran Dimensi Vertikal Oklusi (DVO) antara sebelum dan sesudah pemasangan gigi tiruan lengkap lepasan, tetapi perbedaan hasil ini masih dalam batas toleransi yang dapat diterima.

KATA KUNCI: Gigi Tiruan Lengkap Lepasan, dimensi Vertikal oklusi, dimensi vertikal fisiologis, sebelum dan sesudah pemasangan gigi tiruan

Evaluation of vertical dimension before and after insertion of removable dentures: A cross-sectional study

ABSTRACT

Introduction: Dentures play a role in returning both physiological function and esthetics of a patient that experiences tooth loss, one of the steps in denture fabrication is vertical dimension measurements that consists of the Vertical Dimension of Occlusion (VDO) and the Vertical Dimension at Rest (VDR), this step is crucial in ensuring the rehabilitation of function and esthetics are achieved. The purpose of this study is to analyze the suitability of vertical dimension measurements before and after insertion of complete dentures. Methods: This is an observational study using the cross sectional method done on 30 patients indicated for removable dentures treated by coassistents and residency at prosthodontic clinic RSGM UNPAD. Sample size is determined using the purposive sampling method. Measurements are done using the 2 dot method, first measurements are done prior to insertion using the Niswonger method which is VDR subtracted by freeway space to get the first VDO measurement. The second measurement is done after denture insertion which then patients are put in the centric occlusion position, the distance between the 2 dots subnation and gnation are measured to get the second VDO after insertion Results: Probability value of p=0,000 using paired t-test analysis shows that there is significant difference between VDO and DVF before and after insertion off dentures (p-value 0,000 ≤0,05). Conclusion: There is a difference in the measurement of the VDO between before and after the insertion of complete removable dentures, and this difference remains within an acceptable tolerance range.

KEY WORDS: Complete dentures, vertical Dimension of Occlusion, physiologic vertical dimension, before and after denture insertion

Keywords

Gigi Tiruan Lengkap Lepasan, dimensi Vertikal oklusi, dimensi vertikal fisiologis, sebelum dan sesudah pemasangan gigi tiruan, Complete dentures, vertical Dimension of Occlusion, physiologic vertical dimension, before and after denture insertion

Full Text:

PDF

References

DAFTAR PUSTAKA

Alhajj MN, Khalifa N, Abduo J, Amran AG, Ismail IA. Determination of occlusal vertical dimension for complete dentures patients: an updated review. J Oral Rehabil. 2017 Nov;44(11):896–907. https://doi.org/10.1111/joor.12522

Meira IA, Gama LT, Prado-Tozzi DA, Pinheiro MA, Garcia RCMR. Speech in implant-supported and removable complete denture wearers: A systematic review. J Prosthet Dent. 2022;128(6):1230–8. https://doi.org/10.1016/j.prosdent.2021.03.006

Chisnoiu AM, Picos AM, Popa S, Chisnoiu PD, Lascu L, Picos A, et al. Factors involved in the etiology of temporomandibular disorders-a literature review. Clujul Med. 2015;88(4):473. https://doi.org/10.15386/cjmed-485

Akhma NE, Sumarsongko T, Rikmasari R. Correlation between the occlusal vertical dimension and the pupil rima oris distance among sundanese population. Padjadjaran J Dent. 2017;29(2). https://doi.org/10.24198/pjd.vol29no2.13657

KAMBOJ E, GARG S, KALRA N. Facial Measurements and Their Correlation with Vertical Dimension of Occlusion in Dentate Subjects: An Anthropometric Analysis. J Clin Diagn Res. 2023;17(11). https://doi.org/10.7860/JCDR/2023/65242.18657

The Glossary of Prosthodontic Terms 2023: Tenth Edition. J Prosthet Dent. 2023 Oct;130(4 Suppl 1):e1–3. https://doi.org/10.1016/j.prosdent.2023.03.003

Singh Y, Brar A, Mattoo KA, Singh M, Khurana PRS, Singh M. Clinical reliability of different facial measurements in determining vertical dimension of occlusion in dentulous and edentulous subjects. Int J Prosthodont Restor Dent. 2017;4(3):68–77. https://doi.org/10.5005/jp-journals-10019-1110

Yamashita S, Shimizu M, Katada H. A Newly Proposed Method to Predict Optimum Occlusal Vertical Dimension. J Prosthodont. 2015 Jun;24(4):287–90. https://doi.org/10.1111/jopr.12223

Varma M. Knowledge and self perception among dental students (interns) about procedures involved in complete denture fabrication. J Pharm Sci Res. 2017;9(5):708.

Malik RA, Babar B, Malik TA, Ali J, Azhar CU, Khan RU, et al. Correlation of Frequent Complete Denture Fabrication Errors with patients’ Demographic Factors, Stages of Complete Denture Fabrication and PDI. Pak J Med Health Sci. 2024;18(8):35–35.

Yadfout A, El Aoud J, Merzouk N, Slaoui Hasnaoui J. Increasing Vertical Dimension of Occlusion (VDO): Review. Clin Cosmet Investig Dent. 2024 May 16;16:135–42. https://doi.org/10.2147/CCIDE.S453704

Zahra AF, Soesetijo A, Djati FK. Perbandingan dimensi vertikal oklusal sebelum dan setelah insersi gigi tiruan lengkap dengan metode Niswonger dan radiografi sefalometriComparison of occlusal vertical dimension before and after complete denture insertion using niswonger and radiography sefalometry methods. J Kedokt Gigi Univ Padjadjaran. 2019;31(1):47–53. https://doi.org/10.24198/jkg.v31i1.18536

Uppal S, Gupta NK, Tandan A, Dwivedi R, Gupta S, Kumar S. Comparative evaluation of vertical dimension at rest before extraction, after extraction and after rehabilitation with complete denture – A Cephalometric study. J Oral Biol Craniofacial Res. 2013;3(2):73–7. https://doi.org/10.1016/j.jobcr.2013.04.001

Su S, Lipsky MS, Licari FW, Hung M. Comparing oral health behaviours of men and women in the United States. J Dent. 2022;122:104157. https://doi.org/10.1016/j.jdent.2022.104157

Helal O, Göstemeyer G, Krois J, Fawzy El Sayed K, Graetz C, Schwendicke F. Predictors for tooth loss in periodontitis patients: Systematic review and meta‐analysis. J Clin Periodontol. 2019 Jul;46(7):699–712. https://doi.org/10.1111/jcpe.13118

Aghanashini S, Puvvalla B, Mundinamane DB, Apoorva S, Bhat D, Lalwani M. A Comprehensive Review on Dental Calculus. J Health Sci Res. 2016 Dec;7(2):42–50. https://doi.org/10.5005/jp-journals-10042-1034

Pengpid S, Peltzer K. The prevalence of edentulism and their related factors in Indonesia, 2014/15. BMC Oral Health. 2018 Jul 3;18:118. https://doi.org/10.1186/s12903-018-0582-7

Seerig LM, Nascimento GG, Peres MA, Horta BL, Demarco FF. Tooth loss in adults and income: Systematic review and meta-analysis. J Dent. 2015;43(9):1051–9. https://doi.org/10.1016/j.jdent.2015.07.004

Asai K, Yamori M, Yamazaki T, Yamaguchi A, Takahashi K, Sekine A, et al. Tooth Loss and Atherosclerosis: The Nagahama Study. J Dent Res. 2015 Mar;94(3_suppl):52S-58S. https://doi.org/10.1177/0022034514559127

Akbar FH, Anwar AI. The correlation between denture usage satisfactions on quality life of the elderly. psychology. 2017;6:7. https://doi.org/10.15562/jdmfs.v2i2.528

Janto M, Iurcov R, Daina CM, Neculoiu DC, Venter AC, Badau D, et al. Oral Health among Elderly, Impact on Life Quality, Access of Elderly Patients to Oral Health Services and Methods to Improve Oral Health: A Narrative Review. J Pers Med. 2022 Feb 28;12(3):372.https://doi.org/10.3390/jpm12030372

Gasparro R. Age-Related Oral and Systemic Disorders. Appl Sci. 2022 Jan;12(22):11583. https://doi.org/10.3390/app122211583

Susilawati S, Wahyudi K, Jovina T, Amaliya A, Putri FM, Suwargiani AA. Indonesian Tooth Loss Predictor in Middle-aged and Elderly Populations based on Sociodemographic Factors and Systemic Disease: A Cross-sectional Study. [cited 2025 Apr 7]; Available from: https://doi.org/10.2174/0118742106351915241226114458

Bacali C, Constantiniuc M, Craciun A, Popa D. Assessment of the Vertical Dimension of Occlusion Using Palm Width and Finger Length. Medicina (Mex). 2024 Sep;60(9):1526. https://doi.org/10.3390/medicina60091526

Zhang L, Shimada A, Kusunoki T, Inoue T, Kawamoto A, Takahashi K. Effect of ageing and tooth loss on sensory function of alveolar mucosa. J Oral Rehabil. 2022;49(4):391–7. https://doi.org/10.1111/joor.13310

Stanbouly D, Zeng Q, Jou YT, Chuang SK. Edentulism (missing teeth) and brain central nervous system (CNS) deafferentation: a narrative review. Front Oral Maxillofac Med [Internet]. 2024 Mar 10 [cited 2025 Apr 9];6(0). Available from: https://fomm.amegroups.org/article/view/65188

Shigli K, Jyotsna S, Rajesh G, Wadgave U, Sankeshwari B, Nayak SS, et al. Challenges in learning preclinical prosthodontics: A survey of perceptions of dental undergraduates and teaching faculty at an Indian dental school. J Clin Diagn Res JCDR. 2017;11(8):ZC01. https://doi.org/10.7860/JCDR/2017/27710.10301.

Hey J, Stimmelmayr M, Hirsch C, Beuer F. Content and Goals of Preclinical Prosthodontic Programs at German‐Language Dental Schools. J Prosthodont. 2015;23(3):246–51. https://doi.org/10.1111/jopr.12092.

Rahman MU, Dwivedi P, Tiwari RVC, Virk I, Lahoti A, Kumar S, et al. Aesthetic in complete denture-A review. J Adv Med Dent Sci Res. 2020;8(1):187–9. https://doi.org/10.14693/jdi.v29i2.1334

Wiens JP, Goldstein GR, Andrawis M, Choi M, Priebe JW. Defining centric relation. J Prosthet Dent. 2018;120(1):114–22. https://doi.org/10.1016/j.prosdent.2017.10.008

Jiménez-Silva A, Tobar-Reyes J, Vivanco-Coke S, Pastén-Castro E, Palomino-Montenegro H. Centric relation–intercuspal position discrepancy and its relationship with temporomandibular disorders. A systematic review. Acta Odontol Scand. 2017 Oct 3;75(7):463–74. https://doi.org/10.1080/00016357.2017.1340667.

Driscoll CF, Golden WG. Treating the complete denture patient [Internet]. John Wiley & Sons; 2020 [cited 2025 May 12].https://books.google.com/books?hl=en&lr=&id=bmzEDwAAQBAJ&oi=fnd&pg=PP7&dq=treating+the+complete+denture+patient&ots=gRhhdDznbP&sig=Kyx_tekzp4mOi1ZZoq8swwYMWaE

Nikolopoulou F, Chrysostomidis A. Laboratory Errors in the Fabrication of Complete Dentures. A Clinical Survey. Adv Dent Oral Health. 2019;11(4):143–7. https://doi.org/10.19080/ADOH.2019.11.555820

Afzal H, Ahmed N, Lal A, Al-Aali KA, Alrabiah M, Alhamdan MM, et al. Assessment of communication quality through work authorization between dentists and dental technicians in fixed and removable prosthodontics. Appl Sci. 2022;12(12):6263. https://doi.org/10.3390/app12126263

Goldstein G, Goodacre C, MacGregor K. Occlusal Vertical Dimension: Best Evidence Consensus Statement. J Prosthodont. 2021 Apr;30(S1):12–9. https://doi.org/10.1111/jopr.13315.

Montero J, Dib A. The effect of age and prosthodontic status on the clinical and electromyographic assessment of the interocclusal rest space. J Prosthet Dent. 2019;121(5):791–6. https://doi.org/10.1016/j.prosdent.2018.09.006.

Calamita M, Coachman C, Sesma N, Kois J. Occlusal vertical dimension: treatment planning decisions and management considerations. Int J Esthet Dent. 2019;14(2):166-181.

Ribeiro AB, Pita MS, Ribeiro AB, Garcia AR, Junqueira Zuim PR. Effect of short-term increase in occlusal vertical dimension on masticatory muscle electrical activities and pressure-to-pain threshold: A crossover clinical study. J Prosthet Dent. 2022;128(5):970-6. https://doi.org/10.1016/j.prosdent.2021.01.023.

Budală DG, Lupu CI, Vasluianu RI, Ioanid N, Butnaru OM, Baciu ER. A contemporary review of clinical factors involved in speech-perspectives from a prosthodontist point of view. Medicina (Kaunas). 2023;59(7):1322. https://doi.org/10.3390/medicina59071322.

DOI: https://doi.org/10.24198/pjdrs.v9i2.64890