A importância do enceramento diagnóstico em reabilitações orais com recuperação de dimensão vertical-Revisão de literatura

Abstract

The loss of Vertical Dimension of Occlusion (VDO) can significantly compromise a patient’s quality of life, resulting in excessive tooth wear, phonetic and aesthetic alterations, and masticatory deficiencies. For an efficient rehabilitation plan, diagnostic wax-up is essential, as it assists in determining the ideal height, allows for occlusal testing and adjustments, and provides a preview of the final outcome for both the dentist and the patient. The aim of this study was to conduct a literature review on the importance of diagnostic wax-up for D Orecovery. Scientific articles published in English within the last 10 years were selected from the PubMed database using the descriptors “vertical dimension,” “dental occlusion,” and “dental prosthesis” combined with the Boolean operator “and.” A total of 171 articles were found. After reading the titles and abstracts, and applying exclusion criteria—articles unrelated to the topic and those not available for free—28 studies were selected. The analysis showed that wax-up allows for progressive adjustments, minimizes errors, enables continuous adaptation, and assists in determining the centric relation and the new VDO, even allowing adjustments before the definitive stage. It has proven to be efficient and agile through the digital workflow. Within the limitations of this study, it was concluded that diagnostic wax-up is an essential tool in the VDO rehabilitation process. However, further randomized and controlled clinical studies are needed to assess its effectiveness considering different variables involved.