Analysis of the measurement of the vertical dimension with the Ricketts cephalometric technique in totally edentulous patients rehabilitated with the Willis method
Aim: To obtain the vertical dimension with the Ricketts cephalometric technique in totally edentulous patients rehabilitated with the Willis method. Materials and methods: In this cross-sectional experimental study, thirty totally edentulous patients, with an age range of 50-76 years, rehabilitated with the Willis method at the Dr. René Puig Bentz dental clinic of the Pedro Henríquez Ureña National University, were evaluated to obtain the lower facial height with the analysis Ricketts cephalometric study, using lateral skull radiographs, which were divided into two groups; 30 lateral skull radiographs with prosthesis and 30 without prosthesis. Results: 53.3% of both genders of patients with prostheses obtained a normal vertical dimension, with an average of 46.6º within the norm of the Ricketts cephalometric technique 47 +/- 4º. 33.3% obtained a decreased vertical dimension, with an average of 38.3º and 13.3% obtained an increased vertical dimension with an average of 54.4º. Regarding the population without prostheses, 93.3% in both genders obtained a decreased vertical dimension with an average of 28.9º and the remaining 6.6% obtained a normal vertical dimension with an average of 46.5º. 63.3% of the population studied had periodontal disease as the cause of dental loss, followed by caries with 30% and trauma with 6.6%. Conclusions: the gender most affected in alterations of the vertical dimension was the male and the etiological factor that most influenced the decrease in the vertical dimension was periodontal disease. Interested conflicted: not declared.
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Sample and Selection: The sample comprised 60 lateral skull radiographs from 30 totally edentulous patients. These patients were selected from the dental clinic of the Pedro Henríquez Ureña National University. Inclusion criteria included upper and lower totally edentulous patients who had been prosthetically rehabilitated. Exclusion criteria encompassed patients not admitted to the university's dental clinic, partially edentulous patients, and patients with complete dentures. Data Collection: The study involved collecting data through a carefully designed form completed by each patient. Extraoral and intraoral photographs were taken, both with and without prostheses. This information, along with lateral skull radiographs, was used for cephalometric analysis. Cephalometric Analysis: The Ricketts cephalometric technique was employed, involving measurements based on lateral skull X-rays. Specific anatomical points, including Xi, ENA, and Pm, were used to determine the vertical dimension for each patient. The angle known as lower facial height was utilized to describe maxillary-mandibular relationships. Results Analysis: Data from the cephalometric analysis were tabulated and analyzed using frequency tables to interrelate study variables. Statistical Analysis: The information from the analysis was processed using Excel. Descriptive statistics and statistical analysis of frequency variables were performed according to the study's objectives. Ethical Considerations: Informed consent was obtained from the selected population, emphasizing the educational purposes of the study and the non-disclosure of personal patient data. In summary, this study assessed the vertical dimension in totally edentulous patients who had undergone oral rehabilitation using the Willis method. It employed cephalometric analysis to measure and analyze the vertical dimension, ensuring ethical considerations were met throughout the research process