ABSTRACT

Introduction: Though vertical dimension is the easiest to deal with, it has the longest duration and magnitude in terms of growth. It is a morphologic abnormality resulting from a disturbance in skeletal development or an expression of muscle growth and muscle function Etiology: Vertical discrepancies occur as an interplay between various factors during the period of growth which includes the mandibular and maxillary growth, tongue& lip function., and dentoalveolar development leading up to tooth eruption. Other one important factor is the growth of mandible, variations in growth of maxillary sutures, mandibular condyles. It is of two types skeletal and dental. Diagnosis: Accurate diagnosis is a key element in the design of any successful treatment plan. To plan an appropriate treatment strategy declination should localise and quantify any skeletal and dental contributions vertical and sagittal variations and the role of abnormal function to the development of vertical problems. Proper facial evaluation, ie patients with vertical discrepancies are broadly classified as long and short face patients. Functional assessment has to be done to determine disorders involving Airway, speech, tongue function should be carefully evaluated. Treatment plan: Treatment goals- facial, skeletal, and Dental - is the best way to approach treatment planning for vertical discrepancies. All cases cannot be treated in a similar manner due to extreme variation in facial pattern and morphology characteristics. In this review we have mentioned on various aspects of treatment on open bite and deep bite in young individuals which includes, removable appliances, behaviour modification techniques, orthopaedic appliances, intrusion arches etc. Keywords: Vertical discrepancies, high angle v/s low angle, behavioural modification techniques, growth modification, removable appliances
Publication date: 01/03/2025

https://ijbpas.com/pdf/2025/March/MS_IJBPAS_2025_8824.pdf

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https://doi.org/10.31032/IJBPAS/2025/14.3.8824