Vertical dimension increase

The aim of a bite survey by the team of the Bärenklau dental practice in Munich is to correct a bite reduction caused by abrasion or tooth loss. This so-called prosthetic bite lift ideally takes place by means of ceramics, in rare cases also via a bite splint.
To clarify what happens during the bite lift, it is important to know what is actually meant by the “bite”. The bite, the whitening of the teeth or the meeting of the upper and lower rows of teeth, has long since ensured the survival of many creatures on earth – after all, the bite serves, for example. in humans, to separate bite-sized portions of food. Without a bite, many animals would not be able to hold their prey or feed. No wonder that the word “bite” has been synonymous in the German language synonymous with “survival through toughness” – without perfect interaction of the teeth of the upper and lower jaw, there are quality restrictions very quickly. From this it becomes clear how important a proper bite and if necessary a bite lift can be.

Vertical Dimension Increase?: more demand by young people

Feeling of pressure on the head and / or in some cases massive neck or shoulder tension – all this may indicate a malfunction of the dentition and the need for a vertical dimension increase or so called bite lift.  A bite lift may become necessary over the course of years if tooth substance has been lost, for example, by nocturnal teeth grinding and the resulting abrasion (abrasion). For example, if teeth are completely rubbed off at the front, there is no real biting off. Eating disorders or malnutrition and frequent acid attacks on the tooth substance are another reason for a subsequent dysfunction of the dentition due to a partial loss of bite height. Here, a bite lift counteract – of course, in conjunction with a possible diet change.
An enlarged gap or deep bite of the upper incisors over the lower incisors may also require a bite lift. Normally, the upper incisors bite about 2-3 mm above the lower incisors – but in up to 6% of patients, the enlarged anterior gap is up to 6 mm. Incidentally, more and more young adults are affected by this so-called deep bite, according to observations of the dental associations and ask in some cases a professional bite survey. The reason: often the problem was not adequately addressed during the growth phase in adolescence, such as in case of malocclusions, or said unhealthy eating habits or eating disorders and associated loss of tooth substance, which increase.

How to increase the vertical dimension

The aim of a vertical dimension increase by the team of the dental practice Christian Bärenklau is to restore the “original state” – ie. the normal bite, which each patient should have had at a certain time, before the bite, for example altered by teeth grinding or wear of some or all of the teeth. Dentist Christian Bärenklau concentrates on the reconstruction of the tooth substance in the bite raising: Considering the teeth of the upper and lower jaw as a unit, it is important to restore the optimal center of this unit with the bite lift. A treatment by the dental team Christian Bärenklau makes sense if the deep bite can no longer be corrected by tooth movements. After a detailed examination and therapy planning, we can weigh up whether an accompanying orthodontic treatment makes sense or is even indicated. Here, too, we work together with leading specialists.

Planungsmodell Bisshebung
Planungsmodell Bisshebung
What happens during a vertical dimension increase?

The aim of a bite elevation lasting approx. 3 to 6 months is to create an optimal centric position. At the end of the treatment, patients should leave the practice rooms with the right bite and be pain-free. With the help of a functional analysis, the team at the Bärenklau dental practice first determines the cause of your complaints. If the pain is possibly due to very tight chewing muscles, it might be advisable to relieve stubborn tension with a well-dosed botulinum toxin. For many pain patients, a rapid feeling of relief then quickly sets in. In the next step, the jaw muscles are relieved with a so-called centric splint – also called a CMD splint. The jaw position is brought into a so-called zero position, taking into account the correct bite height. Background: The muscles also need time to adjust to the new position. Now the third step begins: building the correct bite with so-called tabletops. Each tooth to be treated receives such plastic attachments. Step by step, these are fine-tuned to create the perfect bite. It is important that you can eat, drink, speak and live in a relaxed manner with this aid and that you can test the newly created bite height extensively while chewing. When everything fits perfectly, the final solution takes place – in ceramic, as the culmination of an individual process.

German ZDF Television visits Zahnarztpraxis Bärenklau