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. An orthodontist or oral surgeon is responsible for all other causes, such as Kieferanomalien responsible; thereby, e.g. The affected jawbone can be brought into the correct position by a surgical operation.

What happens during a vertical dimension increase?

At the beginning of the approximately 3 to 6 months lasting vertical dimension increase  is therefore first of all the thorough check, which also clarifies whether, for example. the masticatory muscles work satisfactorily and all temporomandibular joints are in order. After the initial examination, the practice team prepares a so-called treatment and cost plan for the vertical dimension increase, in which all measures are defined. The team around dentist Christian Bärenklau is very important in finding a solution that looks “good” – depending on the damage, a tooth can be raised to around 75-100 percent of its original length during a bite lift; if necessary, veneers can be used afterwards. However, this should not be universally valid at this point – with every patient, there are other prerequisites that have to be clarified before the vertical dimension increase! In simple terms, the optimal bite is restored as the sequence progresses – in individual cases, this can be done, for example, by first constructing teeth with a long-term temporary restoration for about 3-6 months. If this provisional proves itself then the final vertical dimension increase takes place in a ceramic solution.