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In the literature, multiple techniques have been proposed to quantify OVD loss. However, the techniques lack consistency and reliability, which in turn affects the decision of whether to increase the OVD. Therefore, increasing OVD should be determined on the basis of the dental restorative needs and aesthetic demands. In general, a minimal increase in OVD should be applied, though a 5\u2003mm maximum increase in OVD can be justified to provide adequate occlusal space for the restorative material and to improve anterior teeth aesthetics. The literature reflects the safety of increasing the OVD permanently, and although signs and symptoms may develop, these are usually of an interim nature. Whenever indicated, the increase in OVD should be achieved with fixed restorations rather than a removable appliance, due to the predictable patient adaptation. The exception to this is for patients with TMD, where increasing the OVD should still be achieved using removable appliances to control TMD\u2010associated symptoms before considering any form of irreversible procedure.<\/jats:p>","DOI":"10.1111\/j.1834-7819.2011.01640.x","type":"journal-article","created":{"date-parts":[[2012,2,28]],"date-time":"2012-02-28T02:39:03Z","timestamp":1330396743000},"page":"2-10","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":261,"title":["Clinical considerations for increasing occlusal vertical dimension: a 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