Purpose: This study aimed to examine changes in the
lip
form, oral fissure form and vermilion height of complete denture wearers resulting from altered occlusal vertical dimension (OVD) and/or
lip
support.
Methods: Three-dimensional facial images of 10 edentulous patients (four males and six females) when wearing six experimental record blocks (ExpRBs) with varying OVD and/or
lip
support were analyzed. Analysis was performed using three landmarks on the mid-line (labrale superius (
ls), stomion (
sto), and labrale inferius (
li)) and two landmarks on the oral fissure (at points 20 mm right and left of the midline (r-OFP and l-OFP, respectively)). Curvature of the oral fissure (COF) in the frontal view was evaluated by calculating the difference between
sto and the average of r-OFP and l-OFP (avrl-OFP). The vermilion height in the frontal view was calculated as the distance from
sto to
ls and
li. In 10 subjects, comparison between standard ExpRB and test ExpRBs with altered OVD and/or
lip
support was performed by calculating differences between these data.
Results: The
ls,
sto, and
li landmarks changed with alteration of OVD and/or
lip
support, whereas avrl-OFP changed vertically with alteration of
lip
support and anteroposteriorly with alteration of OVD and/or
lip
support. COF and vermilion height were affected by alterations in OVD and/or
lip
support.
Conclusion: Deficient OVD with extensive
lip
support can curve the oral fissure form upward, and deficient OVD with deficient
lip
support can reduce the vermilion height.
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