Bite-raising / VDO checklist

Enter your measurements. The checklist compares them with the guide values Dr Hajtó teaches in his bite-raising course and shows the source for each value.

Planning aid, not a diagnosis or treatment recommendation.

Does not replace functional analysis, model analysis or clinical judgement.

Measurements and plan

Result per criterion

Anterior length: the Shimbashi rule

Guide value: 19 ± 1 mm (18–20 mm) from the CEJ of the upper central incisor to the CEJ of the lower central incisor, measured in occlusion.

not entered

Taught by Dr Hajtó: bite-raising course 2026 (German), chapter “Bisshebung Anhaltspunkte” · see the course

Upper incisal display at rest

Guide value: 0.5–3.5 mm upper incisal display with the lips relaxed.

Depends on age, sex, lip length, degree of wear and skeletal base.

not entered

Taught by Dr Hajtó: bite-raising course 2026 (German), chapter “Bisshebung Anhaltspunkte” · see the course

Lower incisal edge

Guide value: lower incisal edge 1–1.5 mm above the lip line.

not entered

Taught by Dr Hajtó: bite-raising course 2026 (German), chapter “Bisshebung Anhaltspunkte” · see the course

Posterior clinical crown length (premolar/first molar)

Guide value: 6–7 mm clinical crown length of premolar/first molar.

Caution: secondary eruption and soft-tissue changes.

not entered

Taught by Dr Hajtó: bite-raising course 2026 (German), chapter “Bisshebung Anhaltspunkte” · see the course

Planned incisal raise: the 5 mm limit

Raising up to 5 mm (incisal) is considered safe; the system adapts. Mild transient symptoms are possible, mostly self-limiting.

Conversion on the lateral ceph (taught by Dr Hajtó): 1 mm at the anterior teeth ≈ 1° rotation; 2 mm at the incisal pin ≈ 1° rotation.

not entered

Notes

Function: not entered · Method: not entered

No notes for your entries.

The common thread: changing the bite position in 7 steps

  1. Screen every patient to identify possible functional problems.
  2. If a changed bite position (shifted, collapsed) is suspected: functional analysis and pretreatment with an occlusal splint.
  3. Model analysis: identify and mark the direction in which the teeth are to be changed.
  4. End of the splint phase: when the patient shows reproducibly stable identical contacts on the splint at 2 or 3 check-ups, is more relaxed muscularly and feels comfortable, the therapeutic bite position has been reached.
  5. Registering the new bite position: the patient comes in the morning with the splint in place; check the contacts again.
    • a) No raise needed: register as close as possible to the current vertical dimension, either the patient holds the position at first contact, or open as little as possible with a leaf gauge or anterior jig. Record with Luxabite, possibly a control record; current scans or impressions.
  6. Occlusal build-ups: made in the laboratory and bonded in the mouth; occlusal checks and fine-tuning on the build-ups, T-Scan. They may be slightly higher than the final vertical dimension so that some adjustment remains possible.
  7. Prosthetic restoration: the patient can now be treated like a habitual patient. There are several options:
    • by quadrant
    • by side
    • posterior teeth first, then anterior teeth (or the other way round)
    • 4 molars (upper/lower), 4 PM, 4 M, 4 PM
    • whole upper arch, whole lower arch (record with an anterior jig on the upper/lower central incisors)
    • all teeth together (sequential registration)

Taught by Dr Hajtó: bite-raising course 2026 (German), chapter “Bisslageveränderung Zusammenfassung” · see the course

Time planning

  • Splint: 2–3 months
  • Occlusal build-ups: 2–3 months

Printed occlusal build-ups: no longer than 6–12 months in place (applies to printed build-ups).

Taught by Dr Hajtó: prosthodontics course 2026 (German), chapter “Planung” · see the course

Taught by Dr Hajtó: bite-raising course 2026 (German), chapter “Okklusalaufbauten LZP” · see the course

How the checklist works

Each criterion is compared on its own with its guide value and shown as “within range”, “below”, “above” or “not entered”. A value exactly on a limit (for example 0.5 or 3.5 mm) counts as within range; a planned raise of exactly 5 mm does not trigger the warning.

Criteria: the Shimbashi distance from CEJ to CEJ in occlusion (18–20 mm), upper incisal display at rest (0.5–3.5 mm), the lower incisal edge above the lip line (1–1.5 mm), clinical crown length of premolar/first molar (6–7 mm) and the planned raise at the incisors (warning above 5 mm). For the Shimbashi distance the checklist shows the raise this criterion suggests; for the planned raise, the approximate rotation after Dr Hajtó's rule of thumb.

The checklist adds nothing up: it does not compute a combined “ideal” raise, and it does not convert the crown length missing at a posterior tooth into a value at the incisors.

Where the values come from

The guide values are taken from Dr Jan Hajtó's courses (marked “Taught by Dr Hajtó”, with the course chapter). Where the literature gives other values, Dr Hajtó's value is shown. Papers whose abstract agrees are listed with their PMID.

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Frequently asked questions

What does the bite-raising checklist check?

Five measurements: the Shimbashi distance from CEJ to CEJ (19 ± 1 mm), upper incisal display with the lips relaxed (0.5–3.5 mm), the lower incisal edge above the lip line (1–1.5 mm), the clinical crown length of premolar/first molar (6–7 mm) and the planned raise at the incisors (warning above 5 mm). It adds notes on functional findings, the Dahl principle and printed occlusal build-ups, the seven steps and the time planning.

How is the Shimbashi suggestion calculated?

Dr Hajtó teaches 19 ± 1 mm from the CEJ of the upper central incisor to the CEJ of the lower central incisor in occlusion. For a measured distance x the checklist shows a raise of (18 − x) to (20 − x) mm, never below 0. At 20 mm or more this criterion suggests no raise. It is one criterion among several (18–20 mm), not an ideal value.

What does the 5 mm limit mean?

Dr Hajtó teaches that a raise of up to 5 mm at the incisors is considered safe. Abduo and Lyons (2012) state in their abstract that a maximum increase of 5 mm can be justified. Above 5 mm the checklist shows a warning.

How many degrees of rotation is a raise?

Dr Hajtó's rule of thumb on the lateral ceph: 1 mm at the anterior teeth ≈ 1° rotation, 2 mm at the incisal pin ≈ 1° rotation. For a planned incisal raise the checklist shows the approximate degrees.

Why does the checklist not show an ideal raise?

The criteria describe different things: the anterior length, the incisal edges, the posterior crowns and a safety limit. Each one is shown on its own; the decision stays with the clinical planning, including functional and model analysis.

How long do splint and build-up phases take?

Dr Hajtó plans 2–3 months for the splint and 2–3 months for the occlusal build-ups. Printed build-ups should stay in place no longer than 6–12 months; Doumit et al. (2025) followed 352 printed restorations and found wear over 0.5 mm in 35 % after 24 months.

What applies to the Dahl principle?

Dr Hajtó teaches not to raise more than 2 mm at once with the Dahl principle (risk of tongue interposition), not to use it with TMJ problems or tongue dysfunction, and that it works faster the younger the patient. Above 2 mm with the Dahl method the checklist shows a warning.

Does the checklist replace a diagnosis?

No. Planning aid, not a diagnosis or treatment recommendation. Does not replace functional analysis, model analysis or clinical judgement.

Dataset as of 2026-10-19. Planning aid, not a diagnosis or treatment recommendation. · Publisher: Munich Dental Academy