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Importance of Vertical Dimension In determining facial Esthetics The Abstract The human face has been the subject of study since man could first express himself. Vertical Dimension in its simplest definition terminology is the length of the face determined by the distance of separation of jaws. In terms of esthetics, an appropriately measured VD will appear to a layman's eye as an ordinary configuration of the patient's nose, lips and chin. Orthodontic treatment must begin with diagnosis of the patient’s skeletal and dental problems.Treatment planning must be based on realistic treatment goals. Vertical dysplasias often are among the most difficult dentofacial problems to treat. It seems obvious that inherited facial proportions and habits, functional adaptations and other environment factors may contribute to the etiology. The fact that changes in the vertical dimension occur together with changes in the anteroposterior dimension makes control of the vertical dimension an important aspect in planning orthodontic treatment. A practitioner must work within the physical constraints of the patient’s dentition and skeleton, but the end result of dental (occlusal) correction should be in harmony with the facial (skeletal) esthetics.