Continuing diagnostics of the temporomandibular and musculoskeletal system (TMS/MSS)

IMG_2833The starting point for any orthodontic occlusion diagnostics,

treatment planning and subsequent therapy should be the

physiological mandibular position. A possible discrepancy

between maximal intercuspation and occlusion in the physiological

mandibular position should be carefully investigated.

An unrecognised and therefore untreated temporomandibular

Dysfunction(TMD) nullifies the success of orthodontic

treatment. if there are signs of a TMD in the short screening

test, the following detailed functional diagnosis, possibly including

the musculoskeletal system (MSS), is necessary. This

also includes the diagnosis of analogue or virtual models

mounted in a physiological condylar position. Cone beam

computed tomography (CBCT) and sometimes also an MRI

scan is needed to specify the diagnostics in some patients.

 

Werner Schupp, Julia Funke, Wolfgang Boisserée, Rainer Heller, Julia Haubrich

 

erschienen in

Journal of Aligner Orthodontics 2018;2(3):199–213

 

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