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