Applying the Neuromuscular Principles in TMD and Orthodontics

Chan, C.A., “Applying the Neuromuscular Principles in TMD and Orthodontics”, J. Am. Orthodontic Soc., pp. 20-29, Spring, 2004.

SUMMARY
Neuromuscular dentistry goes beyond traditional dentistry in that it includes consideration of the “physiologic posture” of the mandible. Determining habitual posture vs. physiologic posture requires evaluation of the muscles, joints and nerves involved in mandibular posture and function in addition to the teeth. Today’s computerized measuring and recording instrumentation, together with an understanding of neuromuscular principles, give dentists the ability to be true “physicians of the mouth.” Muscles cannot be evaluated by radiographic analysis alone. With bioinstrumentation it is possible to determine a proper resting jaw position that positively affects the facial, head, and neck muscles and the teeth as well as the joints. A case study is presented in great detail describing how a severe TMD case had failed to respond to long and frustrating traditional dental therapy, but was then resolved through the application of neuromuscular principles and evaluation. Following provisional treatment that proved a symptom-free mandibular position, the case was permanently finished to that position with orthodontic treatment.

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