Literatura académica sobre el tema "Balanced dental occlusion"

The nature of the interrelationship between whole body posture and the quality of the dental occlusion has not yet to date been clearly documented within the dental or posture literature, as the findings of published studies within both fields have been scarce and inconclusive. The combined use of digital diagnostic occlusal and postural assessment technologies has not been widely employed in these research projects, which has mired both fields' ability to study, to understand, and to clearly ascertain how posture and dental occlusion affect each other physiologically. As such, the specific aims of this chapter are to outline how posture and dental occlusion interrelate through the stomatognathic system's afferent neural inputs into the central nervous system (CNS), which communicate important occlusal contact force distribution information, and equally as important, mandibular spatial positional information within the posture and balance regions of the brain. The concept that the dental occlusion is a capteur for posture (which in English means, a sensor of posture health), is further explored with the inclusion of three differing clinical posturo-occlusal cases, diagnosed and treated with the combined use of the T-Scan 9 computerized occlusal analysis technology, the MatScan/MobileMat foot pressure mapping technology, and the Footmat Research software version 7.10. These presented clinical cases illustrate that improved right-to-left occlusal contact force balance, and improved center of force location within the dental arches, improve a number of measurable sway parameters. Together, the implementation of the T-Scan and the MatScan exquisitely demonstrate to the clinician the significance of the physiologic interrelationship between body posture and the dental occlusion. The presented cases emphasize there exists a whole-body concept that depends upon a variety of differing systems, whereby changes in the dental occlusion produce a phenomenon of bio-functional neuro-reprogramming for the stomatognathic system and the whole body.

Masticatory muscle hyperactivity has been considered a significant factor in promoting and perpetuating dysfunctional symptoms observed in temporomandibular disorder patients. Many therapeutic modalities have evolved within dental medicine that attempt to lessen or resolve the varying symptoms frequently reported by dysfunctional patients. One such method, known as ultra-low frequency (ULF) transcutaneous electrical neural stimulation (TENS), has been used to relax the masticatory musculature by applying an electrical stimulus to the efferent motor fibers of the fifth and seventh cranial nerves, such that TENS can result in pain analgesia and patient sedation, restore compromised muscle physiology and increase muscle resting length. TENS also aids in establishing a neuromuscular maxillomandibular relationship by inducing a muscularly contracted involuntary arc of closure. This chapter will discuss TENS as a treatment modality for temporomandibular disorders (TMD), explain how to employ TENS to obtain a neuromuscular maxillomandibular relationship, and illustrate in a clinical case report the use of TENS in combination with the T-Scan Computerized Occlusal Analysis System to measurably and physiologically balance, a removable overlay anatomical acetyl resin orthotic prosthesis. This chapter will also detail the interrelationships between TMD musculoskeletal problems and posturo-occlusal disorders, and how disclusion time reduction therapy (DTR) with occlusal rebalancing, performed with the T-Scan 9/BioEMG synchronization, can improve whole body alignment. The chapter concludes with discussions about the problems with direct anatomic relationships, and the three problems of occlusion.