Diagnosing any orthodontic case requires a jaw assessment relating the mandibular to the maxillary arch physiologic in 6 dimensions. Without this understanding many erroneous assumptions are made.
This particular young 17 year old male had 2 prior consultations with surgeons and dentist both recommending orthognathic surgery to correct his jaws. After coming to your office, we recognized after TENS and K7 evaluation that it was the maxillary arch that required treatment even though his mandible was protruding forward in a psuedo habitual occlusion.
Non invasive conservative dentistry is possible when a PHYSIOLOGIC DIAGNOSIS is made to relate the mandible to the maxilla with measurements confirmed by first relaxing the masticatory muscles with low frequency TENS. Secondly, objective measured jaw tracking was used to locate with relaxed involuntary muscle response the optimal myo-trajectory without forcing the mandible. Once this relaxed position is determined stabilization of this optimal relationship is tested and functionally proven.
Once this proven position is stable and upper airway obstructions are removed the orthodontics and orthopedic can be treated effectively without orthodontic relapse problems.
A GNM approach should be considered in all cases appearing complex whether it is a TMD, restorative or orthodontic case. Guessing and assuming jaw relationships is not a correct STANDARD OF CARE!
Conservation of tooth structure, optimization of muscles and neutralizing of the joint complex is key to health and optimal masticatory function.