A Functional Consideration of the Problems of Occlusion

Abstract

Abnormal form and abnormal function of the stomatognathic system must be diagnosed and appraised in the living individual, and restoration of normal function must be consistent with the fundamental physiology of the system and its components. Three abnormal functional conditions, premature contact, functional occlusal interference, and mandibular displacement, may be present in varying degrees of severity and may be responsible for abnormal temporomandibular joint function. These conditions are not limited to adults, making it necessary that an evaluation of function be accomplished on all patients regardless of age. If dentistry is to accept the challenge and assume the additional problems of diagnosis and treatment of impaired occlusal and neuromuscular patterns, we must no longer permit our thinking to be dominated by the various mechanical techniques. A thorough knowledge and understanding of the anatomy, growth, and physiology of the stomatognathic system will enable the dentist to adapt the necessary technical procedures to the needs of the fundamental biologic principles of the living individual. As we accept science as an attitude, we will be better able to produce a greater health service.