Abstract
Uncontrolled occlusal stresses do not require the presence of dental plaque to produce disease. These stresses result from a disharmony between the temporomandibular joints and the teeth. Loose teeth, sore teeth, fractured teeth, wear facets, bone loss, clenching, bruxism, temporomandibular joint pain, chronic headaches, and chronic neckaches can result from uncontrolled occlusal stresses. Restorations that produce a disharmony or that perpetuate an existing disharmony between the temporomandibular joints and the teeth must not be placed.
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