Clinical Procedures

MASTICATION CONSEQUENCES and PRACTICAL PROCEDURES

The clinical procedures will be described first, considering varied kinds of occlusal relationship. The observed results will allow to feel that there are possible repercussions of the functional model, in all of the oro-facial sphere, when central, neuromuscular, and mechanical, deciding factors of occlusion are involved.
These aspects will be developed in next chapters.

Functional Model: Consequences
During TMJ disorders, consequences for using natural functioning model, will be compared to the hight rate of failures resulting from classical erroneous model.
In implantology, the impact of compared occlusal forces, on the peri-implant bone level, between the two models, has been assessed, with amazing results.
In orthodontics early reorientation of growth face, by combining treatments: tongue reeducation and promptly setting in class I occlusion of first molars, must be regarded.

Fig. D1 Clinical case: There is a history of orthodontic treatment, with extraction of the four first bicuspids. The first right molars are in occlusion close to Class I, but with functional guides in complete disharmony and vertical type cycles. This side is not  used for chewing, because it is uncomfortable and inefficient. The left side presents cycles very close to normal pattern . The aim is to rebuild chewing balanced guides on the right side to find again the optimal amplitude of cycles and restore chewing function.