Evaluation and Management of Occlusal Disturbances among Temporomandibular Disorders Patients: A Report of Two Cases.

Th e occlusal interference is considered as contributing factor in temporomandibular disorders. It has a strong association with occlusal interferences causing occlusal disturbances leading to orthopedic instability of temporomandibular joint. Digital evaluation should be made to eliminate the premature contacts of the teeth and to establish the harmonious, functional occlusion. T-scan is a grid-based sensor technology and occlusal system that allows an easier and more accurate way to measure occlusal timing and the force. Th ese two case reports explains the steps involved in the correction of chronic myofacial pain dysfunction and premature occlusion of teeth with balancing side interferences, which are highly destructive for joint and teeth structure due to the amount and direction of force generated in temporomandibular patients.

Etiology, pathogenesis and treatment of habitual dislocations of the T.M. Joints [original work].

Definite treatment of any pathological condition, is based on the understanding of its correct pathogenesis and etiology. Without this basic understanding correct and lasting treatment is not possible. When there is no knowledge of exact pathogenesis and etiology, various theories and treatments are suggested by various workers. This is what exactly happened in the case of habitual dislocations of the T.M. Joints. This in term has happened because the dental surgeons and so called oral surgeons, never expanded their vision, beyond their restricted field of 20 deciduous teeth and 32 permanent teeth. Lack of understanding of basic physiological functions, of various tissues in the body and their effects on various systems as a whole was neglected. For this study four patients were selected from many, who could visit my clinic regularly and co-operate to follow all the instructions over a period of at least 5 years. The analysis of their symptoms and signs, had a different story to tell than what was described in the literature so far.