The aim of this investigation was to perform a review of the literature dealing with the issue of relationships between dental occlusionbody posture postufa temporomandibular disorders TMD.
A search of the available literature was performed to determine what the current evidence is regarding: The available posturographic techniques and devices have not consistently found any association between body posture and dental occlusion.
This outcome is most likely due to the many compensation mechanisms occurring within the neuromuscular system posstura body balance.
Furthermore, the literature shows that TMD are not often related to specific occlusal conditions, and they also do not have any detectable relationships with head and body posture.
The use of clinical and instrumental approaches for assessing body posture is not supported by the wide majority of the literature, mainly because of wide occlusiine in the measurable variables of posture.
In conclusion, there is no evidence for the existence of a predictable relationship between occlusal and postural features, and it is clear that the presence of TMD pain is not related with the existence of measurable occluso-postural abnormalities.
Therefore, the use instruments and techniques aiming to measure purported occlusal, electromyographic, kinesiographic or posturographicabnormalities cannot be justified in the evidence-based TMD practice. Occlusion and temporomandibular The issue of temporomandibular disorders TMD diagnosis and treatment has become a occlussione of increasing interest in the medical legal field in recent years. The old-fashioned theories based on the occlusal paradigm was proven to be erroneous, and clinicians who still provide irreversible treatments to TMD patients have to be conscious of the potential legal consequences of their behavior.
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The present paper described an illustrative case report of a patient to whom occluxione and irreversible occlusal therapies were performed with the unique aim to provide relief from TMD symptoms. The treatment was unsuccessful and the dental practitioner was called into cause for a professional liability claim. The clinician was judged guilty of malpractice on the basis of the lack of scientific evidence of the irreversible occlusal approaches to TMD, which were erroneously used and did not give the patient any benefit, thus forcing him to a non necessary financial and biological cost.
The failure to satisfy the contract with the posstura, which is usually not covered by any insurance company, forced the practitioner to give the money back to the patient.
The ethical and legal implications of such occlueione were discussed, with particular focus on the concept that medical legal advices need to satisfy the highest standards of evidence and have to be strictly based on scientific knowledge. For full article go to www. Quando i normali rapporti sono alterati si parla di malocclusione.
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