Abstract

Esthetic Orthodontics vs Functional Orthodontics: Dualism or Integration

by Schiavoni Raffaele

The stomatognathic system (temporomandibular joints, neuro-muscular system, dento-parodontal apparatus) constitutes an inseparable unit. The interrelationships between the various components of this system and the postural context of the patient under examination must be taken seriously and objectively. The importance of occlusion as an etiologic factor in signs and symptoms of temporo-mandibular disorders (TMD) has been a source of controversy. It is difficult to establish any significant cause-effect relationship because of the number of variables involved in this multifactorial pathology. Many of these variables are difficult, if not impossible, to exclude from a clinical point of view. A static evaluation of the occlusal condition fails to reveal any significant associations. Only by accessing the dynamic relationships of the occlusion during function can the true impact of the occlusion be appreciated. In light of this, the dualism between aesthetics and function becomes obsolete and meaningless. Last but not least, emphasizing the aesthetic value of orthodontic treatment in TMD patients often constitutes an additional and irreplaceable aid to the resolution of the notoriously complex symptomatology of multifactorial pathogenesis.

Learning Objectives

After this lecture, you will be able to evaluate the presence of possible temporomandibular joint dysfunction even at an early age.
After this lecture, you will be able to know the protocols by which young patients' TMDs are diagnosed and their treatment timing.
After this lecture, you will be able to know how to induce real, as well as correct, motivation for orthognathic treatment in the adult patient.