Occlusal Treatment — When, Why?


A decades-long discussion (debate) has existed regarding whether occlusal treatment of any kind is necessary or appropriate related to temporomandibular disorders. This debate can be deconstructed into several related questions:

• Is there a relationship between dental occlusion and temporomandibular disorders?

• If such a relationship exists, does dental occlusion play a causative role in TMDs?

• If a causative role has not been clearly established, what is the rationale for doing occlusal treatment?

• If occlusal treatment is indicated, when is it appropriate?


We will address each of these questions individually.