If we have a symptomatic TMD patient and are trying to figure out, can we make this patient better or comfortable? How can we stabilize the joints?
Do we have to treat every noise or click that we observe in our patients? And the answer is not necessarily. What I am going to say is we always have to go back to the complete examination.
If we've been practicing for any length of time at all, we're going to see some clinical failures. I think sometimes the perception is if we're faculty at The Dawson Academy, that it never happens, and you should know that we all see clinical failures. We just want to limit them as much as possible, and so there's really going to be two reasons that something fails.
Why is the physiologically correct position in centric relation the most superior position in the joint space itself?
Now, if you're like me and you went through dental school earlier, maybe 20 years ago, you were probably taught that centric relation was actually a distalized position of the condyles.
It was a very frustrating experience not only for the dentist, but also for the patients because you're trying to put the mandible and the condyle into a very unnatural position.
So when you're trying to decide if your patients have an internal derangement or an occlusal muscle problem, how do we go about doing that?
First part is the screening questions you ask before you start to testing.