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Dental Practice 2019

Dentistry and Craniofacial Research

ISSN: 2576-392X

Page 34

January 28-29, 2019

Barcelona, Spain

27

th

International Conference on

Dentistry and Dental Practice

O

cclusal disease is a comprehensive term for various

symptoms caused by occlusal discrepancy between the

habitual occlusal position (HOP) and muscular (MP) positions.

These are referred to as temporomandibular disorders (TMDs);

however, we like to use the term “occlusal disease” because

these symptoms are strongly related to the discrepancy

between HOP and MP. In 1959, Brill et al. postulated that the

coincidence of the muscle and tooth (intercuspal) position

constitutes a physiological condition, whereas the lack of

a coincidence of these two positions may be indicative of a

pathological condition. MP is defined as the position when

the jaw is closed by voluntary muscular activity with an

upright posture. HOP is an arbitrary closed position (tooth

position). Generally, MP is coincident with HOP; however, in

some individuals, it is not, which results in the manifestation

of various symptoms in these individuals. To alter a patient’s

occlusal habits and obtain a physiological muscular position,

the bite plate-induced occlusal position (BPOP) is used for

reference during voluntary jaw closing, while in an upright

position, and after wearing an anterior bite plate for a short

period of time. It has been reported that these two positions

do not coincide in patients with the temporomandibular joint

(TMJ) clicking sounds. Symptoms associated with occlusal

disease include oral dyskinesia, glossodynia (painful tongue),

burning mouth syndrome, tension-type headache, tinnitus,

earache, coxalgia and vertigo. Some cases will be reported and

the mechanisms of these symptoms will be discussed.

wbs89508@mail.wbs.ne.jp

Occlusal Disease

Kengo Torii

Nippon Dental University, Japan

J Den Craniofac Res 2019, Volume 4

DOI: 10.21767/2576-392X-C1-015