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Chewing and occlusal function.

J M Broadbent

    The Functional Orthodontist
    |April 20, 2001
    PubMed
    Summary
    This summary is machine-generated.

    Orthodontic treatment requires a comprehensive approach beyond static records, focusing on physiological function and facial aesthetics. Considering the role of all teeth, especially molars, ensures optimal chewing function and treatment outcomes.

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    Area of Science:

    • Orthodontics and Dental Physiology
    • Maxillofacial and Dental Anatomy

    Background:

    • Orthodontic diagnosis traditionally focuses on anatomical relationships but requires expansion to include physiological function.
    • Full diagnostic records are essential for medical-legal purposes, treatment planning, progress monitoring, and outcome evaluation.

    Purpose of the Study:

    • To emphasize the need for a physiologically oriented orthodontic approach.
    • To highlight the importance of functional occlusion and facial aesthetics in orthodontic diagnosis and treatment planning.

    Main Methods:

    • Review of orthodontic diagnostic principles and treatment considerations.
    • Analysis of the functional significance of different tooth types in occlusion.
    • Consideration of anatomical and functional factors influencing orthodontic outcomes.

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    Main Results:

    • Most chewing function (90%) involves the first molar and premolar teeth.
    • Second molars can cause occlusal disturbances; their replacement is a viable option in certain orthodontic cases.
    • Physiologically oriented orthodontics must integrate soft tissue profile, facial aesthetics, incisal guidance, maxillary and mandibular relationships, dental crowding, and temporomandibular joint (TMJ) status.

    Conclusions:

    • A holistic approach integrating anatomical and physiological factors is crucial for successful orthodontic treatment.
    • Evaluating functional occlusion, particularly the role of molars, is vital for achieving optimal patient outcomes.
    • Orthodontists must broaden their scope to include physiological competence for comprehensive patient care.