Diagnostic orthotics to establish the functional mandibular-maxillary relationship for orthodontic corrections

Under optimal anatomic and physiologic circumstances, there exists a harmonious and functional balance between the occlusion, muscles of mastication and joint relationships referred to as a functional bite relationship. A diagnosis and treatment to the habitual bite relationship is provided if the function of the joints, muscles and associated structures is determined to be normal. If compromises of form or function are determined, a diagnostic orthotic is an essential tool to evaluate why the habitual bite position is not the best functional bite position and to also help determine a better functional relationship to avoid tissue and system compromise. The benefit of the diagnostic orthotic is the ability to establish an arbitrary reversible diagnostic relationship, evaluate the tissue and system response to this new association over time, and determine if the new treatment position is better for the patient than the habitual bite association.