[The role of occlusion and articulation in craniomandibular dysfunction]

Historically, occlusal interferences are considered to be a major etiologic factor of craniomandibular disorders. Recent evidence suggests however that occlusal and articular parameters only play a minor etiologic role, if any. This controversy will only be solved after studies investigating well-defined homogenous patient groups. Concerning treatment, appliance therapy has proven to be a valuable part of the conservative reversible treatment procedure which allows to manage the majority of craniomandibular patients. Irreversible procedures e.g. complex orthodontic or prosthetic therapy, occlusal equilibration or surgery are only necessary in select cases and apply to very strict guidelines.