The dental malocclusion

The problems of dental occlusion classically are dealt with by dentistry.

Actually the malocclusion is always the result of a global imbalance of the organism.

In fact, the jaw bone is a very mobile bone as the two temporo-mandibular joints that connect it to the temporal bone have a great possibility of adaptation, sometimes even in different ways compared to each other.

dental malocclusion osteopathy Genova
The temporomandibular joint
Balboni & Co., Anatomia Umana, Edi-Ermes
Vol 1, pag.112

Therefore, an osteopathic disrupted framework can very often give you, including the final effects, also an imbalance at the level of the occlusion.

In such cases it is necessary to identify the lesion outbreaks and reduce them re-establishing a correct global and therefore local dynamics.

These outbreaks are usually localized in different locations from the joints of the jaw but sometimes, less frequently, it is the temporomandibular joints to be involved in particular.

Technically, the work starts with the search of the primary lesions and ends with their correction and revision.

From an osteopathic point of view a patient suffering from malocclusion is not much different from a patient with low back pain or headache: in any case it is to balance a compromised situation.

First, the jaw has connections with the shoulder girdle through the intermediation of the hyoid bone and the system of cervical fasciae, and this makes a clavicular or scapular dysfunction to reflecte in a rather direct way on the physiology of the jaw and TMJ.

There are also direct connections to the base of the skull through the muscles of mastication, in particular the pterygoid muscles form a connection with the sphenoid bone, while masseter and temporal connect the TMJ with the zygomatic arch, and with all the scaly part of the cranial vault.

So craniosacral dysfunction directly influences the physiology of the TMJ.

We must also consider indirect connections, the human machine does not work in separate compartments but each part is in relation to other systems thanks to the connective systems. So a peripheral malfunction, even distant, can easily reflect on the occlusion and vice versa.

Here is an example of a 23 -year old patient suffering from mandibular click on the right side and pain to bite on the right side such as to impair the ability to chew. In addition, the patient also had a mandibular deviation to the right rather marked.

The problem had been present for years.

dental malocclusion osteopathy Genova 1

Osteopathic adjustments examination showed the lesion at the level of the sacrum, of the first rib and the right of the right clavicle, as well as the spheno-squamous suture right.

In addition, there were significant contractures of the external and internal pterygoid muscles on the right side.

After correcting the injury, the picture is significantly improved immediately: the pain bite had a sudden regression with great benefits on the quality of life of the patient.

After a couple of weeks, the patient had a greater symmetry at facial level continuing to maintain a correct mandibular dynamics.

I followed this patient within a couple of months at the end of which I have found a dynamic global physiological situation and stable: the problem of occlusion was virtually disappeared by now.

Unfortunately, in some cases, a situation of unbalance, maintained over time, can cause permanent effects such as severe dental erosion. In these cases, it is a mistake to consider the different height of the dental arches as the cause of malocclusion, if anything it is a consequence.

You also need to know that the occlusion is a rather dynamic event, that over time can change modes within a single person.

So before you take permanent corrective actions at the level of the jaw or teeth, you should consider that they may be functional at the moment but not be more appropriate as time goes on.

In conclusion, in the case of malocclusion, restoring a state of balance and overall harmony of the body should always be sought as a priority; Osteopathy works in this direction.