Occlusal reconstruction with consideration for masticatory and mimic muscles，maxillofacial skeleton, and mandibular deviation

—relationship between asymmetrical facial expression and mandibular deviation

Abstract

In daily clinical practice of dentistry， comfortable chewing is the ultimate goal shared by patients and dentists， and， hence， occlusion is of great importance. There are a wide variety of methods and devices employed in occlusal examinations and analyses such as: study cast， dental X-rays， and electronic registration of mandibular movements，but the importance of the simplest method，namely，physical examinationwithout any special device，which imposes little stress on patients，should not be discounted. Though proper anatomical knowledge and just observations are imperative， the physical examinations should be considered as a basis for occlusal diagnoses. This is a report of successful case of treatment (including orthodontic procedure and correction of mandibular position) based on the relational analysis of mimic muscles， masseters， gnathofacial structures， and mandibular deviation.