Abstract
It is possible to determine the physiological position of the mandible that is appropriate for patients with craniomandibular disorders (CMD) by employing a gnothostomatic diagnostic system. If the present position of the mandible is diagnosed as a deranged reference position (DRP), it is then necessary to reposition the mandible by establishing the therapeutic reference position (TRP) that is the goal of treatment, and fabricating provisional restorations or a splint at that position. Furthermore, it is very important during full mouth oral rehabilitation to determine the final mandibular position before fabrication of the prostheses, and to then reconstruct the occlusion.
As a method of objectively and scientifically determining the mandibular position and movements, we carry out treatment using the computerized axiograph (Cadiax System, Gamma Co., Austria) . In order to place the position of the mandible in an even more stable position with the final prostheses, we reconstructed occulusion with sequential functional guidance in the occlusal form.
We would like to report and discuss clinical evaluation of this gnathostomatic system, progress during treatment, and the final prosthetic restoration that we performed.
