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For Physicians

Guide to Occlusal Disease

Occlusal disease is the non-harmonious interrelationship of the TMJs, the associated muscles and the occluding surfaces of the teeth caused by:

  • An unbalanced bite
  • Premature tooth wear from bruxism

Here are some signs you might see:

Signs of occlusal damage

Chipped and/or broken anterior teeth.

Evidence of occlusal damage

Flat canine teeth and receding gingiva which
sometimes reveal small divots at the gingival margins.

Evidence of flat canine teeth

Smile is “shrinking.”

Shrinking teeth

Broken molars.

Broken teeth

Overall tooth sensitivity or pain.

Here are some signs that are not as visible:

Unobvious signs of dental sensitivity or pain

Displacement of the TMJ disk related to ligament and muscle distortion.

Ligament and muscle distortion

Muscle pain from maladaptation.

© DeWan Dental Wellness 2012 Photos/Graphics © BiteFX 2012