Orthodontics at the crossroads: A closer look at occlusion, temporomandibular disorders and the role of cutting-edge technology

The field of orthodontics strives to achieve an aesthetic, healthy, and stable occlusion. However, traditional practices often assess occlusion in maximum intercuspidation without adequately considering the biomechanics of the temporomandibular joint (TMJ), which can lead to overlooking critical occlusal factors. This perspective paper revisits the debate on the role of occlusion in temporomandibular disorders (TMD) and evaluates the efficacy of current treatment approaches, emphasizing the limitations of conventional methods and the lack of evidence supporting joint-oriented orthodontics. By integrating jaw tracking systems and digital workflows, a comprehensive evaluation of dynamic and static occlusion with realistic mandibular movement allows for a more individualized treatment approach to ensure optimal treatment outcomes.