Introduction

Inspired by everyday practice, according to Dr. Philippe Harb, whether it is regarding Orthontics, prosthesis and / or dentistry, or surgery or even in posturology, would we not all be dysfunctional?

Indeed, in our daily practice we only rarely, if ever, get perfectly harmonious patients, in class I, symmetrical without orofacial disorders without joint disorders and in perfect organic and psychological health.

We are faced with rather different dysfunctions of the masticatory system: A general view taken from the DAM classification according to the MFCFR: DAM Adaptive minors, DAM Adaptive major, DAM pathological. The multifactorial, genetic and / or acquired etiologies; traumas, hyperfunctions, iatrogenic treatment ...

The balance or imbalance of the FIVE entities that make up the craniofacial assembly are at the origin of "normality" or Operation of the masticatory system (FAM) or "Abnormality" Malfunction of the masticatory system (DAM).

 

 

In orthodontics as in prosthesis and maxillofacial surgery, could our interventions cause disorders in temporomandibular joints, tooth-articulation disorders, general posture disorders? ... The answer is unfortunately, yes! Why?

 

 

Our diagnostics are often incomplete and inaccurate, performed from the "side-view" and rarely in frontal view, much less in axial view, or the cranio-side is a volume; the deformities are three-dimensional and interfere with each other.

Also, our diagnosis are often imprecise, indeed our patients are examined in occlusion of Inter-cuspidation Maximum (IOM), the patient is asked to open close ..., and we class such occlusion and typology: Class I Class II ... or the IOM obscures the mandibular posture defects and there is false diagnosis and treatment.

Similarly, our treatments can be iatrogenic, unsuitable prosthesis, unwanted movements in orthodontics, second non banded molars... which can cause mandibular posture abnormalities.

Indeed the mandible is the only movable cranio-facial structure, its various positions complicate our diagnosis and treatment.

 

 

But where, when and how do we place the mandible; in dento-facial orthodontics, joint dysfunction, in diseases of the general posture, prosthesis and / or dentistry?

The MFCFR offers answers, supported by clinical cases and 3D animated films.

"Another way" to approach the patient as a whole. Dental diagnosis and treatment in 3D:

Craniofacial structures:

- Morphology, Orientation, Dimension

- Mandible: posture and dynamic

- General Posture

- Identification of the common mistakes

"Another philosophy" biomechanical and functional. Posture and mandibular dynamics:

- By new concepts of physiology, pathology, adaptation, based on fundamental and clinical data.

- The ultimate goal: to preserve or reproduce balanced manducation; grip (opening-closing), incision, functional chewing and swallowing.