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For dentistry

When the bite does not settle

We treat only CMD-related functional disorders – no general dentistry, no competing orthodontics. Your patient remains yours. What we contribute is measurement technology and time for a single question.

You know these patients

Persistent bruxism, repeatedly fractured restorations, diffuse tooth or jaw pain without pathological findings, splints that do not work – or new complaints after a crown, bridge or filling.

The connection

What has been measured

  1. 01Measured / described

    The compensated bite position – our strongest argument, and also the most honest

    The distance between centric condylar position and maximum intercuspation averages 0.86 ± 0.52 mm; a disharmony between habitual intercuspation and a musculoskeletally stable position is considered a factor of instability. The body often compensates for this for years. A reconstruction can disturb this compensation – and reveal a dysregulation that was previously hidden.

  2. 02Measured / described

    What measurement technology can and cannot provide

    Occlusal contact distribution and timing can be recorded reliably; for absolute force measurement, validity is lacking – suitable as an adjunct and for screening, not as the sole basis for occlusal corrections. Wear patterns are not reliable markers of current bruxism activity. Instrumental functional analysis builds on clinical analysis and is explicitly not a method of pain assessment.

  3. 03Measured / described

    And a small detail with a big effect on registration

    Occlusal contacts in maximum intercuspation differ measurably between upright and supine positions; the rest position of the lower jaw depends on the headrest and body position. Registering in the supine position records a different occlusion from the one the person lives with.

  4. 04Where the evidence ends

    Where the evidence ends

    Occlusal monocausality is considered outdated; CMD is multifactorial and biopsychosocial. The literature explicitly urges caution with mechanistic occlusion and centric relation concepts to avoid overdiagnosis and overtreatment. We do not claim that the bite is the cause – we establish whether it is a component.

Indication

When a referral is worthwhile

First, and without exception: red flags and unclear findings belong in specialist work-up, before any functional diagnostics. The CMD perspective complements, it does not replace.

Worthwhile

  • Before major reconstructions to assess CMD risk
  • Treatment-resistant bruxism
  • Complaints that arose after dental treatment
  • Splints that do not work despite correct fabrication

Not worthwhile

  • For reviewing another practitioner’s treatment – we do not do this
  • For general dental services; they stay with you

Your patient remains yours.

After the assessment or after regulation is complete, we always refer back to you. We only provide further treatment at your explicit written request.

What we explicitly do not do: judge your work. We measure function and report back what we have found – not what someone should have done differently.

Next steps

Three routes – your choice

  • 01

    I want to know more

    The full-text sources, our measurement protocols and the clinical explanatory model with its level of evidence disclosed.

    Request documents
  • 02

    I have a question about a case

    Call-back from the CMD specialist, not from reception.

    Ask a question
  • 03

    I would like to refer

    By phone, email or letter – whatever suits you. The findings report comes back to you.

    Referral

Other specialties

To the overview