I will present the maneuvers to recognize Temporomandibular Disorders signs and symptoms before Orthodontic or Aligner treatment. I will explain the use of TENS Transcutaneus Electrical Neural Stimulation, to evaluate and recover the right muscle length position and how to build the neurophysiological orthotic to treat the pathological TMJ. The bite registration technique and the orthotic indication will be discussed. The second phase will be presented with Overlay’s compensation and its combination with braces or aligners. I will present the steps to treat a patient with TMD, the relaxation with TENS, the neurophysiological orthotic, the achievements with the treatment and the second phase with aligners. The accurate attachments to use with overlays, and the necessary images to evaluate the evolution of the patients with these disorders. The aim of the lecture will be to understand the meaning of “TMJ First Orthodontic”, assessing that the TMJ is a fundamental pillar for the occlusion .


Learning Objectives
After this lecture, you will be able to recognize the TMD signs and symptoms before orthodontic treatment.
After this lecture, you will be able to understand what is TMJ first, before orthodontic or aligners.
After this lecture, you will be able to evaluate the use of overlays to compensate the occlusion before TMD treatment