2. A UNIFYING OCCLUSAL CONCEPT The Use of the Science and Discipline to Solve the Complex Issues of Tooth Function, Tooth Wear and TMJ Adaptation to Treat a Dysfunctional TM Joint Case.

3. If it has been done, It is probably Possible.

4. Case Set for Bilateral Sub-condylar Osteotomy. Immediate post-ortho TMD resolved by anterior displacement splint. Definitive treatment to be surgery which the patient did NOT want.

5. Anterior Reposition Splint March, 2000

6. Anterior Reposition Splint March, 2000

7. Anterior Reposition Splint March, 2000

8. Anterior Reposition Splint March, 2000

9. Occlusion with Splint Out March, 2000

10. Pre-Treatment Profile March, 2000

11. Pan-x Pre Op, Tanner March, 2000

12. Pan-x Pre Op, Tanner March, 2000

13. Pan-x Pre Op, Tanner March, 2000

14. Pan-x Pre Op, Tanner March, 2000

15. Interdigitated Models March, 2000

16. Interdigitated Models March, 2000

17. Interdigitated Models March, 2000

18. Mounted Models March, 2000

19. Mounted Models March, 2000

20. Mounted Models March, 2000

21. Seat Splint March, 2000

22. Seat Splint, Retruded March, 2000

23. Double Ribbon, Mark Splint March, 2000

24. PGA or MTA - Initial Marking March, 2000

25. 1/15/02 – 22 Month Post Op

35. 3/14/00 – Hand Artic 1/15/02 - CRO

36. 1/15/02 – 22 Month Post Op January 15, 2002 March 14, 2000

37. June 28, 2000

38. May 13, 2003

39. Comparison Left TMJ 2000 2003

40. Comparison Right TMJ 2000 2003

41. Pre and 1.8 year Post Op

42. Points to Consider Case retruded about 5 mm. in 1 year 10 months. Both Condyles are well placed and asymptomatic. Patient was pleased with the non-surgical result. Minimum invasive risk. Process takes time. Bone will not adapt quickly. There must be function.