Modifica di PaginaEntry (sezione)

==📊 Towards "Occlusal Dysmorphisms"==
📎 In Masticationpedia, the term "Occlusal Dysmorphisms" is preferred because:

- not all asymmetrical occlusions are pathological

- masticatory function can be preserved even in the presence of asymmetries

- there are neuromuscular adaptations that compensate for discrepancies

👉 This leads to a reflection: 'is it correct to treat all malocclusions?' Not always.

===Clinical Case===
In the following case, the patient presents:
* unilateral posterior crossbite
* anterior open bite

The patient would be a candidate for:
* orthodontic treatment
* orthognathic surgery

However, the patient 'refuses therapy' citing normal masticatory function. The dentist explains the long-term risks but respects the decision.

{{qnq|What does this case tell us?}}

📌 That function can prevail over form. To understand this, electrophysiological tests were performed:

<gallery mode="slideshow">
File:Occlusal Centric view in open and cross bite patient.jpg|'''Figure 1a:''' Centric occlusal view of a patient with crossbite and open bite.
File:Bilateral Electric Transcranial Stimulation.jpg|'''Figure 1b:''' Bilateral transcranial stimulation: symmetry of the masseters.
File:Jaw Jerk .jpg|'''Figure 1c:''' Jaw jerk reflex: confirmed functional symmetry.
File:Mechanic Silent Period.jpg|'''Figure 1d:''' Mechanical silent period: balanced bilateral activation.
</gallery>

🎯 The results show organic-functional symmetry 'despite the visual malocclusion', suggesting that neuromuscular function can compensate for morphological discrepancies.

<blockquote>''Occlusal Dysmorphisms and not Malocclusion... which, as we will see shortly, is a completely different topic.''</blockquote>