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<p><strong>Abstract</strong><br />

The masticatory system, which includes teeth, occlusion, muscles, joints, and the central and peripheral nervous system, is increasingly understood as a complex system rather than a simple biomechanical mechanism. This shift in perspective aligns with Thomas Kuhn's stages of paradigm changes, where anomalies in traditional models trigger the search for new paradigms. In the context of Masticationpedia, a new interdisciplinary approach to the diagnosis and treatment of malocclusion emerges, focusing on "Occlusal Dysmorphisms" rather than "Malocclusions." Recent advances in electrophysiological tests, such as motor evoked potentials and mandibular reflexes, reveal functional symmetry in the masticatory system, even in patients with occlusal discrepancies. This discovery challenges the traditional understanding of malocclusion, suggesting that neuromuscular dynamics play a crucial role in maintaining masticatory function. Consequently, interdisciplinary diagnoses that consider both occlusal and neuromuscular factors are necessary for accurate diagnosis and effective treatment.

This paradigm shift has implications for current rehabilitative therapies, including orthodontics and prosthetics, which have traditionally focused on achieving occlusal stability. However, considering the masticatory system as a complex system requires an integrative approach that incorporates both aesthetic and neurophysiological factors to prevent relapses and achieve long-term functional stability. The emerging field of OrthoNeuroGnathodontic treatments exemplifies this interdisciplinary approach, offering innovative strategies to address masticatory disorders.

Viewing the masticatory system through the lens of complexity science, the field of dentistry can expand its understanding of occlusal stability and dysfunction, ultimately leading to new treatment paradigms that improve patient outcomes. This new model does not replace traditional treatments but seeks to enrich them with a broader interdisciplinary perspective, in line with the evolution of masticatory rehabilitation science.

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