Difference between revisions of "Conclusions on the status quo in the logic of medical language regarding the masticatory system"

Figure 15a shows the previously presented patient undergoing orthognathic surgery and who at a first electrophysiological check showed a wide asymmetry of the reflexes with lack of the masseterine silent period. This led us, therefore, to confirm the occlusal state of 'Malocclusion'. This could give rise to the above misunderstandings because actually orthognathic will never be able to respect the neurophysiological conditions in an appropriate way because the interventions are complex and in a condition of curarization that cancels the neuromotor component. The orthognathic, therefore, intrinsically has the limit of the cancellation of the neuromotor component and must necessarily follow the anatomical and occlusal canons. The fact is that frequently the anatomical and neuromotor conditions coincide, returning a perfectly successful model from an aesthetic, functional and neuromuscular point of view, but sometimes the pre and operative conditions do not succeed in this aim.

The occlusal position and therefore the 'Centric Relationship' from which to start to finalize the patient orthodontically and prophetically necessarily depend on the spatial position of the TMJ and of the mandible after surgical reduction. The finalization procedures, therefore, through anatomical maneuvers such as the centric recordings will necessarily return the spatial position in figure 15b.

File:Chirurgia Ortognatica 1.jpeg|'''Figura 15a:''' Patient in '''exit''' from the Functional Neuro Gnathology department with severe 'Malocclusion' report to be treated immediately.

File:ETCS post ortognatica modificata.jpeg| '''Figura 15b:''' Higher magnification detail to visualize the mandibular incisal position after orthographic intervention

File:ETCS post ortognatica.jpeg| '''Figura 15c:''' Detail at higher magnification to visualize the mandibular incisal position mandibular spatial positioning through 'Neuro-evoked Centric Registration'

As previously mentioned, for each problem the code to decrypt should be found and in this case it is the curarization that has canceled the neuromotor component and therefore, from here we must start to recover the component.

As can be seen, the 'Centrica Neuro Evocata' has re-established the neuromotor component previously lost due to curarization with a 3 mm shift to the right of the mandible.

If the patient had been treated with orthodontics and prostheses in the 'Anatomical Centric Position' at the patient's discharge from the maxillofacial departments, we would have had an excellent aesthetic result in 'Neuromotor malocclusion'.