Temporomandibular joint problems begin early in life even though the symptoms are not present until the adult years. Physical therapy in collaboration with dentistry provides an increasingly successful approach to longer lasting treatment. A correlation between Class II occlusion and forward head posture provides further evidence that the team approach is essential. Many TMJ headaches and referred pains of the neck and shoulders are caused by compression of the cervical joints. The proper orientation of four planes: the vertical plane, the bipupilar line, the plane of the otic system, and the occlusal plane are necessary for case success. Treatment involves the proper body mechanics, overcoming parafunctional oral habits, and instruction to restore mobility of the spine. The coordinated approach to treatment involves dental and medical professionals and physical therapists to intercept many serious conditions.
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