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What is the clinical goal of occlusal therapy in patients with temporomandibular symptoms?

To maximize posterior tooth contacts at all times

To increase bite force during function

To minimize muscle activity, eliminate interferences, and achieve a comfortable, stable jaw relation

Occlusal therapy aims to reduce the drivers of temporomandibular symptoms by calming the muscles and realigning the bite into a comfortable, stable jaw position. When there are occlusal interferences or uneven contacts, the jaw often shifts or muscles contract protectively, leading to tension, pain, and dysfunctional movements. By identifying and removing premature contacts, balancing the occlusion, and guiding the jaw into a relaxed, stable relation, the neuromuscular system can function with less guarding and strain. The goal is symptom relief and functional stability, not to maximize posterior contacts or forceful bite, and not to expect complete elimination of all joint noises—some noises may persist even as symptoms improve.

To completely eliminate all joint noises

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