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Volume 14
Issue 19
10.3390/jcm14197007
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This is an early access version, the complete PDF, HTML, and XML versions will be available soon.
Article

The Effect of Selective Occlusal Adjustment on the Disclusion Time Reduction and Symmetry of Occlusal Contacts of the Own Dentition Using Digital Occlusion Analysis in Patients with Temporomandibular Disorders

by
Wojciech Maga
1,*,
Martyna Schönborn
2 and
Małgorzata Pihut
1
1
Prosthodontic and Orthodontic Department, Dental Institute, Medical College, Jagiellonian University, 4 Montelupich Str., 31-155 Krakow, Poland
2
Department of Angiology, Faculty of Medicine, Jagiellonian University Medical College, 30-663 Krakow, Poland
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2025, 14(19), 7007; https://doi.org/10.3390/jcm14197007
Submission received: 4 September 2025 / Revised: 29 September 2025 / Accepted: 30 September 2025 / Published: 3 October 2025
(This article belongs to the Special Issue Multidisciplinary Approach to the Diagnosis and Treatment of Temporomandibular Disorders: Patient Care Challenges—2nd Edition)
Versions Notes

Abstract

Background/Objectives: Occlusal disturbances occurring during central occlusion, mandibular movements and mastication may contribute to the development of temporomandibular disorders (TMDs). To reduce the disclusion time (DT) in all mandibular contacts, a procedure known as enameloplasty can be applied. The aim of this study was to evaluate the effect of occlusion-correcting treatments on disclusion time reduction, determination of the center of force, and the distribution of masticatory forces on the right and left side, through digital occlusal analysis in patients with TMD. Methods: The single-centered, prospective study including 106 patients with TMD after 6 months of prosthetic treatment. Digital occlusal analysis was performed before and after the enameloplasty to assess occlusion time, disclusion time and symmetry of occlusal contacts. Results: Selective enameloplasty significantly reduced disclusion time in the whole study population (0.8 vs. 0.4 s; p < 0.001), with greater improvement observed in patients with inappropriate Center of Force (COF) and premature occlusal contacts. Conclusions: Digital occlusal analysis-guided selective enameloplasty effectively reduces disclusion time and can improve occlusal parameters in TMD patients.
Keywords: temporomandibular disorders; T-Scan; disclusion time reduction; bite forces; digital analysis of occlusion; occlusal corrective treatment; digital occlusion analysis temporomandibular disorders; T-Scan; disclusion time reduction; bite forces; digital analysis of occlusion; occlusal corrective treatment; digital occlusion analysis

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MDPI and ACS Style

Maga, W.; Schönborn, M.; Pihut, M. The Effect of Selective Occlusal Adjustment on the Disclusion Time Reduction and Symmetry of Occlusal Contacts of the Own Dentition Using Digital Occlusion Analysis in Patients with Temporomandibular Disorders. J. Clin. Med. 2025, 14, 7007. https://doi.org/10.3390/jcm14197007

AMA Style

Maga W, Schönborn M, Pihut M. The Effect of Selective Occlusal Adjustment on the Disclusion Time Reduction and Symmetry of Occlusal Contacts of the Own Dentition Using Digital Occlusion Analysis in Patients with Temporomandibular Disorders. Journal of Clinical Medicine. 2025; 14(19):7007. https://doi.org/10.3390/jcm14197007

Chicago/Turabian Style

Maga, Wojciech, Martyna Schönborn, and Małgorzata Pihut. 2025. "The Effect of Selective Occlusal Adjustment on the Disclusion Time Reduction and Symmetry of Occlusal Contacts of the Own Dentition Using Digital Occlusion Analysis in Patients with Temporomandibular Disorders" Journal of Clinical Medicine 14, no. 19: 7007. https://doi.org/10.3390/jcm14197007

APA Style

Maga, W., Schönborn, M., & Pihut, M. (2025). The Effect of Selective Occlusal Adjustment on the Disclusion Time Reduction and Symmetry of Occlusal Contacts of the Own Dentition Using Digital Occlusion Analysis in Patients with Temporomandibular Disorders. Journal of Clinical Medicine, 14(19), 7007. https://doi.org/10.3390/jcm14197007

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