create a false dental open bite thereby creating the need for unnecessary dental treatment.

1. Isn't this just anterior repositioning of the Mandible? It is very important to distinguish between the position of the condyle in the healthy patient and unhealthy patient. In a healthy joint complex with asymptomatic patient we usually find the condyle to be sitting the ideal centered position in the glenoid fossa. There is usually 3mm of space behind and above the head of the condyle. This allows the retrodiscal tissue to nourish the joint complex and room for the articular disc to sit on the head of the condyle and provide the important function of guiding the condyle through its movements. This position is commonly referred to as the "Gelb 4/7" position as described by Dr. Harold Gelb, New York, widely acclaimed leading authority on TMD. The common finding in symptomatic patients is that the condyle is superiorly and distally retruded, sometimes resting against the back wall of the glenoid fossa. In these situations, the retrodiscal tissues are crushed and the articular disc is pushed forward off the head, which accounts for the clicking and popping during opening. So, treatment for retruded condyles does reposition the mandible in a three dimensional direction towards its normal position of health that must have existed before the patient became symptomatic. The mandible is brought down, forward and laterally as required to position it where Mother Nature can heal the injured tissues.  2. Does TMD Treatment pull the jaw out of its socket? IT IS IMPORTANT TO UNDERSTAND THAT TMD ORTHOTICS ARE MOVING MANDIBLES TO A POSITION OF HEALTH .... NOT AWAY FROM A HEALTHY POSITION TO A MORE ADVANCED POSITION. There is great confusion about this repositioning concept. Some TMD detractors will try to convince you that the jaw is being pulled out of its socket to create a false dental open bite thereby creating the need for unnecessary dental treatment. Nothing could be further from the truth.

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