What bite position is DTR therapy accomplished in?
Maximum intercuspation (MIP), where the patient’s teeth come together as their chewing muscles naturally close their lower jaw/mandible. In most patients, this is an acceptable position in which to work. In a very small percentage of patients, the MIP position may not be ideal. This is one of the reasons why the CNO recommends 3D imaging to help ascertain if orthopedic factors in a given patients joints are amenable to treating the patient’s bite in the MIP position, based upon cartilage condition, position, degree of displacement, and possibly even bony or inflammatory issues within the TMJ’s themselves.