Perhaps after treatment, the skull and the whole body will be more distorted, and the strength of all muscles will be weakened. Your splint does not change the position of the misaligned temporal bone, and the lower jaw is further twisted in a misaligned state. This position is unstable and will change again. After stabilizing splint treatment, the lower jaw and upper jaw are rotated more clockwise so that the anterior open bite appears and the lower jaw is more twisted. This is because the left temporal bone is externally rotated. If surgery and orthodontic treatment are performed in this state, the distorted temporal bone will be slightly distorted as time goes by, and the body will continue to be distorted. Treatment of intrusion of the maxillary molars to treat anterior open bite accelerates the clockwise rotation of the upper and lower jaws. As a result, when a steep occlusal plane is taken and applied to the molars, the occlusal force is concentrated on the condyle rather than distributed throughout the skull. After the treatment, the anterior open bite seems to have been cured, but the lower jaw has moved more rearward, and the occlusal height that supports the lower jaw is lowered, which further distorts the occipital bone. The first goal of all orthodontic treatments is to make the occlusion of the lower jaw in a position where the three-dimensional position of the lower jaw does not distort the skull. In this way, orthopedic stability can be achieved. Orthodontic treatment should be carried out in consideration of the patient's whole body distortion. If there is MOTILITY in the temporomandibular joint when any splint is worn in the oral cavity, the splint is in the wrong state. https://progressinorthodontics.springeropen.com/…/s40510-02… https://www.saudijos.org/article.asp… #mcbsplint

https://www.tandfonline.com/…/full/10…/08869634.2017.1300994