History indicates a lifetime of minor issues with her jaw, dentistry, neck, posture and periodontal issues. Patient’s complaint is the right ear, right jaw and right muscle pain. Diet is limited to soft foods.

The bite on the computer is dominated by the right side force and more important the shape of the arch is outside right.


The right condyle is basically being jammed back into the ear. The posterior right occlusion is not able to hold the bite any longer. There is only one choice to start treatment because the right condyle position is in big trouble.


Future considerations description. i.e. TM joints are sore but not torn up, so the first goal is to protect the condyles at night (full upper balanced splint) and eliminate the AM headache.