If TMJ (temporomandibular joint) or occlusal (bite) problems arise from an imbalance in the body structure, including the bones of the head, osteopathic treatment alone may suffice. At other times osteopathy and dentistry need to work together.

Dental problems

Uneven or missing teeth will influence the function of the TMJ. In this case, dental treatment is required, although osteopathy can help alleviate physical stress following dental extraction or procudures where the mouth is wide open especially if for long periods.

Dentures

Any rigid device in the mouth such as a denture, may restrict the breathing and the primary respiratory motion (see Cranial Osteopathy) in the whole body, with unpredictable effects, ranging from headaches to pain anywhere in the body. In this case, it may be helpful to remove the device for a certain period everyday or night. The osteopath and the dentist may have to work together to improve the fit of the appliance or the body’s response to it.

Orthodontics

Orthodontic appliances work by producing leverage on the bones and/or teeth. This can be uncomfortable and cranial osteopathy can both alleviate the discomfort and enhance the orthodontic changes.

Dental orthopaedics

Inadequate growth of the upper jaw may lead not only to poor nasal breathing but also to overcrowding of teeth. Extracting teeth is not the ideal solution and may lead to problems later on. Modern appliances (braces in the mouth) to promote normal growth and development of the jaws will create space for the teeth, so that they can align in a suitable occlusion as well as encouraging full development of the nasal passages and sinuses. This also results also in more attractive faces.

Cranial osteopathy enhances dental orthopaedics and orthodontics by helping to ensure that the facial bones can respond to the appliances and that the resulting bite is in balance with the rest of the body.