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Health of the temporomandibular joints (jaw joints) is most critical in orthodontic treatment. Without healthy or stable joints, it would be extremely difficult to create a good functional occlusion.
Unfortunately, it has been a widely-held view in the orthodontic circle that the occlusion has nothing to do with the temporomandibular joints.
The Roth Study Club Japan proposes that we consider first and foremost the stability of the joints to be able to set specific goals for each area we affect with orthodontic treatment, i.e. facial esthetics, dental esthetics and periodontal health, and produce consistent results in an efficient way.