Mandibular Positioning: The Missing Step in Implant Success
Written by Dr. Agatha Bis
Why Accommodation Fails
Implant complications are often managed through occlusal accommodation: adjusting guidance, distributing forces, or designing implant-protected occlusions. While these techniques may delay complications, they do not resolve the underlying cause. The true issue is mandibular malposition, specifically retrusion, which creates neuromuscular conflict and mechanical overload.
The Clinical Implications of Retrusion
Restoring patients in retrusion leads to:
Constant forward drive of the mandible
Excessive load on anterior implants
TMJ dysfunction and muscular tension
Joint degeneration and compensatory chewing patterns
These issues persist until the mandibular position is corrected.
The BiteAlign™ Protocol in Practice
Implementing mandibular correction requires a sequential approach:
Comprehensive diagnostic evaluation of mandibular position and TMJ health
Use of BiteAlign™ therapy to relax musculature and establish optimal physiologic position
Stabilization before proceeding with surgical and restorative phases
Restoration in corrected mandibular alignment for long-term success
A Paradigm Shift for Implant Dentistry
This approach reframes anterior coupling not as a problem of load management but as a consequence of positional error. By addressing mandibular position before implant therapy, clinicians achieve greater predictability, fewer fractures, and improved patient comfort.
Dentists, join our mentoring programs or Study Club to learn how mandibular position and BiteAlign™ protocols can redefine success in implant dentistry.