Title
Impact of different occlusal schemes on temporomandibular joint health among edentulous patients in India
Authors
Ayushi Rajesh Gupta*, Prashanth Shetty, Sayali Prakash Belkhode, Sandhya James & Sayan Pal
Affiliation
Department of Prosthodontics, Triveni Institute of Dental Sciences, Hospital and Research Centre, Bilaspur, Chhattisgarh, India; *Corresponding author
Ayushi Rajesh Gupta - E-mail: guptaayushir@gmail.com; Phone: +91 9340388274
Prashanth Shetty - E-mail: dr.prashanths@gmail.com; Phone: +91 9179020345
Sayali Prakash Belkhode - E-mail: sayalibelkhode@gmail.com; Phone: +91 7769034735
Sandhya James - E-mail: jamessandhya22@gmail.com; Phone: +91 9131893942
Sayan Pal - E-mail: sp9970071@gmail.com; Phone: +91 6291499734
Article Type
Research Article
Date
Received April 1, 2026; Revised April 30, 2026; Accepted April 30, 2026, Published April 30, 2026
Abstract
Complete denture occlusal schemes impact Temporomandibular Joint (TMJ) health in edentulous patients, yet the comparative effects of bilateral balanced, lingualized and monoplane occlusion remain insufficiently defined. Hence, this prospective RCT randomized 75 fully edentulous patients into three groups (n=25 each) who received dentures with bilateral balanced, lingualized or monoplane occlusion and were evaluated at baseline, 3 and 6 months. Lingualized occlusion yielded the lowest Helkimo dysfunction scores, optimal condylar positioning on CBCT and minimal TMJ clicking/deviation compared with other schemes at 6 months. All groups improved maximum mouth opening, but lingualized occlusion showed statistically superior gains alongside the lowest VAS pain scores. Thus, lingualized occlusion is the optimal TMJ-preserving scheme for edentulous patients, guiding clinical denture fabrication.
Keywords
Temporomandibular joint (TMJ), occlusal scheme, edentulous patients, complete dentures, lingualized occlusion, bilateral balanced occlusion
Citation
Gupta et al. Bioinformation 22(4): 2168-2173 (2026)
Edited by
Vini Mehta
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
