NEUROALIGNERS – Use of Aligners from a Neuromuscular Dentistry Perspective
Prof. Myriam L. Carballo, DDS, MICCMO
Abstract
The concept of Neuroaligners represents an evolution in the integration of orthodontic
biomechanics with neuromuscular physiology. Once the temporomandibular joints
(TMJ) and associated neuromuscular system have been stabilized through the initial
phase of neuromuscular therapy, aligners can be used strategically during the second
stage to preserve and refine the achieved functional balance.
Unlike conventional aligners, which primarily focus on dental alignment within static
occlusal schemes, neuromuscular aligners maintain the mandible in its established
neuromuscular position, using it as a dynamic reference for tooth movement. This
approach ensures the preservation of joint space integrity, promotes muscular
homeostasis, and supports a stable occlusal relationship integrated with the patient’s
tonic postural system.
The therapeutic goal is to achieve long-term functional and aesthetic stability through
orthodontic correction that respects and enhances neuromuscular coordination. This
can be realized either by cementing customized neuromuscular table tops that guide
mandibular closure or by utilizing innovative Neuroaligners, which incorporate
neuromuscular guidance platforms directly into their structure.
This presentation discusses the design principles, indications, and clinical
implementation of Neuroaligners, emphasizing their role in maintaining joint health,
muscle balance, and occlusal harmony within a neuromuscular framework. The
integration of digital design, TENS-based jaw positioning, and bioelectronic diagnostics
defines a new paradigm in physiologically guided orthodontic therapy.
Learning Objectives
- Understand the principles of integrating neuromuscular physiology with
orthodontic aligner therapy to maintain mandibular position and TMJ stability. - Recognize the clinical and functional advantages of Neuroaligners and NM
Tabletops in achieving and preserving balanced occlusion and muscular
coordination. - Apply neuromuscular diagnostic tools and digital workflows to design and
implement aligner-based treatments that respect the patient’s established
functional physiology.