Selected advanced collaboration service
AxisGuide

Functional TMJ & Occlusal Planning

Joint-guided mandibular position planning for clinician-selected TMJ-sensitive restorative, orthodontic and full-mouth rehabilitation cases.

AxisGuide is a staged digital planning workflow that uses MRI measurement of disc displacement amount and direction, CBCT and intraoral scans to simulate a proposed mandibular position. A 3D-printed localizator is designed from the interarch space at that position, so the clinician can verify joint response, disc-condyle relationship and symptoms before provisional occlusal reconstruction is trialed.

Condylar vector simulation
Skull and dentition simulation
Splints & Deprogrammers

Appliance CAD

For straightforward splint or functional appliance requests where the bite position is already defined by the clinician.

Typical output

Michigan splints, deprogrammers, stabilization splints, night guards, bite ramps, and production files.

AxisGuide

Joint-position-first planning

For complex cases where the mandibular position itself must be evaluated before orthodontic or restorative reconstruction.

Typical output

MRI displacement-vector review, mandibular movement simulation, 3D-printed localizator design, verification references, provisional occlusal setup, and orthodontic or restorative reconstruction references.

Technique logic

MRI-guided thinking, translated into a collaborative digital workflow.

The workflow does not start from a conventional bite rim. MRI measurements define the disc displacement vector, mandibular movement is simulated digitally, and a printed localizator carries that proposed position for clinician-led symptom and MRI verification before a provisional occlusal reconstruction is trialed.

Anonymized before and after TMJ MRI comparison for localizator verification 3D printed localizator designed to carry the proposed mandibular position
01

Record integration

MRI, CBCT, intraoral scans, clinical symptoms, photos and rehabilitation goals are aligned into one planning context.

02

MRI vector measurement

The amount and direction of disc displacement are measured from MRI and translated into a planning vector for the proposed mandibular position.

03

Mandibular movement simulation

The mandible is simulated into the proposed position, with interarch space, condylar references and occlusal clearance reviewed digitally.

04

Localizator verification

A 3D-printed localizator is designed from that interarch space so the clinician can check disc-condyle relationship, MRI verification and symptoms.

05

Provisional occlusal trial

If verification is stable, provisional teeth or a temporary occlusal reconstruction can test MIP contacts, dynamic occlusion, canine guidance and anterior guidance.

06

Orthodontic or restorative reconstruction

The verified position can then guide orthodontic occlusal reconstruction, definitive restorative reconstruction, or a combined treatment sequence.

Best-fit cases

  • Full-mouth rehabilitation where the starting bite is unreliable
  • Orthodontic-restorative cases requiring mandibular position coordination
  • Worn dentition, VDO change, deep bite, crossbite or unstable occlusal records
  • Clinician-selected TMJ cases with limited opening, joint pain, joint sounds or deviation on opening
  • Facial asymmetry, mandibular deviation or mandibular retrusion requiring interdisciplinary planning
  • TMJ-sensitive cases where clinicians want imaging-informed planning support

Planning deliverables

  • Record checklist and case-readiness review
  • MRI displacement-vector planning references
  • Digital mandibular movement simulation
  • 3D-printed localizator CAD support
  • Provisional occlusal reconstruction references
  • Orthodontic or restorative reconstruction sequencing support

Clinical boundary

  • Diagnosis and treatment decisions remain with the clinician
  • Planning and verification are reviewed case by case with the treating team
  • Disc-condyle relationship, symptoms and imaging findings are verified clinically when indicated
  • Degenerated joints or non-reducible disc conditions require careful case selection
  • Definitive orthodontic or restorative sequencing remains clinician-led
Positioning note AxisGuide is an advanced digital planning and collaboration service. It supports professional review and treatment planning while diagnosis, therapy selection and outcome evaluation remain under clinician control.
Discuss an AxisGuide case Share anonymized TMJ MRI, CBCT/DICOM, intraoral scans, current mandibular position records and the rehabilitation goal so the scope can be reviewed before quote.
Discuss an AxisGuide case