Healthy Chewing System

Orthodontics Must Start from a Healthy Joint, Not Just When You are Ready to Start Treatment

Nicole Mariano
Dr. Nicole Mariano
May 6, 2025

At Voyage to Vitality, we believe that beautiful smiles should also be healthy, stable, and built to last. That’s why we look deeper than just straight teeth—we look at the system behind the smile.

One of the most overlooked, yet critically important, parts of successful orthodontic treatment is starting from a healthy jaw joint position—what dental professionals call centric relation—with a clearly defined global positioning tooth as a reference point. This might sound technical, but it’s essential for anyone considering braces or aligners.

What Is Centric Relation—and Why Does It Matter?

Centric relation is the stable, repeatable position of your lower jaw when the jaw joint (TMJ) is seated properly in its socket. It's not about where your teeth naturally come together—it's about where the joints are healthiest and most protected.

When orthodontics is planned from a jaw position that isn’t centered and stable, it can lead to long-term problems like:

  • Jaw pain or clicking (TMJ dysfunction)
  • Bite instability
  • Muscle tension and headaches
  • Accelerated wear or breakdown of dental work
  • Relapse after treatment

In contrast, when we start from a true centric relation, we’re building the bite on a solid, physiologic foundation—one that supports long-term comfort, balance, and health.

What Is a Global Positioning Tooth?

In a stable system, we use one or more “landmark teeth” to guide us in restoring or aligning the bite. These are called global positioning teeth—think of them as the GPS markers for your bite. They give us a reference point to know exactly where we are in space, especially when shifting teeth, opening the bite, or rebuilding lost structure.

Without a known reference point, orthodontics can feel like building a house without a foundation or blueprint—it might look okay for a while, but structural issues are bound to show up.

Why This Matters for Long-Term Health

Orthodontics isn’t just about aesthetics—it’s about function, airway, and stability. If treatment doesn’t consider joint health and bite position:

  • You may end up with straight teeth that don’t function well together.
  • Your muscles and joints may be forced to adapt, leading to dysfunction.
  • You may require more dental work down the road to “fix” what wasn’t aligned to begin with.

On the other hand, when we plan from centric relation with a known tooth position: 

  • The bite works with the body, not against it
  • Orthodontic changes can support airway and posture
  • Restorations (now or in the future) will be more stable and long-lasting
  • You reduce the risk of TMJ issues and future bite collapse

What You Can Do as a Patient

If you’re considering orthodontic therapy—whether it’s traditional braces, Invisalign, or surgical expansion—ask your provider:

  • Will my treatment be planned from a centric relation jaw position?
  • Do I have a clearly defined global positioning tooth?
  • Will my bite be stable and protective long-term, not just straight today?

When these questions are answered with care and intention, your treatment becomes more than cosmetic—it becomes transformative.

Build It Right, From the Start

At Voyage to Vitality, we don’t just want you to move teeth. Instead we consider the system: joints, muscles, airway, and long-term health. Because straight teeth are good—but stable, healthy, functional teeth are life-changing.

Let your smile be a reflection of total-body harmony—not just dental alignment. Because when we start from the right place, everything else falls beautifully into place.