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Manipulative medicine in dentistry: a new potential for diagnosis and treatment.

AbstractManipulative medicine can be extremely helpful in the treatment of craniomandibular disorders. With proper manipulation, the mandibular process of the temporal bone and other bones of the primary respiratory mechanism (PRM) can be moved to allow more physiological function.The PRM is made up of the bones of the skull, the reciprocal tension membrane, the cerebrospinal fluid, the central nervous system, and the movement of the sacrum between the ilia. If any of these components of the PRM are not able to move and function freely, there will often be compromises in remote and local structures and their attendant physiological processes. When the PRM is returned to normal, other problems, such as neck pain and craniomandibular dysfunction, can be treated more successfully. For this reason, it is important that an examination of the PRM be included in evaluations for craniomandibular pain and dysfunction.