Description of low-threshold mechanisms of consciousness and occlusal dysesthesia: diagnosis and therapy through active functional rehabilitative repositioning bite

Abstract

The regulatory factors controlling the low-threshold mechanisms of consciousness within the stomatognathic system at the central nervous level are not yet fully understood, as they are difficult to evaluate. Neuroplasticity, neuro signatures, engrams, and praxis patterns—which manage complex regulatory pathways potentially involved in occlusal hypervigilance, dysesthesia, and possibly even in mandibular clenching and bruxism—remain only partially known. As a result, these phenomena are often overlooked or mismanaged. Clinicians tend to focus more easily on visible malocclusions and muscular tension, often choosing invasive occlusal treatments that address peripheral symptoms.

This article examines the low-threshold mechanisms of consciousness in the stomatognathic system that can affect the tone of masticatory muscles and change the interocclusal rest space to improve clinical understanding. Special emphasis is given to occlusal hypervigilance and occlusal dysesthesia, helping to achieve more accurate diagnoses and suitable therapeutic plans to avoid unnecessary or invasive treatments. A therapeutic protocol backed by previously published clinical trials is suggested. This protocol is minimally invasive, conservative, and designed to be cost-effective, in accordance with current international guidelines.