In most cases as part of the comprehensive examination because the TM-joints form an integral part of any partial- or full crown/implants/denture reconstruction. The examination will include an extensive clinical joint assessment and also a CT- scan analysis and MRI –analysis if indicated. The TM – joints are a complex joint joined together by the lower jaw. Balance and alignment between both TM joints and the teeth and associated muscles is of the utmost importance for a happy functional chewing and speaking process. Wear on teeth or joints will affect the balance and alignment between these components with associated muscle pain and possible joint pain and tooth ache.