PHASE 3 of the Protocol: Finishing Techniques

Executive Summary: In this post we will briefly describe ideas for Phase 3 of the Protocol for the Bio-Mechanical Treatment of Dystonia, as well as finishing techniques to create prosthetics to adjust the new bite.

The End of Phase 2

When dystonic symptoms (involuntary muscle movements, spasms, brain fog, blocked rib cage, etc.) are a long gone memory, a patient can move to Phase 3.

At this point, TMJ disks should have recovered a physiological position. TMJ disks should not be displaced medially or anteruorly any longer. TMJs should be sound, healty and strong.

Spinal alignment could still be unstable: the spine and cervical vertebrae can be straightened or twisted even multiple times within the same day… but it should always be possible to end up recovering spinal alignment every day with stretching exercises.

From Phase 2 to Phase 3

At this stage, a patient can use polymorph or resin add-ons that push the 2nd molars up and the 1st molars forward.

This video shows a DIY technique to make polimorph add-ons directly in the patient’s mouth.

In Phase 3, the bite should be registered in A or E phonetic.

As a reminder: Phase 1 and Phase 2 use mainly O phonetic registration and ALF to allow TMJ disks to recover a healthy position from a medial displacement and level cranial bones by putting condyles in the Gelb 4/7 position.

The following picture shows a medially displaced TMJ disk: the disk has been pushed towards the inside of the skull and presses against the trigeminal nerve causing neurological movement symptoms.

A Gelb splint positions the mandible down and forward to alliviate pressure on the TMJ and create space for the disk to recover a healthy position on top of the condyle. The following picture shows TMJ condyles placed in the Gelb 4/7 position.

At the onset of Phase 3, TMJ disks should be in the physiological position and patients can gradually move towards A and E phonetic registration without causing any strain to the TM joints.

The Pivot-ALF Technique

The best way to carry out phase 3 of the protocol is with resin add-ons fixed and attached to the upper ALF. The resin should cover upper molar teeth and be registered in the mouth in E or A.

This is how an upper ALF with resin crown add-ons look like.

Final Prosthetics

Phase 3 is a treatment lasting a few months to stabilize the bite. Every week, new polimorph add-ons like the ones described above should be made.

If the TMJ suffers and becomes painful, it is necessary to go back to O registration.

It is important to keep in mind that for most dystonia patients, TMJ disks may be too compromised and injured and this technique might not be adecuate or effective.

In the case that the patient responds favorably to E and A registrations, he/she can move on to final prosthetics: add-ons crowns can be reproduced in a solid material like zirconia, composite, resin or porcelain by a dental lab.

Premolar teeth can be brought into contact with direct composite additions.

How does it work?

The efect we are looking for is described in the picture below.

The effect on spinal alignment is very positive. By pushing the mandible forward against the back side of 1st molars, you can support the skull using a different set of muscles. The upper thoracic spine tends to go forward, the pelvis recover the neutral tilt, the chest opens up and the belly goes in.

On the other hand, E registration can be harmful for injured and deranged TMJs.

Dr. Lee’s functional therapy for dystonia calls for the use of a splint registered in E for a maximum of 10 minutes every day and right before sessions of cranial and upper cervical ostheopathy.

Testimonials – Bio-Mechanical Treatment of Dystonia

Testimonials – Bio-Mechanical Treatment of Dystonia



In this page you can find testimonials (both pictures and comments) of real patients who are carrying out a bio-mechanical traeatment like the Protocol for the Treatment of Dystonia described in this blog to treat conditions such as: cervical dystonia, torsion dystonia,  oromandibular dystonia, other focal dystonias, scoliosis, postural collapse, cranial derangement, upper cervical instability, TMJ disfunction, bruxism, tinnitus, Parkinson’s, trigeminal neuralgia, Tourette’s and other neurological movement disorders.


They are real people and you can get in contact with them if you join our Facebook Private Community.

In this page we also provide a guide to the more than 400 pages of free information and resources that you can find in this blog (including a full description of a treatment protocol) as well as links to the Premium Content of the Member Section of the blog (including how-to videos and an ALF treatment Tutorial).

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Download the free sample eBook authored by Marcello Leonard Mazza and Dr. Jeffrey Brown Download the eBook section

Suggested Reading

Bio-Mechanics of Dystonia A Bio-Mechanical Approach to Dystonia
The line of research that this blog follows is based on the belief that the cause of Dystonia is strictly related to a bio-mechanical collapse of the upper cervical  and lowert cranial area.
Swallowing11 Bio-Mechanics of Dystonia
A description of 10 bio-mechanical derangements, impairments and misalignments that patients suffering from Dystonia (and other neurological movement disorders) tipically present.
legos_9ec5ba90-3d93-4e76-8cc8-2617a90a0ca8-009-e1512658037345.jpeg What is Dystonia?
What came first? The chicken or the egg? Mainstream academic Neurology defines Dystonia as a neurological disorder with physical movement consequences. In reality, Dystonia is a physical injury that has neurological consequences.
It is an impairment of the ability of the neck to support the skull.
 wpid-craniobiancobig1.gif Postural Collapse and Dental Arches
A set of animations that present grafically the type of skeletal and postural effects that we intend to produce over a few months by modifying occlusion and the direction of forces between the skull and the mandible.

Suggested Reading

Protoco ofl for the Treatment Dystonia Protocol for the Treatment of Dystonia
In this post we will outline the DIY (do it yourself) protocol that we have developed for the treatment of Cervical Dystonia. This protocol is the result of extensive study and integration of decades of previous research, experiments and practice of medical professionals, professors, dentists, orthodontists, technicians and parcticioners.

Get Started

iconFB group Join our free private Facebook Community to chat with the people who wrote these testimonials
Download the free sample eBook authored by Marcello Leonard Mazza and Dr. Jeffrey Brown Download the eBook section

Suggested Reading

Splint Therapy Principles of Splint Therapy
In this post we outline the basic principles behind the protocol that we are developing for the treatment of Dystonia with splint therapy. The technique to build splints and register bites on them that we developed (and describe in detail in this post) can also be used by dentists as an easy and fast diagnostic tool to understand how a patient’s occlusion works before any prosthetic work.
The Rectifier-Gelb The Rectifier-Gelb
The foundamental instrument of this experimental method to treat Dystonia is based on the Rectifier, an intra-oral appliance (dental splint) that produces orthopedic forces that are engineered to move and modify the skeletal structure in order to recover vertical balance, symmetry and allignment of the structures that support the skull

Suggested Reading

In this post we will describe the appliance that can be used to unravel cranial distortions and collapse: the ALF. ALF is an acronym for Advanced Lightwire Functional Appliances. In this post we will describe the use and purpose of the ALF device based on the work of Dr. Nordstrom.

Suggested Reading – Premium Content

Get access to Premium Content including How-To Videos and the ALF Treatment Tutorial Download the eBook section
1. Introduction – What is the ALF? General Concepts
– ALF for Dystonia and Neurological Disorders
– How it Works: Step by Step Guide
2. The Goal: Mobilizing Cranial Sutures – 20+ Cranial Bones and Sutures
– Movement of Cranial Bones
– Cerebro Spinal Fluid Circulation
3. Diagnosing Cranial Derangement – The Cranial Spine
– Strains of the Sphenoid-Occipital Junction
– Consequences of Cranial Distorsions
4.  Developing a Treatment Plan – Yaw – Sidebend – Torque
– Roll – Internal-External Rotation – Torsion
– Pitch – Compression – Extension – Flexion – Vertical
5.   Quick Start Guide – Training the Tongue
– Movilizing Cranial Sutures.
– Correcting Cranial Distortions
6. How-to Videos: Activating the ALF – Introduction to ALF
– Initial ALF Adjustment
– Activating the ALF
7. How-to Videos: Cranial Osteopathy – The hard palate
– Sphenoid release
– Cranial strains
– Temporal bone torsion
8. How-to Videos: Rehab for Cervical Instability – Atlas and Axis articulation instability
– Laxity of the transverse ligament and muscles
– 7 specific rehab exercises
9. How-to Videos: Neurological Rehab – Posture, alignment and balance
– Pathologic ocular tilt reaction
– Eye tracking exercises
10. Get the ALF – Make a dental model
– Send the dental model to the Dental Lab
– Place an order to the dental Lab

With your contribution you can support this blog and the activities of our Bio-Mechanical Dystonia Non-Profit Association.

Most of what we put out into this world is completely free of charge.
Memberships allows us to cover costs and produce even more content to help ever more sufferers from dystonia.

This protected section allows members to access special content and services and our full knowledge base. You can use this page to navigate through the content of this blog.

As a member, you will have full access to all present and future premium content as we develop it. It includes How-To videos, access to the Online Dental Lab, the ALF Treatment Turorial, our eBook, Q&A section and much more.

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Yoga and Postural Rehab for Dystonia

Yoga and Postural Rehab for Dystonia

Executive Summary:

Postural collapse and asymmetric contraction of postural muscles is a common characteristic and symptom of Dystonia.  In this post we will describe a series of stretching exercises and Yoga stances (commonly called Asanas) that are helpful to carry out a postural rehabitlitation and help in the treatment of Dystonia.

These stretching exercises should be carried out daily as a part of the Bio-Mechanical Protocol for the Treatment of Dystonia that we describe in this blog and includes Gelb-Rectifier Splint Therapy and ALF Treatment.

This daily guide to Yoga practice is designed for people with dystonia, muscle imbalance, rigidity, and spasms due to such causes as Parkinson’s, stroke, and multiple sclerosis. The focus is on rebuilding strength and flexibility as well as physical and emotional balance.

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How to – Rehab for Upper Cervical Instability

In this blog we argue that the onset of dystonic symptoms is associated with the bio-mechanical impairment of the lower cranial – upper cervical area, TMJ disks displacement and cranial derangement. 

One common complication of cronic upper cervical distorsions and subluxation of the first 2 cervical vertebrae is the development of laxity or injury of the ligaments that keep the cervical vertebrae of the neck aligned and functional. When upper cervical instability occurs, it is common to develop asymmetric abnormalities in the tone of muscles of the neck (both weaknes and spasms) that can lock and perpetrate de cervical derangement.

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The Cause of Gareth Bale’s Injuries


Gareth Bale is the world’s most expensive soccer player to date. He was transferred in 2013 from the British team Tothenham to the Spanish powerhouse Real Madrid for a world record 139 million US$.

In 4 seasons, Bale has suffered 12 major injuries, resulting in 44 missed games and 256 days without been able to train. He is currently injured and unfit to play.

The majority of Bale’s injuries affect the muscles and tendons of one leg and the muscles that stabilize the pelvis and hips.

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Cervical Dystonia or Spasmodic Torticollis: Positive Evolution after Neurophysiological Treatment

Guest post by Dr. Lidia Yavich.


The patient of this post contacted me through a derivation from a colleague from abroad.

Soon after he sent an email, where he explained the reason for his consultation on Cervical Dystonia or Spasmodic Torticollis, I answered that it was not my area and that I treated TMJ Pathologies and Orthodontics and Facial Orthopedics.

The patient insisted, commenting that the colleague that recommended me and knew me from the AACP meeting where I was invited as a lecturer explained to him that he didn´t know if I treated Dystonia, but he thought that considering what he had watched I could help him.

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Chronic Pain, Posture and the Dentist 

Guest post by Dr. Curtis Westersund

The video shows a patient of Dr. Curtis Westersund suffering from Dystonia who gets relief from an anatomical dental orthotic as a part of her therapy. There were many steps to get to this point and many steps subsequent

Everyone knows what dentists do. Fillings, crowns, root canals, tooth extractions. Practically the last person you want to have to visit. And while for many dentists, this is the limit of the services they offer, there are a growing number of dentists who have a passion for something more. A passion for helping patients with complicated conditions that have caused chronic pain, limited normal function and producing long term damage.

It is these dentists who are looking at how the simple act of someone bringing their upper and lower teeth together can create long term and far reaching painful consequences.

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