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Öztürk K, Danışman H, Akkoca F. The effect of temporomandibular joint dysfunction on the craniocervical mandibular system: A retrospective study. J Oral Rehabil 2024; 51:469-475. [PMID: 37983893 DOI: 10.1111/joor.13622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 05/30/2023] [Accepted: 10/28/2023] [Indexed: 11/22/2023]
Abstract
BACKGROUND Temporomandibular disorders are the most common condition affecting the orofacial region, resulting in pain and dysfunction. OBJECTIVE This study aimed to elucidate the ambiguous association between cervical features and temporomandibular disorders by measuring the rotations between the skull-atlas, atlas-axis and mandible-atlas and examining the relationship between these rotations and temporomandibular disorders. METHODS Cone-beam computed tomography (CBCT) images from 176 patients, 97 females and 79 males with an average age of 25.7 years were used in this study. The patients were divided into two groups: those with joint dysfunction (n = 88) and those without (n = 88). The study employed various methods to determine rotations in the skull-atlas, atlas-axis and mandible atlas based on anatomical landmarks and measurements. These methods include the use of specific planes, angles and distances to identify and measure rotation. Data analysis was performed using the TURCOSA statistical software (Turcosa Analytics Ltd Co, Turkey, www.turcosa.com.tr). RESULTS The results showed that the degree of rotation between the skull and the atlas was higher in the TMD group than in the control group (p < .001). Similarly, Atlas-axis rotation was significantly higher in the TMD group (p < .001). However, no significant difference was found between mandible atlas rotations in the two groups (p = .546). The study also found a significant difference between the direction of rotation between the atlas and axis and the direction of mandible atlas rotation (p < .001) as well as between skull and atlas rotations and mandible-atlas rotations (p < .001). CONCLUSION Overall, the study suggests that there is a relationship between the skeletal structures of the cranio-cervico-mandibular system and TMD. Skull-atlas and atlas-axis rotations may play an important role in the aetiology of TMD in individuals with TMD. Therefore, it is important to evaluate rotations in the skull-atlas-axis region for the treatment of TMD.
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Affiliation(s)
- Kübra Öztürk
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Nuh Naci Yazgan University, Kayseri, Turkey
| | - Hikmetnur Danışman
- Department of Orthodontics, Faculty of Dentistry, Nuh Naci Yazgan University, Kayseri, Turkey
| | - Fatma Akkoca
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Nuh Naci Yazgan University, Kayseri, Turkey
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Diéguez-Pérez M, Fernández-Molina A, Burgueño Torres L. Influence of the mandibular position on various postural anatomical segments. Cranio 2024; 42:223-231. [PMID: 34061720 DOI: 10.1080/08869634.2021.1934276] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE To determine postural changes in relation to mandibular position in maximum intercuspation and at rest in adult patients of both sexes. METHODS : A descriptive observational clinical study was carried out in 76 patients. Using an analyzer and the Meersseman test, the necessary dermal points for postural analysis were located. RESULTS : The authors found significant differences in the posture adopted by the patient between maximum intercuspation and mandibular rest in the frontal, sagittal, and dorsal planes. Foot support in the right foot went from cavus to normal in 6% of the sample, and from flat to normal in 2.5% of the sample in the jaw rest position. CONCLUSION Postural changes were observed in various segments, with clinical and statistical significance at cervical level in the frontal plane, in the biscapular variable in the dorsal plane, and at the level of the lower limbs in the bipopliteal and bimalleolar variables.
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Affiliation(s)
- Montserrat Diéguez-Pérez
- Department of Preclinical Dentistry, Faculty of Biomedical Sciences and Health Sciences, European University of Madrid, Madrid, Spain
- Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain
| | - Aurora Fernández-Molina
- Department of Preclinical Dentistry, Faculty of Biomedical Sciences and Health Sciences, European University of Madrid, Madrid, Spain
| | - Laura Burgueño Torres
- Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain
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Piancino MG, Tortarolo A, Macdonald F, Garagiola U, Nucci L, Brayda-Bruno M. Spinal disorders and mastication: the potential relationship between adolescent idiopathic scoliosis and alterations of the chewing patterns. Orthod Craniofac Res 2022; 26:178-184. [PMID: 35841372 DOI: 10.1111/ocr.12598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 07/08/2022] [Accepted: 07/12/2022] [Indexed: 11/25/2022]
Abstract
OBJECTIVE to evaluate mastication in a group of patients with Adolescent Idiopathic Scoliosis (AIS) with a control group, by means of the prevalence of reverse chewing cycles (RCC). MATERIAL AND METHODS this study included a group of patients (N=32; F=24; M=8; mean age ± SD = 14±3 years) with a confirmed diagnosis of Adolescent Idiopathic Scoliosis and a group of control subjects (N=32; F=24; M=8; mean age ± SD = 13±6 years) without spinal disorders. Mastication was recorded with both a hard and a soft bolus, following a standardized protocol, and the prevalence of reverse chewing cycles was compared between the groups. RESULTS The prevalence of reverse chewing cycles was significantly higher in the Adolescent Idiopathic Scoliosis group, with both a soft and a hard bolus, compared to the control group (p<0,001). CONCLUSION the results of this study indicate that the presence of Adolescent Idiopathic Scoliosis influences mastication, i.e. one of the main functions of the stomatognathic system. A multidisciplinary approach to these patients may be relevant in providing the best possible treatment outcomes.
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Affiliation(s)
- Maria Grazia Piancino
- Department of Surgical Sciences, Dental School C.I.R., Division of Orthodontics, University of Turin, Turin, Italy
| | - Alessandro Tortarolo
- Department of Surgical Sciences, Dental School C.I.R., Division of Orthodontics, University of Turin, Turin, Italy
| | | | - Umberto Garagiola
- Department of Biomedical Sciences, University of Milan, Milan, Italy
| | - Ludovica Nucci
- Department of Surgical Sciences and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Marco Brayda-Bruno
- Spine surgery III Scoliosis Department, IRCCS Orthopedic Institute Galeazzi, Milan, Italy
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Glowacki J, Latuszewska J, Okret A, Skowron N, Misterska E, Opydo-Szymaczek J. Temporomandibular Joint Disorders in Females with Adolescent Idiopathic Scoliosis: Long-Term Effects of Milwaukee Brace Treatment. J Clin Med 2022; 11:jcm11061721. [PMID: 35330045 PMCID: PMC8955024 DOI: 10.3390/jcm11061721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 03/15/2022] [Accepted: 03/16/2022] [Indexed: 11/21/2022] Open
Abstract
Patients with adolescent idiopathic scoliosis (AIS) more frequently suffer dysfunctions of dento-skeletal complex. To our knowledge, no study has ever evaluated the temporomandibular joint disorders (TMD) of AIS patients at least 23 years after the completion of Milwaukee brace treatment. We aimed to provide a complex assessment of TMD and AIS patients treated with a Milwaukee brace, in a minimum 23-year follow-up, using radiological, clinical, and socio-demographical data, and to adapt the TMD Disability Index Questionnaire (TMDQ) and Fonseca’s questionnaire (FQ) to Polish conditions. In total, 42 healthy females and 30 AIS patients with a minimum of 23 years after a completed Milwaukee brace treatment were asked to complete the Polish version of (TMDQ-PL) and (FQ-PL). AIS patients present higher TMD levels than healthy controls. Significant differences exist between TMDQ-PL and FQ-PL (both in total scores and particular sub-sections), and AIS patients. Clinical and radiological factors affected the TMDQ-PL and FQ-PL results. Adult patients with scoliosis treated conservatively present limitations in everyday activities connected with the temporomandibular joint (TMJ). The variety of curve-related factors in a long-term follow-up of wearing the Milwaukee brace influence TMJ.
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Affiliation(s)
- Jakub Glowacki
- Department of General Orthopaedics, Musculoskeletal Oncology and Trauma Surgery, Poznan University of Medical Sciences, 61-701 Poznan, Poland
- Correspondence: ; Tel.: +48-697696035
| | - Joanna Latuszewska
- The Faculty of Educational Studies, Kazimiera Milanowska College of Education and Therapy, 61-473 Poznan, Poland;
| | - Adam Okret
- Department of Spondyloortopaedics and Biomechanics of the Spine, Poznan University of Medical Sciences, 61-701 Poznan, Poland;
| | - Natalia Skowron
- Center for Early Intervention of the Polish Association for People with Intellectual Disabilities in Poznan, 61-446 Poznan, Poland;
| | - Ewa Misterska
- Department of Pedagogy and Psychology, University of Security, 60-778 Poznan, Poland;
| | - Justyna Opydo-Szymaczek
- Department of Pediatric Dentistry, Poznan University of Medical Sciences, 61-701 Poznan, Poland;
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Álvarez Solano C, González Camacho LA, Castaño Duque SP, Cortés Velosa T, Vanoy Martin JA, Chambrone L. To evaluate whether there is a relationship between occlusion and body posture as delineated by a stabilometric platform: A systematic review. Cranio 2020:1-12. [DOI: 10.1080/08869634.2020.1857614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- C Álvarez Solano
- Department of Orthodontics, El Bosque University, Bogotá D.C, Colombia
- Department of Functional Orthopedics, Cruzeiro Do Sul University, São Paulo, Brazil
| | | | - SP Castaño Duque
- Division of Orthodontics and Epidemiology, El Bosque University, Bogotá D.C, Colombia
| | - T Cortés Velosa
- Department of Orthodontics, El Bosque University, Bogotá D.C, Colombia
| | - JA Vanoy Martin
- Department of Orthodontics, El Bosque University, Bogotá D.C, Colombia
| | - L Chambrone
- Dentistry Program, Ibirapuera University, São Paulo, Brazil
- Unit of Basic Oral Investigation-UIBO, School of Dentistry, El Bosque University, Bogotá D.C, Colombia
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Fang TH, Chiang MT, Hsieh MC, Kung LY, Chiu KC. Effects of unilateral posterior missing-teeth on the temporomandibular joint and the alignment of cervical atlas. PLoS One 2020; 15:e0242717. [PMID: 33264335 PMCID: PMC7710100 DOI: 10.1371/journal.pone.0242717] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 11/07/2020] [Indexed: 11/19/2022] Open
Abstract
Cervical atlas alignment changes are associated with craniofacial development. Disturbance of craniofacial development may be associated with temporal mandibular joint function. Therefore, we examined the possibility of a correlation between unilateral missing teeth and morphologic changes of the spine and posture. We collected eighty-nine patients (38 men and 51 women) with unilateral posterior missing teeth and twenty patients without previous orthodontic treatment or missing posterior teeth by tracing and analyzing their panoramic and cephalometric film. We measured the angulations of articular eminence, cranio-cervical angle, and the percentage of the occlusal plane passing through the first and second cervical vertebrae with other morphologic geometric data. The angle of articular eminence inclination was higher in the non-missing teeth group than the missing teeth group (46.66° and 42.28°, respectively). The cranio-cervical angle was smaller in the missing posterior teeth group than the non-missing posterior teeth group (99.81° and 103.27°, respectively). The missing teeth group also showed fewer occlusal planes passing through the intersection of the first and second cervical vertebrae compared to the non-missing teeth group (28.9% and 65%, respectively). Individuals with unilateral missing teeth had lower articular eminence inclination, smaller cranio-cervical angle, and a lower percentage of the occlusal plane passing through the intersection of the first and second cervical vertebrae.
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Affiliation(s)
- Tsun-Hung Fang
- Department of Family Dentistry, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
| | - Meng-Ta Chiang
- Department of Family Dentistry, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
- School of Dentistry, National Defense Medical Center, Taipei, Taiwan, Republic of China
| | - Ming-Chun Hsieh
- Department of Family Dentistry, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
| | - Ling-Yu Kung
- Department of Family Dentistry, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
| | - Kuo-Chou Chiu
- Department of Family Dentistry, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
- School of Dentistry, National Defense Medical Center, Taipei, Taiwan, Republic of China
- * E-mail:
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Sofyanti E, Boel T, Sihombing ARN. The correlation between back posture and sagittal jaw position in adult orthodontic patients. J Taibah Univ Med Sci 2020; 16:63-69. [PMID: 33603633 PMCID: PMC7858012 DOI: 10.1016/j.jtumed.2020.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 10/07/2020] [Accepted: 10/11/2020] [Indexed: 11/29/2022] Open
Abstract
Objective A debate remains in evidence-based medicine about the reciprocal interchange between dental occlusion and body postural therapy. Back posture deformity has been found to be related to trunk asymmetry as one characteristic of scoliosis that is commonly reported in occlusal development issue. This study aims to determine the correlation between back posture and sagittal jaw position in adult orthodontic patients treated at the dental hospital of Universitas Sumatera Utara. Methods This observational study was conducted on orthodontic patients who had routine orthodontic control between October 2019 and February 2020. The sagittal jaw relationship on pre-treatment cephalometry lateral-based on Steiner analysis was done with OrthoVision software. The back posture that related to cervical, thoracic, and lumbar measurement was performed using scoliometer plastic economy (Baseline®). Results From 128 patients, aged between 18 and 30 years, we found 72 patients with Class I, 41 patients with Class II, and 15 patients with Class III skeletal malocclusion. There were no significant differences of trunk asymmetry based on sagittal jaw relationship (p = 0.651). Additionally, there was no significant correlation between back posture and sagittal jaw position in Class II and Class III patients (r = 0.112, p > 0.05). Conclusion In this study, the sagittal jaw relationship had poor correlation to back posture in orthodontic adult patients due to a compensatory mechanism. The presence of temporomandibular dysfunction, sella-nasion-B point, and head posture are specific variables in a particular dento-skeletal type that should be considered in further studies.
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Affiliation(s)
- Ervina Sofyanti
- Department of Orthodontics, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
| | - Trelia Boel
- Department of Dentomaxillofacial and Radiography, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
| | - Anrice R N Sihombing
- Orthodontics Specialist Program, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
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Bonnet CT, Mercier M, Szaffarczyk S. Impaired Mediolateral Postural Control at the Ankle in Healthy, Middle-Aged Adults. J Mot Behav 2013; 45:333-42. [DOI: 10.1080/00222895.2013.799056] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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