Association between temporomandibular disorders and abnormal head postures

Faulin, Evandro Francisco; Guedes, Carlos Gramani; Feltrin, Pedro Paulo; Joffiley, Cláudia Maria Mithie Suda Costa

doi:10.1590/1807-3107bor-2015.vol29.0064

Cited by 28 publications

(11 citation statements)

References 19 publications

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“…Some studies [ 13 , 14 ] found correlation between the presence of symptoms of craniocervical dysfunction and temporomandibular disorders. On the contrary, others [ 11 , 15 ] found no relationship between TMD and head-neck posture.…”

Section: Introductionmentioning

confidence: 94%

Relationship between Cervical Spine and Skeletal Class II in Subjects with and without Temporomandibular Disorders

Giacomo

Ferrara

Accivile

et al. 2018

Pain Research and Management

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Aim To assess changes in the craniocervical structure and in hyoid bone position in skeletal Class II subjects with and without temporomandibular disorders (TMD). Materials and Methods The cephalometric analysis of 59 subjects with skeletal Class II was evaluated and compared. The measurements considered were ANB as a parameter of Class II and C0-C1 distance, C1-C2 distance, craniocervical angle, and hyoid bone position for the cervical spine analysis. Patients were divided into patients with TMD (group A) and patients without TMD (group B). TMD were evaluated with Diagnostic Criteria for TMD (DC/TMD). Descriptive statistics and Pearson's and Spearman's correlation analysis, with p value <0,005, were performed. Results C0-C1 and C1-C2 distance values and hyoid bone position resulted within the normal range in the majority of patients examined. Craniocervical angle was altered in 33 patients. The reduction of this angle with the increase of the ANB value resulted to be statistically significant in group A, according to Pearson's correlation index. No other data were statistically significant. Conclusions The significant relationship between skeletal Class II and cervical spine cannot be highlighted. The alteration of craniocervical angle seems to be mildly present, with backward counterclockwise rotation of the head upon the neck in the sample (groups A and B). The presence of TMD as a key factor of changes in neck posture could explain the different result between the two groups about the relationship between ANB and craniocervical angle. This result should be further analyzed in order to better understand if cervical spine changes could be related to mandibular postural ones in the craniocervical space or to temporomandibular joint retropositioning, more recognizable in Class II with TMD, which could determine functional changes in other structures of this unit; neck posture could be the result of a compensatory/antalgic mechanism in response to TMD.

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Section: Introductionmentioning

confidence: 94%

Relationship between Cervical Spine and Skeletal Class II in Subjects with and without Temporomandibular Disorders

Giacomo

Ferrara

Accivile

et al. 2018

Pain Research and Management

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“…Associations between changes in body posture for people with TMD have been discussed in the literature [4][5][6][7][8][9][10], in terms of a relationship between the muscles of the head and the cervical region and the muscles involved in the stomatognathic system [5]. The shortening of a muscle causes a dislocation of the bone structures in which this muscle is inserted, all other muscles that are inserted in these bone structures will also be altered and so on [11].…”

Section: Introductionmentioning

confidence: 99%

Effects of pilates method on the posture, postural habits, and neck and back pain of women with temporomandibular dysfunction: A randomized clinical trial

Pivotto¹,

Candotti²,

Sedrez³

et al. 2020

Int J Spine Res

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Background: Associations between changes in body posture for people with Temporomandibular Dysfunction (TMD) have been discussed in the literature. Although the Pilates method is an alternative for treating postural changes, there is a lack of studies evaluating its effects on individuals with TMD. The purpose of the study is to investigate the effects of an exercise program based on the Pilates method on static posture, postural habits, and neck and low back pain in young women with TMD. 40 women between 18 and 35 years old with TMD were randomized into either a Control Group (CG), who received conventional treatment with myorelaxant plates, or an Intervention Group (IG), who received conventional treatment but were also submitted to an exercise program based on the Pilates method for 15 weeks, totaling 30 sessions. All subjects underwent the following: (1) assessment of neck and back pain and postural habits, (2) evaluation of posture by means of computerized photogrammetry, and (3) evaluation of TMD severity. The assessment was conducted prior to and following the intervention. Results: There was a signifi cant difference between the groups [F(1,37)=4.702; p=0.037; ŋ 2 =0.096], between the evaluative times [F(1,37)=8.951; p=0.005; ŋ 2 =0.023], and an interaction effect [F(1,37)=13.969; p=0.001; ŋ 2 p =0.274] for the TMD severity variable. Conclusion: Regarding the exercise program based on the Pilates method, no effect was observed on neck and back pain, posture, and posture habits in young women with TMD. However, there was a decrease in the graduation of TMD severity after the intervention period only for the intervention group.

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“…In this study, 80 students of the dentistry course were evaluated, using profile radiographs with the same tracings used in the present study and it was concluded that there is no relation between cervical posture and TMD in the sagittal plane. The study by Faulin et al (2015) presented the same outcome, despite using photographs as a analyze measurement.…”

Section: Discussionmentioning

confidence: 63%

Effects of therapies for temporomandibular disorder on the craniocervical posture: A randomized clinical trial

Cunha

Peixoto

Resende

et al. 2021

RSD

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Objective: The present study searched evaluate whether the occlusal splint, physiotherapy and counseling therapies used in the treatment of temporomandibular disorders (TMD) alter the craniocervical posture and pain. Methods: Controlled, randomized, blinded study that included individuals previously diagnosed with TMD through the RDC/TMD (Research criteria for temporomandibular disorders). The patients were randomly selected from four treatment groups: occlusal splint (OS, n = 17), physiotherapy (P, n = 19), counseling (C, n = 15) and occlusal splint associated with counseling (OSC = 14), totaling 65 individuals. For the postural analysis, a teleradiography was performed at the baseline and 1 month after the application of the therapy, in order to observe the occiput-atlas distance (OAD), the craniocervical angle (CCA) and the positioning of the hyoid triangle (HT). CorelDraw X6 software (2012 Corel Corporation, Canada) was used in the images. The data obtained was submitted to several paired T tests (α = 5%) and for the pain variable the SPANOVA test was applied. Results: Except for the OSC group in the CCA variable (p = 0.003), the results showed that there was no statistically significant difference for the analyzed variables regarding the different therapies over time. However, it can be observed that all the treatment groups allowed a reduction of the patients' pain (p = 0.013) over time. Conclusion: It is concluded that the therapies applied have little influence on craniocervical posture but are effective for the relief of painful symptoms.

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Association between temporomandibular disorders and abnormal head postures

Cited by 28 publications

References 19 publications

Relationship between Cervical Spine and Skeletal Class II in Subjects with and without Temporomandibular Disorders

Relationship between Cervical Spine and Skeletal Class II in Subjects with and without Temporomandibular Disorders

Effects of pilates method on the posture, postural habits, and neck and back pain of women with temporomandibular dysfunction: A randomized clinical trial

Effects of therapies for temporomandibular disorder on the craniocervical posture: A randomized clinical trial

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