Does head and cervical posture correlate to malocclusion? A systematic review and meta-analysis

Peng, Houli; Liu, Weihan; Yang, Lanxin; Zhong, Wenjie; Yin, Yuanyuan; Gao, Xiang; Song, Jinlin

doi:10.1371/journal.pone.0276156

Cited by 7 publications

(7 citation statements)

References 55 publications

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“…This review also points out that there is not enough scientific evidence to prove a cause-effect relationship. A further review confirms that the existing literature is not sufficient to prove the relationship between head and cervical posture and sagittal malocclusion [ 16 ].…”

Section: Introductionsupporting

confidence: 55%

Association between constitution, axiography, orthodontic cast analysis, and upper body posture in women aged 31 to 40 years

et al. 2023

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Objective Whether it is primarily the spine that reacts with pain to the negative consequences of everyday stress and possibly the temporomandibular system as a result (ascending chain), or whether incorrect stress in the dental area has an influence on body geometry (descending chain), is still a controversially discussed topic. The aim of this study is to investigate possible relationships between constitutional, axiographic, and dental parameters with upper body posture. Material and methods A total of 106 subjectively healthy women between 31 and 40 years of age voluntarily participated in this study. Data collection was done by filling out a questionnaire with constitutional and anamnestic parameters and by evaluating orthodontic casts, axiographic measurements, and video raster stereographic measurements. These data were analyzed using correlations and group comparisons, with the significance level set at p ≤ 0.05. Results Positive correlations were shown between the constitutional factors of body weight and BMI and the lumbar bending angle (p = 0.01), the kyphosis angle (p = 0.001), and lordosis angle (weight p = 0.05; BMI p = 0.03). In the cast analysis, regardless of the direction of the midline shift (left/right/none), a left lateral tilt can be seen which is greatest at 2.12° with a left midline shift. In addition, the elevated pelvic side correlates with the side of the displacement of the jaw, with the stronger manifestation being on the left side. With a vertical anterior bite in the normal range, the kyphosis angle is 48.09°, while with a deep bite, it is 60.92°, and with an open bite, it is 62.47°; thus, the group in the normal range differs significantly (p = 0.01) from the other two. The greater the protrusion, the smaller the sagittal plane angles (kyphosis angle, lumbar bending angle, each p = 0.03), and the more dorsal the posture (p = 0.04). The lordosis angle differs significantly (p = 0.001) between the group of subjects with a protrusion in the normal range (52.34°) and the group with an increased advancement of the mandible (41.79°). Conclusion There is a correlation between body weight, BMI, midline shift, and protrusion, as well as the vertical anterior step and upper body posture in women between 31 and 40 years of age. Interdisciplinary functional examinations of the temporomandibular musculature, and also sustained orthodontic treatment, can contribute to an improvement in upper body posture.

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Section: Introductionsupporting

confidence: 55%

Association between constitution, axiography, orthodontic cast analysis, and upper body posture in women aged 31 to 40 years

et al. 2023

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“…A study has shown a high prevalence of head posture deviation ( Batistão et al, 2016 , Verma et al, 2018 ). Muscle imbalance consequential to myofunctional disorders is often considered to cause abnormalities in teeth and jawbone positions ( Peng et al, 2022 ). This can negatively affect the skeletal system, specifically the alteration of facial morphology ( Garg et al, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

“…The development of the dentofacial complex is influenced by muscle balance in the craniofacial region. Muscle imbalance consequential to myofunctional disorders is often considered to cause abnormalities in the teeth and jawbone positions, notably in cases involving oral breathing, lip sucking, and tongue thrusting ( Peng et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Photometric analysis of the relationship between craniovertebral angle and facial profile in children aged 10–12 years

Rosita,

Budiardjo,

Rizal

2024

The Saudi Dental Journal

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“…or undergoing several sessions of analytical and symptomatic physiotherapy or osteopathy, fail to fully recover; because they have dismissed a possible cause or effect: Malocclusion. 1,2 If the etiology of the problem is not meticulously investigated, the symptoms recur and soon after cause the individual to become ill, presenting acute and chronic symptoms. 3 Some confusion surrounds professionals when it comes to determining where (postural sensors: eyes, mouth and feet) is the primary imbalance and what is the most appropriate therapy for its restoration.…”

Section: Short Communicationmentioning

confidence: 99%

An invitation to forge a diagnostic-therapeutic alliance in the restoration of occlusal-postural balance

Céspedes¹

2023

MOJOR

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It is common for postural problems to be diagnosed and treated from any specialty related to general orthopedics, but very distant from Stomatology, especially dentomaxillofacial orthopedics. Ignoring the fact that the strong association between occlusal problems and body posture has been tactically demonstrated, which goes beyond mere clinical impressions and subjective convictions. That is why we find ourselves with patients who, after palliative treatments and physiotherapy, cannot recover; by dismissing malocclusion as cause or effect. The subject has set a trend in the academic field, arousing a lot of interest, but there is much to be done. The segmented approach to the human body and specialties still persists. Despite the efforts, there is still some confusion due to the great diversity of protocols that are not fully agreed upon and methodological errors. The epicenter of our actions is the patient and we owe ourselves to them, therefore a diagnostic-therapeutic Alliance is essential for the restoration of the Occluso-postural balance. But it is not only desirable, but also vital that an innovative cooperation strategy be implemented between disciplines related to general and dentomaxillofacial orthopedics,¸that adapts to their needs, with a more open, pragmatic and holistic vision, that breaks with this behavior segmented

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Does head and cervical posture correlate to malocclusion? A systematic review and meta-analysis

Cited by 7 publications

References 55 publications

Association between constitution, axiography, orthodontic cast analysis, and upper body posture in women aged 31 to 40 years

Association between constitution, axiography, orthodontic cast analysis, and upper body posture in women aged 31 to 40 years

Photometric analysis of the relationship between craniovertebral angle and facial profile in children aged 10–12 years

An invitation to forge a diagnostic-therapeutic alliance in the restoration of occlusal-postural balance

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