[Occlusion and posture: is there evidence of correlation?].
The observation that the masticatory system and the postural body regulating system are anatomically and functionally related, has led to postulate several hypotheses of correlation between occlusal and postural disturbances. In the last decade, these arguments have gained a great social impact, also because they have been broadly spread by the mass-media. As a consequence, there has been a growing number of patients seeking concomitant occlusal and postural treatments. The aim of this study was to review critically the current evidence of correlation between the two systems; this in order to address clinical issues for the management of patients. Methodology of the studies reviewed has been evaluated according to the criteria suggested by Storey and Rugh 20 rif. Although there are some evidences of correlation between occlusion and posture, this appears limited to the cranio-cervical tract of the column and tends to disappear when descending in cranio-caudal direction. On the basis of this review of the literature, it's not advisable to treat postural imbalance by means of occlusal treatment or vice versa, particularly if the therapeutic modalities are irreversible.
Michelotti
A
A
Istituto di Discipline Odontostomatologiche, Università degli Studi Federico II, Napoli. michelot@unina.it
Manzo
P
P
Farella
M
M
Martina
R
R
D002986:Clinical Trials as Topic; D017271:Craniomandibular Disorders / Q000150:complications; D003766:Dental Occlusion; D006801:Humans; D007738:Kyphosis / Q000150:complications; D008137:Longitudinal Studies; D008141:Lordosis / Q000150:complications; D017116:Low Back Pain / Q000209:etiology / Q000628:therapy; D008310:Malocclusion / Q000209:etiology / Q000628:therapy; D019547:Neck Pain / Q000209:etiology / Q000628:therapy; D016017:Odds Ratio; D011187:Posture; D012189:Retrospective Studies; D012600:Scoliosis / Q000150:complications; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000150:complications