title: Relationship between craniocervical orientation and center of force of occlusion in adults.
abstract: OBJECTIVE
  Clinical observation and anecdotal reports suggest changes can occur to dental occlusion following intervention with the National Upper Cervical Chiropractic Association (NUCCA) procedure. This case controlled study discerned if occlusion changes are measurable using a dental force plate (T-Scan®) following an adjustment to the craniocervical junction (CCJ).
  
  
  METHODS
  A degree of case control was established by active patients being assessed twice prior to and following intervention. Before-after intervention assessment included posture evaluation and dental occlusion (T-Scan®).
  
  
  RESULTS
  Findings suggest that changes in posture and occlusion can be observed after the NUCCA chiropractic procedure. Not all patients demonstrated a more balanced contact pattern following the adjustment, indicating a need for further investigation.
  
  
  CONCLUSIONS
  These findings may suggest interconnectivity between the CCJ and an individual's occlusal contacts and support the need for further integration between chiropractors and dentists seeking to co-manage temporomandibular joint disorders.
authors.affiliation: a Private Practice , Calgary , Canada.
authors.forename: Curtis D
authors.identifier: http://orcid.org/0000-0002-5118-1767
authors.initials: CD
authors.lastname: Westersund
authors.affiliation: a Private Practice , Calgary , Canada.
authors.forename: Jeffrey
authors.identifier: http://orcid.org/0000-0001-8000-9125
authors.initials: J
authors.lastname: Scholten
authors.affiliation: b Department of Biological Sciences , University of Calgary , Calgary , Canada.
authors.forename: Raymond J
authors.identifier: http://orcid.org/0000-0002-9263-0776
authors.initials: RJ
authors.lastname: Turner
mesh_terms: D000328:Adult; D001268:Atlanto-Axial Joint / Q000000981:diagnostic imaging / Q000503:physiopathology*; D001269:Atlanto-Occipital Joint / Q000000981:diagnostic imaging / Q000503:physiopathology*; D016022:Case-Control Studies; D002684:Chiropractic; D003766:Dental Occlusion; D003815:Dentists; D006257:Head / Q000502:physiology; D006801:Humans; D033183:Interdisciplinary Communication; D026882:Manipulation, Chiropractic; D009333:Neck / Q000502:physiology; D011187:Posture; D011859:Radiography; D013705:Temporomandibular Joint Disorders / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000628:therapy*
keywords: Chiropractic adjustment; T-scan; alignment; craniocervical junction; occlusal contacts; occlusion; posture; temporomandibular joint disorders