Changes in craniocervical posture are a critical issue in modern society. Alterations of the mandible position in the anterior-posterior direction in association with head and neck posture are reported. The objective of the present review was to evaluate the relationship between craniocervical posture and sagittal position of the mandible and to evaluate the risk of bias inthe included studies. Electronic databases used to perform the search were PubMed, Wiley Online Library, and Cochrane. Only clinical trials that assessed sagittal craniocervical posture and mandible position in lateral cephalograms were included. Selected inclusion criteria were used to assess the finally selected studies. The upper and lower cervical spine was evaluated by seven and six studies, respectively. The risk of bias in the included studies varied from low to moderate. Literature research identified 438 records from 3 databases. Eventually, seven eligible clinical trials were included in this review. Evaluating the relationship between craniocervical posture and mandible position in the sagittal plane, it can be concluded that increased cervical inclination and head upright position are associated with the posterior position of the mandible. Attention to patients’ craniocervical posture should be paid as a part of clinical evaluation since it might be the reason for the changed mandible position.
Priekinė galvos padėtis yra vienas dažniausių stuburo kaklinės dalies laikysenos sutrikimų, sukelianti neigiamus pokyčius visame žmogaus kūne. Tyrimo tikslas – įvertinti gydytojų odontologų žinias apie priekinės galvos padėties įtaką kaklo ir galvos skeleto ir raumenų sistemai. Tyrimo medžiaga ir metodai. Į tyrimą įtraukti 105 bendrosios praktikos gydytojai odontologai ir gydytojai odontologai specialistai, atlikta anoniminė anketinė apklausa bei statistinė analizė. Rezultatai. Remiantis anketinės apklausos duomenimis, 87,62 proc. respondentų sudarė bendrosios praktikos gydytojai odontologai, 43,81 proc. apklaustųjų – iki 34 metų amžiaus. Nustatyta, kad 75,2 proc. respondentų teisingai įvertino taisyklingą galvos padėtį, tačiau į klausimus apie PGP ryšį su apatinio žandikaulio padėtimi, sukeliamo skausmo sritimis, galvos ir kaklo raumenų būklę teisingai atsakė tik apie 50 proc. tyrimo dalyvių. 15,2 proc. gydytojų odontologų žino bendros kūno laikysenos ryšį su kramtomaisiais raumenimis.
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