The Effect of Condyle Fossa Relationships on Head Posture

Olmos, Steven R; Kritz‐Silverstein, Donna; Halligan, William; Silverstein, Sarah T

doi:10.1179/crn.2005.008

Cited by 31 publications

(21 citation statements)

References 8 publications

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“…Patients with TMD show greater changes in the body’s center of gravity 25. Several studies have shown that patients with TMD present an excessively forward head position,26,27 usually associated with the shortening of the posterior cervical extensor muscles (suboccipital, semispinalis, splenii, and upper trapezius muscles), as well as shortening of the SCM 28. Anterior displacement of the head lowers the field of vision and, in the attempt to improve the field of vision, cervical lordosis increases 29,30.…”

Section: Stomatognathic System and Body Posturementioning

confidence: 99%

The Relationship Between the Stomatognathic System and Body Posture

Cuccia

Caradonna

2009

Clinics

218

159

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In recent years, many researchers have investigated the various factors that can influence body posture: mood states, anxiety, head and neck positions, oral functions (respiration, swallowing), oculomotor and visual systems, and the inner ear. Recent studies indicate a role for trigeminal afferents on body posture, but this has not yet been demonstrated conclusively. The present study aims to review the papers that have shown a relationship between the stomatognathic system and body posture. These studies suggest that tension in the stomatognathic system can contribute to impaired neural control of posture. Numerous anatomical connections between the stomatognathic system’s proprioceptive inputs and nervous structures are implicated in posture (cerebellum, vestibular and oculomotor nuclei, superior colliculus). If the proprioceptive information of the stomatognathic system is inaccurate, then head control and body position may be affected. In addition, the present review discusses the role the myofascial system plays in posture. If confirmed by further research, these considerations can improve our understanding and treatment of muscular-skeletal disorders that are associated with temporomandibular joint disorders, occlusal changes, and tooth loss.

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Section: Stomatognathic System and Body Posturementioning

confidence: 99%

The Relationship Between the Stomatognathic System and Body Posture

Cuccia

Caradonna

2009

Clinics

218

159

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“…It has been demonstrated that changes in neck posture can lead to changes in the biomechanics of the temporomandibular joint, affecting the function of the stomatognathic system and leading to the development of temporomandibular joint dysfunction (TMD) 5,6 . A recent study showed that the prevalence of TMD in the elderly population with PD is 23.08% reaching women more frequently 7 .…”

Section: Introductionmentioning

confidence: 99%

Temporomandibular joint dysfunction in Parkinson's Disease: an integrative literature review

2017

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Temporomandibular joint dysfunction is a set of disorders involving the masticatory muscles, temporomandibular joint and associated structures. It is known that the progression of motor symptoms in Parkinson's disease is an indication that these people are more prone to the development of this dysfunction. Thus, this study aims to investigate the signs and symptoms of temporomandibular dysfunction in people with Parkinson's disease. The search was performed in the databases: MEDLINE/ PubMed, LILACs, CINAHL, SCOPUS, Web of Science and PEDro, without timing or language restriction. Specific descriptors were used for each database and keywords, evaluated by the instruments: Critical Appraisal Skill Program and Agency for Health care and Research and Quality. A total of 4,209 articles were found but only 5 were included. After critical analysis of the methodology of the articles, one did not reach the minimum score required by the evaluation instruments, thus, it was excluded. The selected articles addressed, as signs and symptoms of temporomandibular joint dysfunction, the following: myofascial pain, bruxism, limitation of mouth opening, dislocation of the articular disc and asymmetry in the distribution of occlusal contacts. Further studies are needed in order to determine the relationship between cause and effect of the analyzed variables, so as to contribute to more specific and effective therapeutic interventions.

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“…Changes in mandibular position are induced by variations in body posture, subsequently affecting the condylar position and the tension of the muscles supporting the mandible 36 . Therefore, previous studies have shown how patients with TMD presented with anteriorly positioned heads 37,38 and also how postural changes in the cervical region can cause TMD 39 .…”

Section: Discussionmentioning

confidence: 99%

Correlation between TM joint disease and rheumatic diseases detected on bone scintigraphy and clinical factors

Shim

Kim

Ryu

et al. 2020

Sci Rep

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The aim of this study was to evaluate the effect of rheumatic disease as a risk factor for temporomandibular disease (TMD). A total of 143 outpatients reporting symptoms indicating rheumatic disease at their first visit to the rheumatology clinic were included. We evaluated the temporomandibular joint (TMJ) with scintigraphic images, and standard questionnaires were administered for the symptomatic assessment for all patients. The patients were classified into 'healthy controls' or as per their diagnosis into 'osteoarthritis', 'axial spondyloarthritis', 'peripheral spondyloarthritis', 'rheumatoid arthritis', or 'other rheumatic diseases' groups. The patients were also differentiated depending on the presence or absence of axial involvement. The relation between the rheumatic disease type and findings at the TMJ were evaluated using statistical analyses. Axial spondyloarthritis, peripheral spondyloarthritis, and rheumatic arthritis patients showed significantly higher scintigraphic uptake at the tMJ compared with those in the control and osteoarthritis groups (axial spondyloarthritis: 4.5, peripheral spondyloarthritis: 4.5, rheumatoid arthritis: 4.09, control: 3.5, osteoarthritis: 3.4, p < 0.0001). Compared with patients without axial involvement, patients with axial involvement also showed significantly higher TMJ scintigraphic uptake (axial involvement: 4.24, without axial involvement: 3.50, p < 0.0001) with elevated symptomatic rates in TMD (axial involvement: 17.82, without axial involvement: 9.97, p < 0.005). Rheumatic diseases refer to a group of conditions with a complex immune pathophysiology affecting multiple organ systems 1. Of these, inflammatory rheumatic arthritic diseases show many systemic abnormalities along with deformities of the synovial structures 2. The temporomandibular joint (TMJ), as a synovial joint between the temporal bone and the mandible, is also involved in various rheumatic diseases including rheumatoid arthritis (RA) 3,4 , ankylosing spondylitis (AS) 5,6 , and spondyloarthritis (SpA) 7. In addition, the correlation between laboratory values of various inflammatory markers causing rheumatic diseases and the progression of TMD has been reported. Although the significantly correlated indicators differed depending upon the methods used for evaluating the joint, C-reactive protein (CRP) 8 , rheumatoid factor (RF) 8,9 , erythrocyte sedimentation rate (ESR) 9 , and disease activity score (DAS) 28 10 showed the correlation with TMJ involvement. Bone scintigraphy is a nuclear scanning test in which the uptake ratio of radiopharmaceuticals is influenced by the amount of calcium at the phosphate binding sites and the amount of blood flow to the bone 11. Since detection of inflammatory synovitis of the TMJ is an efficient way to evaluate whether the joint is affected by rheumatic disease 12 , bone scintigraphy can be effectively utilized for the purpose as a sensitive tool for the detection of inflammatory lesions and high osteoblastic activity 13. Moreover, in investigating the correlation be...

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The Effect of Condyle Fossa Relationships on Head Posture

Cited by 31 publications

References 8 publications

The Relationship Between the Stomatognathic System and Body Posture

The Relationship Between the Stomatognathic System and Body Posture

Temporomandibular joint dysfunction in Parkinson's Disease: an integrative literature review

Correlation between TM joint disease and rheumatic diseases detected on bone scintigraphy and clinical factors

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