Does asymmetry in the stomatognathic system correlate with body posture impairments? A systematic review

Beatrice Dal Borgo; Giuseppe Perinetti; Luca Contardo

doi:10.5937/sejodr3-15228

Beatrice Dal Borgo University of Trieste, Department of Medical, Surgical and Health Sciences
Giuseppe Perinetti University of Trieste, Department of Medical, Surgical and Health Sciences
Luca Contardo University of Trieste, Department of Medical, Surgical and Health Sciences

DOI: https://doi.org/10.5937/sejodr3-15228

Abstract

Objectives: To assess the potential correlations between anatomical and functional asymmetry in the stomatognathic system and bodyposture impairments.

Methods: Literature search using the Medline, SCOPUS, LILACS and SciELO databases, the Cochrane Library and a manual search.Experimental and observational studies were included with no restrictions as to the type of asymmetry. Type of asymmetry, treatment and/or recording conditions, follow-up, postural examinations, main results and clinical implication were extracted, and risk of bias was assessed.

Results: Eleven articles (including one randomized clinical trial) were retrieved. The risk of bias was medium in 6 studies and high inthe remaining investigations. Only three studies, all with a high risk of bias and without follow-up, reported significant correlations between the asymmetry in the stomatognathic system and body posture impairments.

Discussion: According to the limited present evidence, asymmetry in the stomatognathic system does not appear to correlate withbody posture impairments at a clinically relevant level.

References

Cuccia A, Caradonna C. The relationship between the stomatognathic system and body posture. Clinics (Sao Paulo). 2009;64(1):61-6.

Perinetti G, Contardo L. Posturography as a diagnostic aid in dentistry: a systematic review. J Oral Rehabil. 2009;36(12):922-36.

Michelotti A, Buonocore G, Manzo P, Pellegrino G, Farella M. Dental occlusion and posture: an overview. Prog Orthod. 2011;(1)12:53-8.

Perinetti G, Türp JC, Primožič J, Di Lenarda R, Contardo L. Associations between the masticatory system and muscle activity of other body districts. A meta-analysis of surface electromyography studies. J Electromyogr Kinesiol. 2011;21(6):877-84.

Corruccini RS. An epidemiologic transition in dental occlusion in world populations. Am J Orthod. 1984;86(5):419-26.

Perinetti G, Cordella C, Pellegrini F, Esposito P. The prevalence of malocclusal traits and their correlations in mixed dentition children: results from the Italian OHSAR Survey. Oral Health Prev Dent. 2008;6(2):119-29.

Hanke BA, Motschall E, Türp JC. Association between orthopedic and dental findings: what level of evidence is available? J Orofac Orthop. 2007;68(2):91-107.

Perinetti G, Primozic J, Manfredini D, Di Lenarda R, Contardo L. The diagnostic potential of static body-sway recording in orthodontics: a systematic review. Eur J Orthod. 2013;35(5):696-705.

Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol. 2009;62(10):e1-34.

Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159-74.

Systematic reviews. CRD‘s Guidance for Undertaking Reviews in Healthcare. York: University of York NHS Centre for Reviews & Dissemination; 2009.

Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomized and non-randomised studies of health care interventions. J Epidemiol Community Health. 1998;52(6):377-84.

Ferrario VF, Sforza C, Schmitz JH, Taroni A. Occlusion and center of foot pressure variation: is there a relationship? J Prosthet Dent. 1996;76(3):302-8.

Ben-Bassat Y, Yitschaky M, Kaplan L, Brin I. Occlusal patterns in patients with idiopathic scoliosis. Am J Orthod Dentofacial Orthop. 2006;130(5):629-33.

Michelotti A, Buonocore G, Farella M, Pellegrino G, Piergentili C, Altobelli S, et al. Postural stability and unilateral posterior crossbite: is there a relationship? Neurosci Lett. 2006;392(1-2):140-4.

Michelotti A, Farella M, Buonocore G, Pellegrino G, Piergentili C, Martina R. Is unilateral posterior crossbite associated with leg length inequality? Eur J Orthod. 2007;29(6):622-6.

Perillo L, Signoriello G, Ferro F, Baccetti T, Masucci C, Apicella D, et al. Dental occlusion and body posture in growing subjects. A population-based study in 12-year- old Italian adolescents. International Dentistry SA. 2008;10:46-52.

Ohlendorf D, Büntemeyer B, Filmann N, Schwesig R, Kopp S. Hat ein Kreuzbiss Auswirkungen auf die Posturographie bei Kindern und jungen Erwachsenen? Quintessenz. 2009;60:1335-42. German.

Perinetti G, Contardo L, Silvestrini-Biavati A, Perdoni L, Castaldo A. Dental malocclusion and body posture in young ubjects: a multiple regression study. Clinics (Sao Paulo). 2010;65(7):689-95.

Lippold C, Moiseenko T, Drerup B, Schilgen M, Végh A, Danesh G. Spine deviations and orthodontic treatment of asymmetric malocclusions in children. BMC Musculoskelet Disord. 2012;13:151.

Pachì F, Turlà R, Proietti Checchi A. Valutazioni posturali in pazienti con crossbite posteriore monolaterale [Assessment of body posture in patients with posterior unilateral crossbite]. Mondo Ortod. 2012;37(1):13-18. Italian.

Lopatienè K, Smailienè D, Sidlauskienè M, Cekanauskas E, Valaikaitè R, Pribuišienè R. An interdisciplinary study of orthodontic, orthopedic, and otorhinolaryngological findings in 12-14-year-old preorthodontic children. Medicina (Kaunas). 2013;49(11):479-86.

Zhou S, Yan J, Da H, Yang Y, Wang N, Wang W, et al. A correlational study of scoliosis and trunk balance in adult patients with mandibular deviation. PLoS One. 2013;8(3):e59929.

Manfredini D, Perinetti G, Stellini E, Di Leonardo B, Guarda-Nardini L. Prevalence of static and dynamic dental malocclusion features in subgroups of temporomandibular disorder patients: Implications for the epidemiology of the TMD-occlusion association. Quintessence Int. 2015;46(4):341-9.