Department of Oral, Dental and Maxillo-Facial Sciences, Section of Orthodontics and Gnatology, University of Naples Federico II, Italy.
Prog Orthod. 2011;12(1):53-8. doi: 10.1016/j.pio.2010.09.010. Epub 2011 Jan 20.
In recent decades, it has been suggested that disorders of the masticatory system such as malocclusions, can influence whole body posture. A growing number of patients are seeking concomitant treatment for dental malocclusions and postural disorders. The aim of this overview is to critically analyze the relationship between dental occlusion and posture.
A literature overview was carried out to analyze the association between "malocclusion" versus "head posture", "spine curvature", and "body sway".
The studies showed that even if some associations have been found between occlusal factors and postural alterations, there is not enough scientific evidence to support a cause-effect relations. Most studies suffer from major flaws such as lack of control groups, failure to take into account for the possible confounders, inappropriate study design, and lack of sufficient reliability and validity of used diagnostic tests.
On the basis of this overview, it is not advisable to perform occlusal and/or orthodontic treatment, especially if irreversible and expensive, to treat or prevent postural imbalances or alteration of spine curvatures.
近几十年来，人们认为咀嚼系统紊乱，如错颌畸形，会影响全身姿势。越来越多的患者寻求同时治疗牙颌畸形和姿势紊乱。本文的目的是批判性地分析牙合与姿势之间的关系。
进行文献综述，分析“错颌”与“头位”、“脊柱曲度”和“身体摆动”之间的关系。
研究表明，即使在牙合因素与姿势改变之间发现了一些关联，但没有足够的科学证据支持因果关系。大多数研究都存在主要缺陷，如缺乏对照组、未能考虑到可能的混杂因素、不适当的研究设计以及所使用的诊断测试缺乏足够的可靠性和有效性。
基于这篇综述，不建议进行牙合和/或正畸治疗，特别是如果是不可逆和昂贵的治疗，以治疗或预防姿势不平衡或脊柱曲度改变。
