Fournier Romain, Aknin Jean-Jacques, Bourgier Sophie, Gebeile-Chauty Sarah
Cabinet dentaire, Saint-Jean-Bonnefonds, France.
Orthod Fr. 2011 Dec;82(4):331-40. doi: 10.1051/orthodfr/2011138. Epub 2011 Nov 23.
Osteopathy has grown rapidly. Given their common action on children and adolescents, the collaboration between dentofacial orthopedics and osteopathy is increasingly common. It therefore becomes necessary and urgent to investigate whether, based on data acquired from science, there is evidence of possible interrelations between the two disciplines. After reviewing the literature, very few scientific publications demonstrate the utility of osteopathy and its relationships with other disciplines. However, the relationship between occlusion and posture seem relatively proven, especially in the sagittal direction. On the other hand, although the mobility of the cranial bones is established, the primary respiratory motion is still subject to controversy, even among osteopaths. This, even as orthodontics has long been accused of countering the primary respiratory motion of cranial bones (PRM). Today osteopaths do not reject orthodontics anymore, because the return to a physiological bite situation is considered beneficial. According to expert opinion (without proof, however), some orthodontic devices (like headgears) which block the sutures are still to be avoided and require appropriate monitoring osteopathy. The controversy over the adverse effects of orthodontic treatment is becoming more nuanced by osteopaths, and modern orthodontics claiming a «global» approach of patient, collaboration may be possible in future year.
整骨疗法发展迅速。鉴于其对儿童和青少年的共同作用,牙颌面正畸学与整骨疗法之间的合作越来越普遍。因此,基于从科学中获取的数据,研究这两个学科之间是否存在可能的相互关系变得必要且紧迫。在查阅文献后,很少有科学出版物证明整骨疗法的效用及其与其他学科的关系。然而,咬合与姿势之间的关系似乎相对得到证实,尤其是在矢状方向上。另一方面,尽管颅骨的活动度已得到确认,但即使在整骨疗法从业者中,原发性呼吸运动仍存在争议。即便正畸学长期以来一直被指责会对抗颅骨的原发性呼吸运动(PRM)。如今,整骨疗法从业者不再排斥正畸学,因为恢复到生理咬合状态被认为是有益的。根据专家意见(然而没有证据),一些会阻碍骨缝的正畸装置(如头帽)仍应避免使用,并需要整骨疗法进行适当监测。整骨疗法从业者对正畸治疗不良反应的争议正变得更加细微,而现代正畸学主张对患者采取“整体”方法,未来几年可能会有合作。