"Iuliu Hatieganu" University of Medicine and Pharmacy, Department of Oral Health, Cluj-Napoca, Romania.
Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", Bari, Italy.
J Biol Regul Homeost Agents. 2020 May-Jun;34(3):747-756. doi: 10.23812/20-204-E-52.
Orthopedic temporomandibular joint (TMJ) instability is very common among children and adults. It is often associated with pain in the cervicofacial region, and muscle contraction. To investigate whether muscle contraction can cause permanent posterior rotation of the head and whether treatment with splint and kinetotherapy is efficient, a literature review was carried out of patients with pain in the cervicofacial area. Additionally, the case of a 15-year old patient presenting with permanent posterior rotation of cra¬nium, with no movement between the first two vertebra and pain in the cervicofacial area was reported. Kinetotherapy followed by rapid maxillary expansion improved the function of cervical vertebrae and re¬duced the cervicofacial pain within the first two weeks. Kinetotherapy, rapid maxillary expansion, and or¬thodontic treatment with a stable joint position could be a good therapy to control occipital-atlas function.
骨科颞下颌关节（TMJ）不稳定在儿童和成人中很常见。它通常与颈面部区域的疼痛和肌肉收缩有关。为了研究肌肉收缩是否会导致头部永久性向后旋转，以及使用夹板和运动疗法治疗是否有效，对颈面部疼痛患者进行了文献回顾。此外，还报告了一例 15 岁患者出现颅骨永久性向后旋转，第一和第二颈椎之间无活动且颈面部疼痛的病例。运动疗法后快速上颌扩张改善了颈椎功能，并在头两周内减轻了颈面部疼痛。运动疗法、快速上颌扩张和稳定关节位置的正畸治疗可能是控制枕骨-寰枢关节功能的一种好的治疗方法。
