Fiorillo Luca, Musumeci Giuseppe
Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, 98100 Messina ME, Italy.
Department of Biomedical and Biotechnological Sciences, Anatomy, Histology and Movement Sciences Section, School of Medicine, University of Catania, Via Santa Sofia 87, 95123 Catania, Italy.
J Funct Morphol Kinesiol. 2020 Mar 9;5(1):20. doi: 10.3390/jfmk5010020.
In recent years it has been conclusively shown how the position of the mouth in relation to the body affects the way of walking and standing. In particular, occlusion, the relationship between skull and jaw, swallowing and convergence of the eyes are in neuro-muscular relationship with the control and maintenance system of posture, integrating at different levels. This manuscript aims to be a summary of all the oral, occlusal and articular dysfunctions of TMJ with systemic and postural-muscular repercussions. Recent articles found in the literature that are taken into consideration and briefly analyzed represent an important starting point for these correlations, which are still unclear in the medical field. Posturology, occlusal and oral influences on posture, spine and muscular system are still much debated today. In the literature, there are articles concerning sports performance and dental occlusion or even the postural characteristics of adolescents or children in deciduous and mixed dentition. The temporomandibular joint, as the only joint of the skull, could therefore represent a site to pay particular attention to, and in some cases an ATM dysfunction could be a clue for the diagnosis of systemic pathologies, or it could be the repercussion.
近年来,已经确凿地表明口腔相对于身体的位置如何影响行走和站立方式。特别是,咬合、颅骨与颌骨的关系、吞咽以及眼睛的会聚与姿势的控制和维持系统处于神经肌肉关系中,在不同层面上相互整合。本手稿旨在总结颞下颌关节所有的口腔、咬合和关节功能障碍及其对全身和姿势肌肉的影响。文献中发现的近期文章被纳入考虑并进行简要分析,这些文章是这些相关性的重要起点,而在医学领域这些相关性仍不明确。姿势学、咬合和口腔对姿势、脊柱和肌肉系统的影响在当今仍备受争议。在文献中,有关于运动表现与牙合关系的文章,甚至还有关于乳牙列和混合牙列青少年或儿童姿势特征的文章。因此,颞下颌关节作为颅骨的唯一关节,可能是一个需要特别关注的部位,在某些情况下,颞下颌关节功能障碍可能是全身疾病诊断的线索,或者它可能是全身疾病的后果。