Sambataro Sergio, Bocchieri Salvatore, Cervino Gabriele, La Bruna Rosario, Cicciù Alessandra, Innorta Marcella, Torrisi Benedetto, Cicciù Marco
Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, Messina University, 98100 Messina ME, Italy.
Private Practice, 89100 Reggio Calabria RC, Italy.
J Funct Morphol Kinesiol. 2019 Jul 19;4(3):45. doi: 10.3390/jfmk4030045.
The aim of this study was to investigate the possible relationship between malocclusion and body posture anomalies. The original sample involved 127 children (45 males and 82 females) with mixed dentition. Clinical examination of oral cavity was performed by an orthodontist, who recorded molar and canine relationship, cross-bite, lower middle-line deviation, and centric relation (CR) considering mono or bilateral contacts in CR. Orthopedic examination of the body posture was clinically carried out by an orthopedist who detected anomalies such as scoliosis, false scoliosis or paramorphism, kyphosis and lordosis. Of the 127 subjects of the sample, 18 children were orthopedically normal, 80 patients had false scoliosis, 22 scoliosis and 7 showed kyphosis. In our study, we don't consider the 7 patients with kyphosis for the exiguity of the sample; so, our analysis was performed on 120 children (42 males and 78 females). The results obtained revealed that the cross-bite was more frequent when scoliosis became worse. We also found that the relationship between left cross-bite and contralateral side of deviation of the curve of the spine in subjects with scoliosis is statistically significant ( = 0.002). Furthermore, the relationship between lower midline and contralateral side of deviation of the curve of the spine in patients with false scoliosis is statistically significant ( = 0.003). In conclusion, it seems that posture anomalies are correlated to cross-bite and mandible abnormal position.
本研究的目的是调查错牙合畸形与身体姿势异常之间可能存在的关系。原始样本包括127名处于混合牙列期的儿童（45名男性和82名女性）。由一名正畸医生对口腔进行临床检查，该医生记录了磨牙和尖牙关系、反牙合、下中线偏差以及正中关系（CR），并考虑了CR中的单侧或双侧接触情况。由一名骨科医生对身体姿势进行临床骨科检查，其检测到诸如脊柱侧弯、假性脊柱侧弯或脊柱形态异常、驼背和脊柱前凸等异常情况。在该样本的127名受试者中，18名儿童骨科检查正常，80名患者有假性脊柱侧弯，22名有脊柱侧弯，7名有驼背。在我们的研究中，由于样本量少，我们未将7名有驼背的患者纳入；因此，我们对120名儿童（42名男性和78名女性）进行了分析。所得结果显示，脊柱侧弯越严重，反牙合越常见。我们还发现，脊柱侧弯患者中左侧反牙合与脊柱侧弯曲线对侧的偏差之间的关系具有统计学意义（P = 0.002）。此外，假性脊柱侧弯患者中下中线与脊柱侧弯曲线对侧的偏差之间的关系具有统计学意义（P = 0.003）。总之，姿势异常似乎与反牙合及下颌异常位置相关。
