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牙颌畸形及其与足部系统的关系。

Dental Malocclusion and Its Relation to the Podal System.

作者信息

Cabrera-Domínguez María E, Domínguez-Reyes Antonia, Pabón-Carrasco Manuel, Pérez-Belloso Ana J, Coheña-Jiménez Manuel, Galán-González Antonio F

机构信息

Department of Stomatology, Faculty of Dentistry, University of Seville, Seville, Spain.

Red Cross Nursing School, University of Seville, Seville, Spain.

出版信息

Front Pediatr. 2021 Jun 22;9:654229. doi: 10.3389/fped.2021.654229. eCollection 2021.

Abstract

This study analyzes the possibility that Stomatognathic and Postural systems are related by muscle chains. Malocclusion may influence the posture, contact between the foot and the ground, center of mass, footprint or vice-versa. This study aimed to verify whether there is a relationship between dental occlusion and podal system. A cross-cutting, descriptive study was carried out on 409 children (222 boys and 187 girls) between 8 and 14 years old. Dental occlusion was assessed on the sagittal plane (Angle's classification) the contact between the foot and the ground and the center of mass were evaluated using a stabilometric platform. There was a statistically significant relationship between the plantigrade phase, the contact surface area and center of gravity. There was a prevalence of molar and canine Angle's class II malocclusion. In molar class II, an anterior center of gravity was predominant, in class I it was centered and in class III, it was posterior. There was significant correlation between malocclusions and the FPI (foot posture index) of the left foot and the height of the scaphoid in the right foot ( < 0.001). Some authors agree with our results. There is still much uncertainty in terms of showing a relationship between both systems. In addition, there is scarce scientific evidence on the topic. Some kind of relationship between the two systems has been proven. Studies that evaluate a group of subjects in a longitudinal manner are necessary to enable the changes taking place in both systems to be defined.

摘要

本研究分析了口颌系统与姿势系统通过肌肉链相关联的可能性。错牙合可能会影响姿势、足部与地面的接触、重心、脚印,反之亦然。本研究旨在验证牙合与足部系统之间是否存在关联。对409名8至14岁的儿童(222名男孩和187名女孩)进行了一项横断面描述性研究。在矢状面上评估牙合情况(安氏分类),使用稳定测力平台评估足部与地面的接触以及重心。在足跟着地阶段、接触表面积和重心之间存在统计学上的显著关系。安氏II类错牙合中磨牙和尖牙错牙合较为普遍。在安氏II类磨牙错牙合中,重心靠前为主,I类错牙合时重心居中,III类错牙合时重心靠后。错牙合与左脚的足姿势指数(FPI)以及右脚舟骨高度之间存在显著相关性(<0.001)。一些作者认同我们的结果。在显示两个系统之间的关系方面仍存在很多不确定性。此外,关于该主题的科学证据很少。已证明两个系统之间存在某种关系。有必要进行纵向评估一组受试者的研究,以确定两个系统中发生的变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ee/8257946/a7644760a55c/fped-09-654229-g0001.jpg

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