Ramírez Sofía, Díaz-Reissner Clarisse, Maldonado Clara, Jolay Elena, Ferreira-Gaona Marta, Fatecha Ana
Instituto Latinoamericano de Estudios Superiores. Asunción,
Facultad de Odontología, Universidad Nacional de Concepción. Concepción,
Rev Cient Odontol (Lima). 2024 Sep 17;12(3):e208. doi: 10.21142/2523-2754-1203-2024-208. eCollection 2024 Jul-Sep.
The standing balance of the skull on the spine in its cervical portion is a factor of consideration for the diagnosis of cranio-mandibular disorders and alterations in patients of all ages without distinction, that is, it is essential to conceive an accurate diagnosis in children and adults. However, over time, this element had not been taken into account in the differential diagnosis protocol, despite the fact that biomechanical alterations and dysfunctions in both hard and soft tissues are evidenced in a lateral skull teleradiography, essentially requested to initiate treatment.
To describe the cranio-cervical posture with the Rocabado-Penning analysis, in patients who come for consultation at the Instituto Latinoamericano de Estudios Superiores (ILES).
The study was a cross-sectional descriptive observational study. The anatomical-radiological study was carried out on selected patients from 2012 to 2019 who attended a private institute to undergo orthodontic treatment. Lateral skull radiographs were included where the 7 cervical vertebrae were observed.
The sample was made up of 30 patients. 66.7% were female, 96.7% were brachyfacial type, 63.4% had Ricketts skeletal Class I, 63.4% had deep bites, the position of the hyoid bone was low for 63. .4% and the depth of the cervical spine is rectified by 96.7%. No statistically significant relationship was found between skeletal classes and suboccipital distances.
In the patients in the sample, class I prevailed, brachyfacial, deep bite, low hyoid bone and rectified cervical spine, the latter could result in pain, tinnitus or other symptoms if not treated in time.
颅骨在颈椎部分脊柱上的站立平衡是诊断颅下颌疾病及各年龄段患者（不分年龄）身体改变时需要考虑的一个因素，也就是说，对儿童和成人进行准确诊断至关重要。然而，随着时间推移，尽管在为开始治疗而基本要求进行的头颅侧位远距射线照相中已证实硬组织和软组织存在生物力学改变及功能障碍，但这一因素在鉴别诊断方案中并未得到考虑。
用罗卡巴多-彭宁分析法描述在拉丁美洲高等研究机构（ILES）前来咨询的患者的颅颈姿势。
该研究为横断面描述性观察研究。对2012年至2019年在一家私立机构接受正畸治疗的选定患者进行了解剖-放射学研究。纳入观察到7个颈椎的头颅侧位X线片。
样本由30名患者组成。66.7%为女性，96.7%为短面型，63.4%为里氏骨骼I类，63.4%有深覆合，63.4%的舌骨位置较低，96.7%的颈椎曲度正常。未发现骨骼分类与枕下距离之间存在统计学上的显著关系。
样本中的患者以I类为主，短面型，深覆合，舌骨位置低，颈椎曲度正常，如果不及时治疗，后者可能导致疼痛、耳鸣或其他症状。
