A comprehensive approach to the diagnosis of the maxillomandibular skeletal pattern, body posture and craniocervical position

Introduction: Head and neck biomechanical principles are particularly relevant in the fields of orthodontics and dentomaxillofacial orthopedics. Any anomaly should be analyzed and treated within the cranio-cervical-mandibular system applying a comprehensive approach. Objective: Describe the relatio...

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Main Authors: Yiliam Jiménez Yong, Mónica Machado Contreras, Olga Lidia Véliz Concepción, Eligio Eduardo Barreto Fiu, Luis Miguel Jiménez Mesa
Format: Article
Language:English
Published: Editorial Ciencias Médicas 2022-02-01
Series:Revista Cubana de Estomatología
Subjects:
Online Access:https://revestomatologia.sld.cu/index.php/est/article/view/3545
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author Yiliam Jiménez Yong
Mónica Machado Contreras
Olga Lidia Véliz Concepción
Eligio Eduardo Barreto Fiu
Luis Miguel Jiménez Mesa
author_facet Yiliam Jiménez Yong
Mónica Machado Contreras
Olga Lidia Véliz Concepción
Eligio Eduardo Barreto Fiu
Luis Miguel Jiménez Mesa
author_sort Yiliam Jiménez Yong
collection DOAJ
description Introduction: Head and neck biomechanical principles are particularly relevant in the fields of orthodontics and dentomaxillofacial orthopedics. Any anomaly should be analyzed and treated within the cranio-cervical-mandibular system applying a comprehensive approach. Objective: Describe the relationship between the sagittal maxillomandibular skeletal pattern, body posture and craniocervical position in adolescents. Methods: A descriptive cross-sectional study was conducted from March 2018 to June 2019. The study sample was 105 adolescents attending seventh grade at Eduardo Anoceto Rega junior high school in Santa Clara. Determination was made of maxillomandibular skeletal patterns Classes I, II and III, measuring the facial convexity in Ricketts' cephalograms, craniocervical extension, normal inclination and flexion positions with Rocabado's cephalogram, and posture type with Bricot's method. Ethical standards were complied with. Use was made of the statistical tests chi-square, Fisher's F and Welch's. Results: Posture D (flat back and anterior scapular plane) prevailed in all skeletal classes: 64.76% of the adolescents, followed by posture C (posterior scapular plane). In Class II, posture D was followed by posture B (scapular and gluteal plane aligned with increased anterior curves): 6.22%. A predominance was observed of craniocervical normal inclination: 46.67% and flexion: 42.86%. In Class III, Rocabado's flexion and posteroinferior angle were more common than the remaining 107º skeletal classes. Conclusions: Cranial position with respect to cervical structures, according to the characteristics of each skeletal class, may be an important indicator in morphological diagnosis. Despite the large number of studies conducted in this field, consensus has not been achieved about the degree of relationship between craniocervical posture and malocclusions.
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spelling doaj.art-0ae01a9b64594c6c8db0227db780a30c2024-02-06T21:36:24ZengEditorial Ciencias MédicasRevista Cubana de Estomatología0034-75071561-297X2022-02-01591e3545e35451163A comprehensive approach to the diagnosis of the maxillomandibular skeletal pattern, body posture and craniocervical positionYiliam Jiménez Yong0Mónica Machado Contreras1Olga Lidia Véliz Concepción2Eligio Eduardo Barreto Fiu3Luis Miguel Jiménez Mesa4Universidad de Ciencias Médicas de Villa Clara, Facultad de Estomatología. Santa Clara, Cuba.Policlínico “5 de septiembre”, Departamento de Estomatología. Playa, La Habana, Cuba.Universidad de Ciencias Médicas de Villa Clara, Facultad de Estomatología. Santa Clara, Cuba.Universidad de Ciencias Médicas de Villa Clara, Facultad de Medicina. Santa Clara, Cuba.Universidad de Ciencias Médicas de Villa Clara, Facultad de Estomatología. Santa Clara, Cuba.Introduction: Head and neck biomechanical principles are particularly relevant in the fields of orthodontics and dentomaxillofacial orthopedics. Any anomaly should be analyzed and treated within the cranio-cervical-mandibular system applying a comprehensive approach. Objective: Describe the relationship between the sagittal maxillomandibular skeletal pattern, body posture and craniocervical position in adolescents. Methods: A descriptive cross-sectional study was conducted from March 2018 to June 2019. The study sample was 105 adolescents attending seventh grade at Eduardo Anoceto Rega junior high school in Santa Clara. Determination was made of maxillomandibular skeletal patterns Classes I, II and III, measuring the facial convexity in Ricketts' cephalograms, craniocervical extension, normal inclination and flexion positions with Rocabado's cephalogram, and posture type with Bricot's method. Ethical standards were complied with. Use was made of the statistical tests chi-square, Fisher's F and Welch's. Results: Posture D (flat back and anterior scapular plane) prevailed in all skeletal classes: 64.76% of the adolescents, followed by posture C (posterior scapular plane). In Class II, posture D was followed by posture B (scapular and gluteal plane aligned with increased anterior curves): 6.22%. A predominance was observed of craniocervical normal inclination: 46.67% and flexion: 42.86%. In Class III, Rocabado's flexion and posteroinferior angle were more common than the remaining 107º skeletal classes. Conclusions: Cranial position with respect to cervical structures, according to the characteristics of each skeletal class, may be an important indicator in morphological diagnosis. Despite the large number of studies conducted in this field, consensus has not been achieved about the degree of relationship between craniocervical posture and malocclusions.https://revestomatologia.sld.cu/index.php/est/article/view/3545postura corporalpostura cráneo-cervicaloclusión dentaria, clases esqueléticas.
spellingShingle Yiliam Jiménez Yong
Mónica Machado Contreras
Olga Lidia Véliz Concepción
Eligio Eduardo Barreto Fiu
Luis Miguel Jiménez Mesa
A comprehensive approach to the diagnosis of the maxillomandibular skeletal pattern, body posture and craniocervical position
Revista Cubana de Estomatología
postura corporal
postura cráneo-cervical
oclusión dentaria, clases esqueléticas.
title A comprehensive approach to the diagnosis of the maxillomandibular skeletal pattern, body posture and craniocervical position
title_full A comprehensive approach to the diagnosis of the maxillomandibular skeletal pattern, body posture and craniocervical position
title_fullStr A comprehensive approach to the diagnosis of the maxillomandibular skeletal pattern, body posture and craniocervical position
title_full_unstemmed A comprehensive approach to the diagnosis of the maxillomandibular skeletal pattern, body posture and craniocervical position
title_short A comprehensive approach to the diagnosis of the maxillomandibular skeletal pattern, body posture and craniocervical position
title_sort comprehensive approach to the diagnosis of the maxillomandibular skeletal pattern body posture and craniocervical position
topic postura corporal
postura cráneo-cervical
oclusión dentaria, clases esqueléticas.
url https://revestomatologia.sld.cu/index.php/est/article/view/3545
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