The relationship between temporomandibular dysfunction and head and cervical posture

OBJECTIVE: This study aimed to evaluate the possibility of any correlation between disc displacement and parameters used for evaluation of skull positioning in relation to the cervical spine: craniocervical angle, suboccipital space between C0-C1, cervical curvature and position of the hyoid bone in...

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Main Authors: Ricardo Alves Matheus, Flávia Maria de Moraes Ramos-Perez, Alynne Vieira Menezes, Gláucia Maria Bovi Ambrosano, Francisco Haiter-Neto, Frab Norberto Bóscolo, Solange Maria de Almeida
Format: Article
Language:English
Published: University of São Paulo 2009-06-01
Series:Journal of Applied Oral Science
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572009000300014
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author Ricardo Alves Matheus
Flávia Maria de Moraes Ramos-Perez
Alynne Vieira Menezes
Gláucia Maria Bovi Ambrosano
Francisco Haiter-Neto
Frab Norberto Bóscolo
Solange Maria de Almeida
author_facet Ricardo Alves Matheus
Flávia Maria de Moraes Ramos-Perez
Alynne Vieira Menezes
Gláucia Maria Bovi Ambrosano
Francisco Haiter-Neto
Frab Norberto Bóscolo
Solange Maria de Almeida
author_sort Ricardo Alves Matheus
collection DOAJ
description OBJECTIVE: This study aimed to evaluate the possibility of any correlation between disc displacement and parameters used for evaluation of skull positioning in relation to the cervical spine: craniocervical angle, suboccipital space between C0-C1, cervical curvature and position of the hyoid bone in individuals with and without symptoms of temporomandibular dysfunction. MATERIAL AND METHODS: The patients were evaluated following the guidelines set forth by RDC/TMD. Evaluation was performed by magnetic resonance imaging for establishment of disc positioning in the temporomandibular joints (TMJs) of 30 volunteer patients without temporomandibular dysfunction symptoms and 30 patients with symptoms. Evaluation of skull positioning in relation to the cervical spine was performed on lateral cephalograms achieved with the individual in natural head position. Data were submitted to statistical analysis by Fisher's exact test at 5% significance level. To measure the degree of reproducibility/agreements between surveys, the kappa (K) statistics was used. RESULTS: Significant differences were observed between C0-C1 measurement for both symptomatic (p=0.04) and asymptomatic (p=0.02). No statistical differences were observed regarding craniocervical angle, C1-C2 and hyoid bone position in relation to the TMJs with and without disc displacement. Although statistically significant difference was found in the C0-C1 space, no association between these and internal temporomandibular joint disorder can be considered. CONCLUSIONS: Based on the results observed in this study, no direct relationship could be determined between the presence of disc displacement and the variables assessed.
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spelling doaj.art-bb9d723d38734712a3ccc09654c8e56e2022-12-22T01:17:52ZengUniversity of São PauloJournal of Applied Oral Science1678-77571678-77652009-06-0117320420810.1590/S1678-77572009000300014The relationship between temporomandibular dysfunction and head and cervical postureRicardo Alves MatheusFlávia Maria de Moraes Ramos-PerezAlynne Vieira MenezesGláucia Maria Bovi AmbrosanoFrancisco Haiter-NetoFrab Norberto BóscoloSolange Maria de AlmeidaOBJECTIVE: This study aimed to evaluate the possibility of any correlation between disc displacement and parameters used for evaluation of skull positioning in relation to the cervical spine: craniocervical angle, suboccipital space between C0-C1, cervical curvature and position of the hyoid bone in individuals with and without symptoms of temporomandibular dysfunction. MATERIAL AND METHODS: The patients were evaluated following the guidelines set forth by RDC/TMD. Evaluation was performed by magnetic resonance imaging for establishment of disc positioning in the temporomandibular joints (TMJs) of 30 volunteer patients without temporomandibular dysfunction symptoms and 30 patients with symptoms. Evaluation of skull positioning in relation to the cervical spine was performed on lateral cephalograms achieved with the individual in natural head position. Data were submitted to statistical analysis by Fisher's exact test at 5% significance level. To measure the degree of reproducibility/agreements between surveys, the kappa (K) statistics was used. RESULTS: Significant differences were observed between C0-C1 measurement for both symptomatic (p=0.04) and asymptomatic (p=0.02). No statistical differences were observed regarding craniocervical angle, C1-C2 and hyoid bone position in relation to the TMJs with and without disc displacement. Although statistically significant difference was found in the C0-C1 space, no association between these and internal temporomandibular joint disorder can be considered. CONCLUSIONS: Based on the results observed in this study, no direct relationship could be determined between the presence of disc displacement and the variables assessed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572009000300014Temporomandibular jointTemporomandibular joint discMagnetic resonance imagingCraniofacial pain
spellingShingle Ricardo Alves Matheus
Flávia Maria de Moraes Ramos-Perez
Alynne Vieira Menezes
Gláucia Maria Bovi Ambrosano
Francisco Haiter-Neto
Frab Norberto Bóscolo
Solange Maria de Almeida
The relationship between temporomandibular dysfunction and head and cervical posture
Journal of Applied Oral Science
Temporomandibular joint
Temporomandibular joint disc
Magnetic resonance imaging
Craniofacial pain
title The relationship between temporomandibular dysfunction and head and cervical posture
title_full The relationship between temporomandibular dysfunction and head and cervical posture
title_fullStr The relationship between temporomandibular dysfunction and head and cervical posture
title_full_unstemmed The relationship between temporomandibular dysfunction and head and cervical posture
title_short The relationship between temporomandibular dysfunction and head and cervical posture
title_sort relationship between temporomandibular dysfunction and head and cervical posture
topic Temporomandibular joint
Temporomandibular joint disc
Magnetic resonance imaging
Craniofacial pain
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572009000300014
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