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...
Main Authors: | , , , , , , |
---|---|
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 |
_version_ | 1818526196782071808 |
---|---|
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. |
first_indexed | 2024-12-11T06:19:35Z |
format | Article |
id | doaj.art-bb9d723d38734712a3ccc09654c8e56e |
institution | Directory Open Access Journal |
issn | 1678-7757 1678-7765 |
language | English |
last_indexed | 2024-12-11T06:19:35Z |
publishDate | 2009-06-01 |
publisher | University of São Paulo |
record_format | Article |
series | Journal of Applied Oral Science |
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 |
work_keys_str_mv | AT ricardoalvesmatheus therelationshipbetweentemporomandibulardysfunctionandheadandcervicalposture AT flaviamariademoraesramosperez therelationshipbetweentemporomandibulardysfunctionandheadandcervicalposture AT alynnevieiramenezes therelationshipbetweentemporomandibulardysfunctionandheadandcervicalposture AT glauciamariaboviambrosano therelationshipbetweentemporomandibulardysfunctionandheadandcervicalposture AT franciscohaiterneto therelationshipbetweentemporomandibulardysfunctionandheadandcervicalposture AT frabnorbertoboscolo therelationshipbetweentemporomandibulardysfunctionandheadandcervicalposture AT solangemariadealmeida therelationshipbetweentemporomandibulardysfunctionandheadandcervicalposture AT ricardoalvesmatheus relationshipbetweentemporomandibulardysfunctionandheadandcervicalposture AT flaviamariademoraesramosperez relationshipbetweentemporomandibulardysfunctionandheadandcervicalposture AT alynnevieiramenezes relationshipbetweentemporomandibulardysfunctionandheadandcervicalposture AT glauciamariaboviambrosano relationshipbetweentemporomandibulardysfunctionandheadandcervicalposture AT franciscohaiterneto relationshipbetweentemporomandibulardysfunctionandheadandcervicalposture AT frabnorbertoboscolo relationshipbetweentemporomandibulardysfunctionandheadandcervicalposture AT solangemariadealmeida relationshipbetweentemporomandibulardysfunctionandheadandcervicalposture |