Citation Information :
Edoardo B, Alessandro N, Davide B, Sara A, Marcello M. Clinical and Functional Analyses of the Musculoskeletal Balance with Oral Electromyography and Stabilometric Platform in Athletes of Different Disciplines. World J Dent 2020; 11 (3):166-171.
Aim of study: No evidence is found in literature to assess that malocclusion can lead to postural or craniocervical–mandibular disorders. The aim of this study is to investigate with surface electromyography (EMG) of masticatory muscles and stabilometric analysis the relationship between malocclusion and presence of temporomandibular disorders (TMDs) or postural variations in a group of athletes of different sports. Materials and methods: Seventy-four athletes belonging to different sport societies were included in this study. Chi-square test, taking as significance index χ2 > 0.05, was used to compare in pairs the postural interference, muscle disharmony, malocclusion, and TMDs. Results: No statistical significance emerged, correlating postural interference and muscle disharmony (χ2 = 0.15), muscular imbalance, and anatomical findings of malocclusion (χ2 = 0.62), muscular imbalance and TMDs (χ2 = 0.15), and TMDs and malocclusion (χ2 = 0.09). Statistically significant association [χ2 = 0.019, odds ratio (OR) = 3.10] emerged from the correlation between TMDs and postural interference. Conclusion: A correlation between posture and occlusion is very difficult to be demonstrated. A multidisciplinary approach is required for TMDs: therapy with oral splints allows to give greater compliance to the system by allowing muscles to guide the jaw in a position of functional equilibrium. Clinical significance: Gnathological treatment evaluated through EMG and stabilometric platform allows to obtain improvements in the occlusal balance.
D'Ercole S, Tieri M, Martinelli D, et al. The effect of swimming on oral health status: competitive versus non-competitive athletes. J Appl Oral Sci 2016;24(2):107–113. DOI: 10.1590/1678-775720150324.
Maddalone M, Bianco E, Nanussi A, et al. Treatment of temporomandibular disorders of muscular origin with a silicon oral device (Alifix®): electromyographic analysis. J Contemp Dent Pract 2019;20(12):1367–1374. DOI: 10.5005/jp-journals-10024-2704.
Bianco E, Attuati S, Brugali C, et al. Restoration of the vertical posterior dimension in a grinding patient before orthodontic treatment: a case-report with electromyographic evaluation of masticatory muscles balance. J Dent 2019;1:38–42. DOI: 10.12974/2311-8695.2019.07.6.
Mapelli A, Tartaglia GM, Connelly ST, et al. Normalizing surface electromyographic measures of the masticatory muscles: Comparison of two different methods for clinical purpose. J Electromyogr Kinesiol 2016;30:238–242. DOI: 10.1016/j.jelekin.2016.08.004.
Ferrario VF, Sforza C, Tartaglia GM, et al. Immediate effect of a stabilization splint on masticatory muscle activity in temporomandibular disorder patients. J Oral Rehabil 2002;29(9): 810–815. DOI: 10.1046/j.1365-2842.2002.00927.x.
Ferrario VF, Tartaglia GM, Luraghi FE, et al. The use of surface electromyography as a tool in differentiating temporomandibular disorders from neck disorders. Man Ther 2007;12(4):372–379. DOI: 10.1016/j.math.2006.07.013.
Kacprzak A, Strzecki A. Methods of accelerating orthodontic tooth movement: a review of contemporary literature. Dent Med Probl 2018;55(2):197–206. DOI: 10.17219/dmp/90989.
Tartaglia GM, Moreira Rodrigues da Silva MA, Bottini S, et al. Masticatory muscle activity during maximum voluntary clench in different research diagnostic criteria for temporomandibular disorders (RDC/TMD) groups. Man Ther 2008;13(5):434–440. DOI: 10.1016/j.math.2007.05.011.
Ferrario VF, Tartaglia GM, Galletta A, et al. The influence of occlusion on jaw and neck muscle activity: a surface EMG study in healthy young audults. J Oral Rehabil 2006;33(5):341–348. DOI: 10.1111/j.1365-2842.2005.01558.x.
Landulpho AB, Silva WAB, Silva FA, et al. Electromyographic evaluation of masseter and anterior temporalis muscles in patients with temporomandibular disorders following interocclusal appliance treatment. J Oral Rehabil 2004;31(2):95–98. DOI: 10.1046/j.0305-182X.2003.01204.x.
Bathgate A, Best JP, Craig G, et al. A prospective study of injuries to elite Australian rugby union players. Br J Sports Med 2002;36(4): 265–269. DOI: 10.1136/bjsm.36.4.265.
Maddalone M, Bonfanti E, Pellegatta A, et al. Digital orthopantomography vs cone beam computed tomography-part 1: detection of periapical lesions. J Contemp Dent Pract 2019;20(5): 593–597. DOI: 10.5005/jp-journals-10024-2564.
Monaco A, Cozzolino V, Cattaneo R, et al. Osteopathic manipulative treatment (OMT) effects on mandibular kinetics: kinesiographic study. Eur J Paediatr Dent 2008;9(1):37–42. DOI: 10.1007/BF03321594.
Rugh JD, Drago CJ. Vertical dimension: a study of clinical rest position and jaw muscle activity. J Prosthet Dent 1981;45(6):670–675. DOI: 10.1016/0022-3913(81)90426-1.
Ferrario VF, Sforza C, Schmitz JH, et al. Occlusion and center of foot pressure variation: is there a relationship? J Prosthet Dent 1996;76(3):302–308. DOI: 10.1016/S0022-3913(96)90176-6.
Kibana Y, Ishijima T, Hirai T. Occlusal support and head posture. J Oral Rehabil 2002;29(1):58–63. DOI: 10.1046/j.1365-2842.2002.00794.x.
Söderman K, Werner S, Pietilä T, et al. Balance board training: prevention of traumatic injuries of the lower extremities in female soccer players? A prospective randomized intervention study. Knee Surg Sports Traumatol Arthrosc 2000;8(6):356–363. DOI: 10.1007/s001670000147.
Ries LGK, Bérzin F. Analysis of the postural stability in individuals with or without signs and symptoms of temporomandibular disorder. Braz Oral Res 2008;22(4):378–383. DOI: 10.1590/S1806-83242008000400016.
Bianco E, Rota D. Oral findings in Rett syndrome: an update and review of the literature. Dent Med Probl 2018;55(4):441–445. DOI: 10.17219/dmp/99203.
Bianco E, Maddalone M, Porcaro G, et al. Treatment of osteoradionecrosis of the jaw with ozone in the form of oil-based gel: 1-year follow-up. J Contemp Dent Pract 2019;20(2):270–276. DOI: 10.5005/jp-journals-10024-2508.
Cornwall MW, Murrell P. Postural Sway following inversion sprain of the ankle. J Am Podiat Med Assoc 1991;81(5):243–247. DOI: 10.7547/87507315-81-5-243.
Porcaro G, Busa A, Bianco E, et al. Use of a partial-thickness flap for guided bone regeneration in the upper jaw. J Contemp Dent Pract 2017;18(12):1117–1121. DOI: 10.5005/jp-journals-10024-2186.
Fujii Y. Orthodontic treatment to improve hip joint mobility and balance. J Dent 2015;3(1):29–32. DOI: 10.12974/2311-8695.2015.03.01.5.
Igarashi N, Yamamura K, Yamada Y, et al. Head movements and neck muscle activities associated with the jaw movement during mastication in the rabbit authors. Brain Res 2000;871(1):151–155. DOI: 10.1016/S0006-8993(00)02433-1.
Zuniga C, Miralles R, Mena B, et al. Influence of variation in jaw posture on sternocleidomastoid and trapezius electromyographic activity. Cranio 1995;13(3):157–162. DOI: 10.1080/08869634.1995.11678061.
Miralles R, Moya H, Ravera MJ, et al. Increase of the vertical occlusal dimension by means of a removable orthodontic appliance and its effect on craniocervical relationship and position of the cervical spine in children. Cranio 1997;15(3):221–228. DOI: 10.1080/08869634.1997.11746015.
Eriksson PO, Zafar H, Nordh E. Concomitant mandibular and head-neck movements during jaw opening-closing in man. J Oral Rehabil 1998;25(11):859–870. DOI: 10.1046/j.1365-2842.1998.00333.x.
Miralles R, Doods C, Manns A, et al. Vertical dimension. Part 2: the changes in electrical activity of the cervical muscles upon varying the vertical dimension. Cranio 2002;20(1):39–47. DOI: 10.1080/08869634.2002.11746189.
Morasso PG, Schieppati M. Can muscle stiffness alone stabilize upright standing? J Neurophysiol 1999;82(3):1622–1626. DOI: 10.1152/jn.1922.214.171.1242.
Browne PA, Clark GT, Kuboki T, et al. Concurrent cervical and craniofacial pain. A review of empiric and basic science evidence. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;86(6):633–640. DOI: 10.1016/S1079-2104(98)90195-0.
D'Attilio M, Filippi MR, Femminella B, et al. The influence of an experimentally-induced malocclusion on vertebral alignment in rats: a controlled pilot study. Cranio 2005;23(2):119–129. DOI: 10.1179/crn.2005.017.
Wright A, Sluka KA. Nonpharmacological treatments for musculoskeletal pain. Clin J Pain 2001;17(1):33–46. DOI: 10.1097/00002508-200103000-00006.
Kiliaridis S, Katsaros C, Karlsson S. Effect of masticatory muscle fatigue on crania-vertical head posture and rest position of the mandible. Eur J Oral Sci 1995;103(3):127–132. DOI: 10.1111/j.1600-0722.1995.tb00013.x.
Huggare JA, Raustia AM. Head posture and cervicovertebral and craniofacial morphology in patients with craniomandibular dysfunction. Cranio 1992;10(3):173–177. DOI: 10.1080/08869634.1992.11677908.
Salonen MA, Raustia AM, Huggare JA. Changes in head and cervicalspine postures and EMG activities of masticatory muscles following treatment with complete upper and partial lower denture. Cranio 1994;12(4):222–226. DOI: 10.1080/08869634.1994.11678025.
McNeely ML, Armco OS, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys Ther 2006;86(5):710–725. DOI: 10.1093/ptj/86.5.710.
Okeson JP. Management of Temporomandibular Disorders and Occlusion, 5th ed., St. Louis: Mosby; 2003. pp. 371–393.
Le Bell Y, Jamsa T, Korri S, et al. Effect of artificial occlusal interferences depends on previous experience of temporomandibular disorders. Acta Odontol Scand 2002;60(4):219–222. DOI: 10.1080/000163502760147981.
Oladimeji AA, Kesiena SY, Babatunde OA, et al. Presentations, management and outcomes of temporomandibular disorders (TMDs) in Port Harcourt: one-year prospective analysis. J Dent 2016;4(2):47–56. DOI: 10.12974/2311-8695.2016.04.02.2.
Al-Ani Z. Occlusion and temporomandibular disorders: a long-standing controversy in dentistry. Prim Dent J 2020;9(1):43–48.