1. The Stomatognathic System's Role in the Postural Stabilization in Subjects Suffering from Whiplash Injury Part 1: Patients with Physiological Occlusion
- Author
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Giacomello, MS, Bertella, L, Perego, S, Zorzella, P, CACCIANIGA, GIANLUIGI, Giacomello, M, Bertella, L, Perego, S, Zorzella, P, and Caccianiga, G
- Subjects
lcsh:R ,Immunology ,lcsh:Medicine ,Immunology and Allergy ,MED/28 - MALATTIE ODONTOSTOMATOLOGICHE ,posture, whiplash, dental occlusion, malocclusion, tmj disorders - Abstract
Aim of this study is analyze the effects of dental occlusion on postural stability in patients with previous whiplash and normal occlusion. Materials and methods: 36 adult patients with previous whiplash and normal occlusion (good alignment, 1st class or mild 2nd class deep bite for mandibular retrusion) were selected. The patients were suffering from masticatory muscles pain caused by clenching during sleep. Exclusion criteria: use of psych drugs. To simulate the conditions of sleep (with a reduction of proprio-and esteroceptive inputs for postural management performed by CNS), we used postural Romberg analysis (feet together, closed eyes)on stabilometric platform changing occlusal parameters only, under the following conditions: 1) in occlusal rest position, 2) in centric occlusion, 3) in clenching, 4) with occlusal disengage with cotton rolls and 5) in clenching on cotton rolls. Time of each test: 15 seconds. It was performed a statistical analysis with T-test comparing between them the mean of all tests. Results: stabilometry data (postural ball and ellipse) show better postural performances in centric occlusion and clenching in centric occlusion, and a worsening in all tests with occlusal disengage (with statistically significant difference - p
- Published
- 2012