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Introduction: Air force pilots have great postural control, movement coordination, motor learning, and motor transformation. They undergo abnormal stresses during flight that affect their organs and systems, with consequences such as barodontalgia, bruxism, TMJ dysfunctions, and cervical pain. The aim of this study was to evaluate the influence of dental occlusion and vision on their body posture., Methods: In collaboration with the "A. Mosso" Legal Medical Institute (Aeronautica Militare), two groups, consisting of 20 air force and 20 civilian pilots, were selected for the study using a protocol approved by the Italian Air Force. An oral examination and a force platform test were performed in order to evaluate the subjects' postural system efficiency. A MANOVA (Multivariate analysis of variance) analysis was performed by using the Wilkes' criterion, in order to statistically evaluate the influence of each factor., Results: Both the sway area and velocity parameters are very strongly influenced by vision: the sway area increases by approximately 32% and the sway velocity increases by approximately 50% when the pilot closes his eyes. Only the sway area parameter was significantly influenced by the mandibular position: the mandibular position with eyes open changed the sway area by about 51% and with eyes closed by about 40%. No statistically significant differences were found between air force and civilian pilots., Discussion: The results of this analysis show that occlusion and visual function could influence posture in air force and civilian pilots.

Objectives: Force platforms are widely used to evaluate the relationship between posture and dental occlusion. This study evaluated whether force platforms are able to detect eventual postural modifications resulting from dental occlusion., Method: A total of 44 healthy volunteers who were given no information on the aim of the study underwent six postural stabilometric exams under different mandibular and visual conditions. Four parameters were considered: sway area, sway velocity, X axis displacement of the center of the foot pressure and Y axis displacement of the center of the foot pressure., Results: An analysis of variance (ANOVA) revealed the relative influence of each factor; specifically, the ocular afference significantly influenced the sway area and sway velocity parameters, and the mandibular position had only a weak influence on the sway area parameter., Conclusions: Vision was shown to influence body posture, and a weak correlation was observed between mandibular position and body posture in healthy subjects. However, the force platform is most likely not able to clearly detect this relationship. Gnathologists must use caution when using force platform analysis to modify a therapeutic plan. The sway area seems to be the most sensitive parameter for evaluating the effect of occlusion on body posture.

Background: Due to the stresses of flight, air force pilots are more likely to experience oral parafunctions such as bruxism when compared to the general population. Further, their craniocervical mandibular system is subjected to particular stresses in the course of their duties. The aim of this study was to analyze an air force pilot who was undergoing gnatho-postural treatment in order to protect the masticatory system and achieve better occlusal balance., Case Report: A 32-yr-old pilot from the Italian Air Force national aerobatic team P.A.N. Frecce Tricolori was chosen from the pilots analyzed and treated at the Istituto Medico Legale A. Mosso. A resin stabilization splint was designed for the pilot's lower arch, allowing for the unobstructed excursive glides of the mandible in the protrusive position, and laterality and occlusal balance in the centric position., Discussion: The clinical gnatho-postural treatment involving a functional diagnostic instrument used on Italian Air Force pilots protects the masticatory system from dental abrasion and, in this particular case, seemed to improve the pilot's posture control system as analyzed by the stabilometric platform.

Abstract: Aim of the study: To evaluate the intersession reliability of a posturo-stabilometric examination. Methods: Single blind clinical trial conducted in two sessions over two weeks. 44 healthy volunteers free from postural and temporomandibular disorders. All the subjects complied with the criteria for completing the study. All the subjects underwent two sessions of posturo-stabilometric examinations in different visual and mandibular conditions. Sway area, sway length and the coordinates of the center of pressure were evaluated and statistically analyzed using the Intraclass correlation coefficient (ICC). Results: All the posturo-stabilometric parameters seemed to have an excellent reproducibility with overall ICCs higher than 70% and good confidence intervals except for the sway area (ICC 0.422 with CI 0.283–0.560 with open eyes and ICC 0.554 with CI 0.424–0.683 with closed eyes). Conclusions: The posturo-stabilometric examination carried out using a force platform has a good intrasession and intersession reliability, especially considering sway velocity, COP X and COP Y parameters. The force platform usefulness in analyzing static posture is confirmed in any medical field. [Copyright &y& Elsevier]

Purpose Of the Study: The influence of the stomatognathic apparatus on body posture is a continuously discussed topic with contrasting results. The aim of this study is to analyze differences in postural stability between subjects with and without myogenous TMD.Methods: 25 subjects affected by myogenous TMD according with DC/TMD (6 males, 19 females; mean age 31.75±6.68years) and a healthy control group of 19 subjects (4 Males, 15 Females; mean age 27.26±3.85years) were enrolled in the study. Both groups underwent a posturo-stabilometric force platform exam under different mandibular and visual conditions. Sway area and sway velocity of the COP (Center Of foot Pressure) posturo-stabilometric parameters were evaluated and compared applying Mann-U-Whitney statistical test.Results: The sway area and sway velocity parameters resulted statistically significantly higher in the TMD group (sway area p<0.01; sway velocity p<0.05) in mandibular maximum intercuspation and rest positions with eyes open.Conclusions: This study demonstrates a significant difference in body postural stability between subjects with myogenous TMD and healthy controls. In particular, sway area and sway velocity postural parameters are increased in these subjects. [ABSTRACT FROM AUTHOR]