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1. Occlusione dentale e prestazione sportiva: revisione della letteratura

Author

Baldini, A, Cravino, G, BALDINI, ALBERTO, Cravino, G., Baldini, A, Cravino, G, BALDINI, ALBERTO, and Cravino, G.

Abstract

Objectives: A search of PubMed was performed to evaluate the hypothesis that correct occlusion or the use of a splint can improve an athlete's performance. Materials and methods: A search of PubMed based on the key words dental occlusion and sport and considering works published through February 2010 yielded 72 articles. For this review, we selected 12 of these whose main topic was athletes. Results: For this review we considered two case-control studies, two reviews, seven pilot studies, and one article regarding the use of a mouthpiece in scuba divers. Conclusions: It is clear that the muscles of the cranio cervico-mandibular district are involved in sports activities. It is still not clear whether insertion of a splint in the oral cavity can or cannot improve an athlete's performances: data on this issue are discordant. We can conclude that every athlete has to be evaluated individually with appropriate clinical and instrumental methods. © 2011 Elsevier Srl. All rights reserved.

Published
2011

5. Gnathological postural analysis and treatment in Air Force pilots: A case report [Valutazione e trattamento gnato-posturale nei piloti militari dell'Aeronautica: un caso clinico]

Author

BALDINI, ALBERTO, Cravino, G, Rinaldi, A, Cioffi, D., Baldini, A, Cravino, G, Rinaldi, A, and Cioffi, D

Subjects
Stabilometric platform, gnatology, occlusion, MED/28 - MALATTIE ODONTOSTOMATOLOGICHE
Abstract

Objectives: As a result of the stress they are subjected to, Air Force pilots have a higher incidence of oral parafunctions, such as bruxism, than the normal population. Furthermore, their duties are associated with particular stress on the craniocervical-mandibular system. The purpose of this report is to analyze the case of an Air Force pilot who is receiving gnathological postural treatment to achieve an improved occlusal balance. Materials and methods: The patient was selected from the large population of Air Force pilots being treated at the "A. Mosso" Legal Medicine Institute in Milan. The protocol provided for clinical assessment of the stomatognathic apparatus and postural system and instrumental analysis that included computerized occlusion analysis, the Postural Stabilometric Test, and the Dynamic Posturographic Test (EquiTest). Results: The Dynamic Posturographic Test (EquiTest) score recorded with the splint inserted in the oral cavity showed very high postural and vestibular performance. Discussion and conclusions: The clinical-instrumental and gnathological postural treatment used on Italian Air Force pilots protects the masticatory system from dental abrasion and, in this particular case, it seemed to improve the patient's posture as reflected by the Dynamic Posturographic Test (EquiTest) scores. © 2010 Elsevier Srl. All rights reserved.

Published
2011

12. Gnathological postural analysis and treatment in Air Force pilots: A case report [Valutazione e trattamento gnato-posturale nei piloti militari dell'Aeronautica: un caso clinico]

Author

Baldini, A, Cravino, G, Rinaldi, A, Cioffi, D, BALDINI, ALBERTO, Cioffi, D., Baldini, A, Cravino, G, Rinaldi, A, Cioffi, D, BALDINI, ALBERTO, and Cioffi, D.

Abstract

Objectives: As a result of the stress they are subjected to, Air Force pilots have a higher incidence of oral parafunctions, such as bruxism, than the normal population. Furthermore, their duties are associated with particular stress on the craniocervical-mandibular system. The purpose of this report is to analyze the case of an Air Force pilot who is receiving gnathological postural treatment to achieve an improved occlusal balance. Materials and methods: The patient was selected from the large population of Air Force pilots being treated at the "A. Mosso" Legal Medicine Institute in Milan. The protocol provided for clinical assessment of the stomatognathic apparatus and postural system and instrumental analysis that included computerized occlusion analysis, the Postural Stabilometric Test, and the Dynamic Posturographic Test (EquiTest). Results: The Dynamic Posturographic Test (EquiTest) score recorded with the splint inserted in the oral cavity showed very high postural and vestibular performance. Discussion and conclusions: The clinical-instrumental and gnathological postural treatment used on Italian Air Force pilots protects the masticatory system from dental abrasion and, in this particular case, it seemed to improve the patient's posture as reflected by the Dynamic Posturographic Test (EquiTest) scores. © 2010 Elsevier Srl. All rights reserved.

Published
2011

18. Occlusione dentale e prestazione sportiva: revisione della letteratura

Author

G. Cravino, A. Baldini, Baldini, A, and Cravino, G

Subjects
gnatology, occlusion, sport, Orthodontics, MED/28 - MALATTIE ODONTOSTOMATOLOGICHE
Abstract

Riassunto Obiettivi Valutare, considerando come motore di ricerca “pubmed.com” se nello sportivo una occlusione corretta o l’applicazione di una placca possa o meno migliorare le prestazioni. Materiali e metodi Sono state considerate le parole chiave “ dental occlusion and sport” considerando articoli fino a febbraio 2010. Inserendo queste due parole chiave sono stati trovati in letteratura 72 articoli; per la revisione bibliografica sono stati selezionati 12 lavori preferendo quelli in cui fossero implicati direttamente degli sportivi. Risultati Gli articoli considerati ai fini di questa revisione bibliografica sono stati: due studi caso-controllo, due revisioni, sette studi pilota, un articolo di considerazioni generali sull’esperienza dell’autore nell’utilizzo del boccaglio nei subacquei. Conclusioni Appare chiaro come nell’attivita sportiva i muscoli del distretto cranio cervico-mandibolare vengono interessati; sul fatto che l’applicazione di uno splint nel cavo orale possa o meno migliorare le prestazioni sportive i risultati appaiono discordanti. Si puo concludere che ogni atleta va valutato individualmente con appropriate valutazioni cliniche e strumentali.

Published
2011

19. Influence of vision and dental occlusion on body posture in pilots.

Author

Baldini A, Nota A, Cravino G, Cioffi C, Rinaldi A, and Cozza P

Subjects
Adolescent, Adult, Aerospace Medicine, Humans, Male, Middle Aged, Multivariate Analysis, Young Adult, Dental Occlusion, Posture physiology, Vision, Ocular physiology
Abstract

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.

Published
2013
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