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Impact of occlusal stabilization splints on global body posture: a prospective clinical trial.
Hampe, Tristan; Fürstberger, Laura; Kordsmeyer, Tobias L; Penke, Lars; Mahler, Alannah M; Mäder, Clemens M; Bürgers, Ralf; Krohn, Sebastian.
Afiliación
  • Hampe T; Department of Prosthodontics, University Medical Center Göttingen, 37075, Göttingen, Germany. hampe.tristan@gmail.com.
  • Fürstberger L; Department of Prosthodontics, University Medical Center Göttingen, 37075, Göttingen, Germany.
  • Kordsmeyer TL; Department of Psychology & Leibniz ScienceCampus Primate Cognition, University of Göttingen, 37073, Göttingen, Germany.
  • Penke L; Department of Psychology & Leibniz ScienceCampus Primate Cognition, University of Göttingen, 37073, Göttingen, Germany.
  • Mahler AM; Department of Prosthodontics, University Medical Center Göttingen, 37075, Göttingen, Germany.
  • Mäder CM; Department of Prosthodontics, University Medical Center Göttingen, 37075, Göttingen, Germany.
  • Bürgers R; Department of Prosthodontics, University Medical Center Göttingen, 37075, Göttingen, Germany.
  • Krohn S; Department of Prosthodontics, University Medical Center Göttingen, 37075, Göttingen, Germany.
Clin Oral Investig ; 28(9): 505, 2024 Aug 29.
Article en En | MEDLINE | ID: mdl-39207547
ABSTRACT

OBJECTIVES:

Body posture of patients with temporomandibular disorders (TMD) has been investigated using different methods, whereas outcome and conclusions were controversial. The present clinical trial aimed to investigate the effects of splint therapy on global body posture. MATERIALS AND

METHODS:

24 subjects (20 females, 4 males; age 24.2 ± 4.0 years) with TMD symptoms were examined clinically (RDC/TMD) and subsequently, splint fabrication was initiated. Along with routine therapy, all subjects underwent three-dimensional pre- and post-treatment full body scans in standing and upright sitting posture using a Vitus Smart XXL 3D scanner. Each scan was acquired in triplicate and evaluated in duplicate, measuring twelve standing and nine sitting postural parameters. Influencing factors were analyzed using analysis of variance (ANOVA), and additional Bland-Altman analyses verified the significance of the ANOVA results.

RESULTS:

The increase of Forward Head angles and the decrease of Round Shoulders angles were consistent for both positions and sides. Forward Head angles were significantly influenced by limited mandibular mobility and myofascial pain. Round Shoulders angles showed a significant correlation with myofascial pain, joint noises and the absence of limited mandibular mobility.

CONCLUSION:

The influence of occlusal splints on global posture is limited and only small effects on cervicocranial parameters were found. In the present study, the average head position of post treatment measurements was more centered on the body's core, whereas the shoulders were tilted more anteriorly. CLINICAL RELEVANCE Understanding the limited influence of occlusal splints on cervicocranial parameters underscores the need for multimodal treatment strategies for TMD patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Postura / Trastornos de la Articulación Temporomandibular / Ferulas Oclusales Límite: Adult / Female / Humans / Male Idioma: En Revista: Clin Oral Investig Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Postura / Trastornos de la Articulación Temporomandibular / Ferulas Oclusales Límite: Adult / Female / Humans / Male Idioma: En Revista: Clin Oral Investig Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania