Dental Malocclusion and Body Posture in Young Subjects: A Multiple Regression Study

• Published in: Clinics (São Paulo, Brazil) Vol. 65; no. 7; pp. 689 - 695
• Main Authors: Perinetti, Giuseppe, Contardo, Luca, Silvestrini-Biavati, Armando, Perdoni, Lucia, Castaldo, Attilio
• Format: Journal Article
• Language: English
• Published: Brazil Elsevier España, S.L.U 2010; Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo; Faculdade de Medicina / USP; Elsevier España
• Subjects: Adolescent; Age Factors; Child; Clinical Science; Correlation; Diagnosis; Female; Humans; Linear Models; Male; Malocclusion; Malocclusion - complications; Malocclusion - physiopathology; MEDICINE, GENERAL & INTERNAL; Postural stability; Posture - physiology; Sex Factors; Stomatognathic system; Stomatognathic System - physiopathology; Temporomandibular Joint Disorders - physiopathology; Stomatognathic system; Malocclusion; Correlation; Diagnosis; Postural stability
• ISSN: 1807-5932; 1980-5322; 1980-5322
• DOI: 10.1590/S1807-59322010000700007

Controversial results have been reported on potential correlations between the stomatognathic system and body posture. We investigated whether malocclusal traits correlate with body posture alterations in young subjects to determine possible clinical applications. A total of 122 subjects, including 86 males and 36 females (age range of 10.8–16.3 years), were enrolled. All subjects tested negative for temporomandibular disorders or other conditions affecting the stomatognathic systems, except malocclusion. A dental occlusion assessment included phase of dentition, molar class, overjet, overbite, anterior and posterior crossbite, scissorbite, mandibular crowding and dental midline deviation. In addition, body posture was recorded through static posturography using a vertical force platform. Recordings were performed under two conditions, namely, i) mandibular rest position (RP) and ii) dental intercuspidal position (ICP). Posturographic parameters included the projected sway area and velocity and the antero-posterior and right-left load differences. Multiple regression models were run for both recording conditions to evaluate associations between each malocclusal trait and posturographic parameters. All of the posturographic parameters had large variability and were very similar between the two recording conditions. Moreover, a limited number of weakly significant correlations were observed, mainly for overbite and dentition phase, when using multivariate models. Our current findings, particularly with regard to the use of posturography as a diagnostic aid for subjects affected by dental malocclusion, do not support existence of clinically relevant correlations between malocclusal traits and body posture.