2016, Number 1
<< Back Next >>
Rev Mex Ortodon 2016; 4 (1)
Influence of an occlusal imbalance in the deviation and alignment of the vertebral spine in rats: a controlled trial
de la Madrid FV, Morales GF, Ondarza RR, Justus DR, García-López S
Language: Spanish
References: 22
Page: 24-30
PDF size: 372.93 Kb.
ABSTRACT
Objective: The objective of this study was to determine if the influence of an occlusal imbalance caused in the molars of rats originates scoliosis of the spine.
Material and methods: The study sample consisted of 36 Wistar rats, 4-months- old that were divided into three equal groups. A spine X-ray was obtained from all rats prior to the experiment. In the first experimental group a 0.5 mm occlusal stop was placed at the upper right first molar for two weeks. After this period was completed, a spinex-ray was taken. Subsequently another occlusal stop was placed on the opposite sidein order to level the stopsduring two weeks and afterwards, the columnwas radiographically assessed once again. The second experimental group received an occlusal stop in the upper right first molar for 4 weeks and x-rays were obtained. In the control group no occlusal stop was placed.
Results: According to the initial Cobb angle of the first experimental group (n = 12), the average was 1.42
o ± 1.31
o in the spinex-rays; after the occlusal stop was placed on the upper right molar for two weeks the group showed a column deviation of 15.17
o ± 6.7
o; subsequently a second occlusal stop was placed on the opposite side to balance the occlusion and after another two weeks the column almost returned to its original position (3.17
o ± 2.48
o). The second experimental group (n = 12) prior to the start of the experiment showed an average Cobb angle of 1.17
o ± 1.19
o; after two weeks with the unilateral occlusal stop it increased to 13.67
o ± 10.61
o and after four weeks it was 22.33
o ± 12.19
o. In the control group (n = 12) without any stop, the column remained stable.
Conclusions: The present study demonstrated that through an occlusal imbalance the spine may be altered, causing scoliosis and as soon asthe alterationis eliminated, column alignment is evident.
REFERENCES
Andry N. Orthopaedia, or the art of correcting and preventing deformities in children, (facsimile reproduction of first edition in English, London, 1743). Philadelphia: JB Lippincott, 1961. Vols. 1 y 2.
Trobisch P, Suess O, Schwab F. Idiopathic Scoliosis. Dtsch Arztebl Int. 2010; 107: 875-884.
Dayan N, Abraham Z, Lieberman M. Cephalometric evaluation of an oral stabilizing appliance with the modified Milwaukee Brace. Angle Orthod. 1977; 47 (4): 300-303.
Esposito GM, Meersseman JP. Valutazione della relazione esistente tra oclusione e postura. Il Dentista Moderno 87/923, Milano, Maggio 1988.
Rouvière H, Delmas A, Delmas V. Anatomía humana: descriptiva, topográfica y funcional. Vol. 2, Ed. Masson. 2005. p. 54.
Agrippa C. Filosofía oculta. 6a ed. Buenos Aires, Editorial Kier, 2004.
D’Attilio M, Filippi MR, Femminella B, Festa F, Tecco S. The influence of an experimentally-induced malocclusion on vertebral alignment in rats: a controlled pilot study. Cranio. 2005; 23 (2): 119-129.
González J. Guía exarmed. 3ª edición, Sistema Inter., 2012.
Visscher CM, Lobbezoo F, de Boer W, van der Zaag J, Naeije M. Prevalence of cervical spinal pain in craniomandibular pain patients. Eur J Oral Science. 2001; 109 (2): 76-80.
Hitchcock HP. Treatment of malocclusion associated with scoliosis. Angle Orthod. 1969; 39 (1): 64-68.
Rock WP, Baker R. The effect of Milwaukee brace upon dentofacial growth. Angle Orthod. 1972; 42: 96-102.
Segatto E, Lippold C, Végh A. Craniofacial features of children with spinal deformities. BMC Musculoskelet Disord. 2008; 22 (9): 169.
Lippold C, Danesh G, Hoppe G, Drerup B, Hackenberg L. Trunk inclination, pelvic tilt and pelvic rotation in relation to the craniofacial morphology in adults. Angle Orthod. 2007; 77 (1): 29-35.
Ikemitsu H, Zeze R, Yuasa K, Izumi K. The relationship between jaw deformity and scoliosis. Oral Radiol. 2006; 22: 14-17.
Pirttiniemi P, Kantomaa T, Lahtela P. Relationship between craniofacial and condyle path asymmetry in unilateral cross-bite patients. Eur J Orthod. 1990; 12: 408-413.
Huggare J. Postural disorders and dentofacial morphology. Acta Odontol Scand. 1998; 56 (6): 383-386.
Festa F, D’Attilio M, Vecchiet F. Effects of a horizontal oscillation of the mandible on the spinal column of the rat in vivo using radiographic monitoring. Orthognatodonzia Italiana. 1997; 6: 539-550.
Azuma Y, Maehara K, Tokunaga T, Hashimoto M, Leoka K, Sakagami H. Systemic effects of the occlusal destruction in guinea pigs. In Vivo. 1999; 13 (6): 519-524.
Floman Y. Thoracic scoliosis and restricted head motion: a new syndrome? A report of six cases. Eur Spine J. 1998; 7: 155-157.
Korbmacher H, Eggers-Stroeder G, Koch L, Kahl-Nieke B. Correlations between dentition anomalies and diseases of the of the postural and movement apparatus–a literature review. J Orofac Orthop. 2004; 65 (3): 190-203.
Fink M, Wähling K, Stiesch-Scholz M, Tschernitschek H. The functional relationship between the craniomandibular system, cervical spine, and the sacroiliac joint: a preliminary investigation. Cranio. 2003; 21 (3): 202-208.
Festa F, Tecco S, Dolci M, Ciuffolo F, Di Meo S, Filippi MR et al. Relation between cervical lordosis and facial morphology in caucasian adult women with a skeletal class II malocclusion: atransversal study. Cranio. 2003; 21 (2): 121-129.