Abstract

ObjectivesSymmetrical dental occlusion blocking is used in dentistry as a quick diagnostic tool to test for potential influences of the craniomandibular system on body sway and weight distribution. This study presents the changes of body sway and pressure distribution in healthy subjects, free of a temporomandibular dysfunction (TMD). Immediate effects between occlusal blocking and rest position on body sway and body weight distribution in general, as well as for both genders and for four age decades will be evaluated.Materials and methods725 (396f/329 m) subjects (neither subjective signs of TMD nor acute/chronic complaints in the musculoskeletal system) volunteered (21 to 60 years) while both genders were divided into four age groups according to decades. A pressure measuring platform was used. Body sway and weight distribution were recorded in two dental occlusion conditions (a) in rest position and (b) symmetrical blocking (bicuspid region) by cotton rolls.ResultsBoth, the frontal sway and the sagittal sway reduced by 0.67 mm (t(724) = − 3.9 (p < 0.001)) and by 0.33 mm (t(724) = − 3.4 (p < 0.001)). The relative pressure under the left forefoot increased by 0.33% (t(724) = 2.88 (p < 0.001)) and the relative pressure overall under the forefoot increased by 0.67% (t(724) = − 3.4 (p < 0.001)). Gender-specific, age-specific and BMI-specific reactions could not be identified.ConclusionsSubjects, free of any TMD and with no complaints of the musculoskeletal system, show small changes of the body sway and weight distribution when biting symmetrically on a cotton roll. These changes are independent of age, gender or body mass index (BMI). Due to the relative large sample size, the presented results can also be seen as norm values when body sway is used as an additional assessment of a TMD.

Highlights

  • Subjects, free of any temporomandibular disorders (TMD) and with no complaints of the musculoskeletal system, show small changes of the body sway and weight distribution when biting symmetrically on a cotton roll. These changes are independent of age, gender or body mass index (BMI)

  • Due to the relative large sample size, the presented results can be seen as norm values when body sway is used as an additional assessment of a TMD

  • To date, several reviews and meta-analyses [1,2,3,4,5,6,7,8,9,10] conclude that some connections exist between the temporomandibular joint (TMJ) and the body posture and body sway

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Summary

Introduction

Several reviews and meta-analyses [1,2,3,4,5,6,7,8,9,10] conclude that some connections exist between the temporomandibular joint (TMJ) and the body posture and body sway. The review by Moon & Lee [7] confirmed that, theoretically, neurophysiological connections exist that allow an influence of the TMJ on postural stability. Perinetti et al [1] questioned the clinical significance between temporomandibular disorders (TMD) and postural stability due to low diagnostic accuracy, the general low quality of the used study protocols or missing follow-up studies and the validity of posturography as a diagnostic test [6]. Perinetti et al [5] concluded in their meta-analysis that a 25% difference of the sway variables is required to measure a true difference between various conditions

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