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Head posture and malocclusions

B Solow1, L Sonnesen

  • 1Department of Orthodontics, School of Dentistry, Faculty of Health Sciences, University of Copenhagen, Denmark.

European Journal of Orthodontics
|February 2, 1999
PubMed
Summary
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Children with anterior dental crowding often exhibit altered head and neck posture. This study found larger craniocervical angles in children with crowding, supporting the soft tissue stretching hypothesis.

Area of Science:

  • Orthodontics
  • Pediatric Dentistry
  • Radiographic Cephalometry

Background:

  • Malocclusions are common dental anomalies in children.
  • Head and neck posture may influence dentofacial development.
  • Previous research suggests a link between posture and dental arch form.

Purpose of the Study:

  • To investigate the association between head and neck posture and malocclusions in children.
  • To determine if specific postural patterns correlate with dental crowding.

Main Methods:

  • A sample of 96 children (aged 7-13) undergoing orthodontic treatment for severe malocclusions was analyzed.
  • Lateral cephalometric radiographs were used to measure craniovertical, craniocervical, and cervicohorizontal postural variables.
  • Malocclusions were clinically diagnosed and classified, with a focus on anterior crowding (lack of space > 2mm).

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Main Results:

  • A significant association was observed between anterior dental crowding and craniocervical posture.
  • Children with anterior crowding showed significantly larger craniocervical angles (3-5 degrees) compared to those without crowding (P < 0.05, P < 0.01).

Conclusions:

  • Extended craniocervical posture may impede sagittal dentoalveolar arch development.
  • Findings support the soft tissue stretching hypothesis in the context of malocclusion development.
  • Head and neck posture is a relevant factor to consider in orthodontic diagnosis and treatment planning for children.