Lateral Cephalometric Analytical Uses for Temporomandibular Joint Disorders: The Importance of Cervical Posture and Hyoid Position

Horia Opris, Mihaela Baciut, Simion Bran, Florin Onisor, Oana Almasan, Avram Manea, Tiberiu Tamas, Sebastian Stoia, Armencea Gabriel, Grigore Baciut, Bogdan Crisan, Mihaela Hedesiu, Liana Crisan, Ioan Barbur, Daiana Opris () and Cristian Dinu
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Horia Opris: Department of Maxillofacial Surgery and Implantology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Mihaela Baciut: Department of Maxillofacial Surgery and Implantology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Simion Bran: Department of Maxillofacial Surgery and Implantology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Florin Onisor: Department of Maxillofacial Surgery and Implantology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Oana Almasan: Department of Prosthetic Dentistry, Faculty of Dentistry, Iuliu Haţieganu University of Medicine and Pharmacy, 32 Clinicilor Street, 400012 Cluj-Napoca, Romania
Avram Manea: Department of Maxillofacial Surgery and Implantology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Tiberiu Tamas: Department of Maxillofacial Surgery and Implantology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Sebastian Stoia: Department of Maxillofacial Surgery and Implantology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Armencea Gabriel: Department of Maxillofacial Surgery and Implantology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Grigore Baciut: Department of Maxillofacial Surgery and Implantology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Bogdan Crisan: Department of Maxillofacial Surgery and Implantology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Mihaela Hedesiu: Department of Radiology, Faculty of Dentistry, Iuliu Haţieganu University of Medicine and Pharmacy, 32 Clinicilor Street, 400012 Cluj-Napoca, Romania
Liana Crisan: Department of Maxillofacial Surgery and Implantology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Ioan Barbur: Department of Maxillofacial Surgery and Implantology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Daiana Opris: Department of Maxillofacial Surgery and Implantology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Cristian Dinu: Department of Maxillofacial Surgery and Implantology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania

IJERPH, 2022, vol. 19, issue 17, 1-12

Abstract: The temporomandibular joint disorder (TMD) is a syndrome that affects the masticatory muscles and temporomandibular joint (TMJ). Its pathophysiology is not yet fully known. Cephalometric analysis is used for routine evaluation regarding orthodontic treatment and other purposes. The aim of this study was to assess if using cephalometric analysis and TMJ conservative therapy to evaluate the hyoid bone position and the cervical posture reduced symptoms in adults with TMDs compared to no intervention. The authors conducted a systematic review of the literature (PubMed, Cochrane, Web of Science, Scopus, and Embase) for clinical studies of TMDs with conservative treatment and lateral cephalometric analysis of the hyoid and cervical posture. To assess the risk of bias for non-randomized clinical trials ROBINS-I tool was used. Out of 137 studies found, 6 remained to be included. Most of them found a link between TMD and lateral cephalometric analysis, but there was a high risk of bias. This review found a possible link between TMDs, the neck and cervical posture. There is a benefit reported regarding the use of the lateral cephalometry as a treatment, but more extensive prospective randomized clinical trials are necessary to be able to draw definitive conclusions.

Keywords: temporomandibular joint disorders; hyoid bone; cervical posture (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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