Vertical Mandibular and Trunk Symmetry in Indonesian Orthodontic Patients
Keywords:
Orthodontics, Facial Asymmetry, Radiography, PanoramicAbstract
Objective: To analyze differences in vertical mandibular and trunk symmetry in orthodontic patients. Material and Methods: This was a cross-sectional study of 129 growing orthodontic patients who sought orthodontic treatment at the Dental Hospital Universitas Sumatera Utara, Indonesia. Mandibular symmetry index was observed with pre-treatment panoramic radiography based on Kjellberg's technique and trunk symmetry was evaluated based on questionnaires and visual observation. Vertical mandibular asymmetry was decided if the index of asymmetry was lower than 93.7%. The bivariate analysis used the chi-squared and Fisher's exact tests, with a significance level of 5%. Results: There was a significant association between vertical mandibular and trunk symmetry (p<0.05). The prevalence odds ratio for the association with vertical mandibular asymmetry was 3.007 (95% CI = 1.016-8.905) for trunk asymmetry. Conclusion: The necessity to consider trunk symmetry could be included in orthodontics treatment of any malocclusion with vertical mandibular asymmetry that might require a multidisciplinary approach in the future.
References
Cheong Y, Lo L. Facial asymmetry: etiology, evaluation, and management. Chang Gung Med J 2011; 34(4):341-51.
Anison JJ, Rajasekar L, Ragavendra B. Understanding asymmetry - a review. Biomed Pharmacol J 2015; 8:659-68. https://doi.org/10.13005/bpj/764
Thiesen G, Gribel BF, Freitas MPM. Facial asymmetry: a current review. Dental Press J Orthod 2015; 20(6):110-25. https://doi.org/10.1590/2177-6709.20.6.110-125.sar
Maheswari S, Verma SK, Gaur A, Dhiman S. Diagnosis and management of facial asymmetries. J Orthod Res 2015; 3(2):81-7.
Chia MS, Naini FB, Gill DS. The aetiology, diagnosis and management of mandibular asymmetry. Orthod Updat 2008; 1(2):44-52. https://doi.org/10.12968/ortu.2008.1.2.44
Cuccia A, Caradonna C. The relationship between the stomatognathic system and body posture. Clinics 2009; 64(1):61-6. https://doi.org/10.1590/s1807-59322009000100011
Khan MT, Verma SK, Maheshwari S, Zahid SN, Chaudhary PK. Neuromuscular dentistry: Occlusal diseases and posture. J Oral Biol Craniofac Res 2013; 3(3):146-50. https://doi.org/10.1016/j.jobcr.2013.03.003
Salkar RG, Radke UM, Deshmukh SP, Radke PM. Relationship between temporomandibular. Int J Dent Health Sci 2015; 2(6):1523-30.
Saccucci M, Tettamanti L, Mummolo S, Polimeni A, Festa F, Tecco S. Scoliosis and dental occlusion: A review of the literature. Scoliosis 2011; 6:15. https://doi.org/10.1186/1748-7161-6-15
Hong J, Suh S, Modi HN, Yang J, Hwang Y, Lee D, et al. Correlation between facial asymmetry, shoulder imbalance, and adolescent idiopathic scoliosis. Orthopedics 2011; 34(6):187. https://doi.org/10.3928/01477447-20110427-14
Segatto E, Segatto A, Braunitzer G, Kirschneck C, Fanghänel J, Danesh G, et al. Craniofacial and cervical morphology related to sagittal spinal posture in children and adolescents. Biomed Res Int 2014; 2014:638238. https://doi.org/10.1155/2014/638238
Alghadir AH, Zafar H, Iqbal ZA. Effect of three different jaw positions on postural stability during standing. Funct Neurol 2015; 30(1):53-7.
Segatto E, Lippold C, Végh A. Craniofacial features of children with spinal deformities. BMC Musculoskelet Disord 2008; 9:169. https://doi.org/10.1186/1471-2474-9-169
Pociask FD, DiZazzo-Miller R, Goldberg A, Adamo DE. Contribution of head position, standing surface, and vision to postural control in community-dwelling older adults. Am J Occup Ther 2016; 70(1):7001270010p1-8. https://doi.org/10.5014/ajot.2016.015727
Iturriaga V, Navarro P, Cantin M, Fuentes R. Prevalence of vertical condilar asymmetry of the temporomandibular joint in patients with signs and symptoms of temporomandibular disorders. Int J Morphol 2012; 30(1):315-21. https://doi.org/10.4067/S0717-95022012000100056
Hirpara N, Jain S, Hirpara VS, Punyani PR. Comparative assessment of vertical facial asymmetry using posteroanterior cephalogram and orthopantomogram. J Biomed Sci 2017; 6(1):1-7. https://doi.org/10.21767/2254-609X.100052
Singla D, Veqar Z. Methods of postural assessment used for sports persons. J Clin Diagn Res 2014; 8(4):LE01-4. https://doi.org/10.7860/JCDR/2014/6836.4266
Adobor RD, Riise RB, Sørensen R, Kibsgård TJ, Steen H, Brox JI. Scoliosis detection , patient characteristics , referral patterns and treatment in the absence of a screening program in Norway. Scoliosis 2012; 7(1):18. https://doi.org/10.1186/1748-7161-7-18
Coster GD, Dongen SV, Malaki P, Muchane M, Alcántara-Exposito A, Matheve H, et al. Fluctuating asymmetry and environmental stress: understanding the role of trait history. PLoS One 2013; 8(3):e57966. https://doi.org/10.1371/journal.pone.0057966
Harila V, Valkama M, Sato K, Tolleson S, Hanis S, Kau CH, et al. Occlusal asymmetries in children with congenital hip dislocation. Eur J Orthod 2012; 34(3):307-11. https://doi.org/10.1093/ejo/cjr004
Zhou S, Yan J, Da H, Yang Y, Wang N, Wang W, et al. A correlational study of scoliosis and trunk balance in adult patients with mandibular deviation. PLoS One 2013; 8(3):e59929. https://doi.org/10.1371/journal.pone.0059929
Lippold C, Moiseenko T, Drerup B, Schilgen M, Végh A, Danesh G. Spine deviations and orthodontic treatment of asymmetric malocclusions in children. BMC Musculoskelet Disord 2012; 13:151. https://doi.org/10.1186/1471-2474-13-151
Kim T, Kim J, Kim Y, Cho I, Lim Y, Lee D. The relation between idiopathic scoliosis and the frontal and lateral facial form. Korean J Orthod 2014; 44(5):254-62. https://doi.org/10.4041/kjod.2014.44.5.254
Elslande DCV, Russett SJ, Major PW, Flores-Mir C. Mandibular asymmetry diagnosis with panoramic imaging. Am J Orthod Dentofacial Orthop 2008; 134(2):183-92. https://doi.org/10.1016/j.ajodo.2007.07.021
Kasimoglu Y, Tuna EB, Rahimi B, Marsan G, Gencay K. Condylar asymmetry in different occlusion types. Cranio 2015; 33(1):10-4. https://doi.org/10.1179/0886963414Z.00000000039
Silvestrini-Biavati A, Migliorati M, Demarziani E, Tecco S, Silvestrini-Biavati P, Polimeni A, et al. Clinical association between teeth malocclusions, Wrong posture and ocular convergence disorders: An epidemiological investigation on primary school children. BMC Pediatr 2013; 13:12. https://doi.org/10.1186/1471-2431-13-12
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