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Is There a Correlation between Dental Occlusion, Postural Stability and Selected Gait Parameters in Adults?

Author

Listed:
  • Monika Nowak

    (Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, 30-705 Kraków, Poland)

  • Joanna Golec

    (Institute of Clinical Rehabilitation, University School of Physical Education in Krakow, 31-571 Kraków, Poland)

  • Aneta Wieczorek

    (Department of Prosthodontics and Orthodontics, Faculty of Medicine, Jagiellonian University Medical College, 31-007 Kraków, Poland)

  • Piotr Golec

    (Individual Medical Practice, 30-390 Kraków, Poland)

Abstract

Background: There is still an ongoing debate about the role of the craniomandibular system, including occlusal conditions, on postural stability. This study aims to assess the role of antero-posterior malocclusion on postural control and plantar pressure distribution during standing and walking. Methods: 90 healthy volunteers (aged 19 to 35) were qualified for the study. The subjects were assigned to three groups, depending on the occlusion type. Each group (Angle Class I, II and III) consisted of 30 people. The research procedure included a clinical occlusal assessment performed by a dentist. Postural control measurements were carried out using a force platform by measuring plantar pressure distribution during standing (six trials with and without visual control) and walking test conditions. Results: The tendency to shift the CoP forward is demonstrated by Angle Class II subjects and backwards by Class I and III subjects ( p < 0.001). Individuals with a malocclusion demonstrated significantly higher selected stabilographic parameters while standing on both feet (with eyes open and closed) and during the single-leg test with eyes open ( p < 0.05). The analysis of the dynamic test results showed no significant correlations between Angle Classes and the selected gait parameters. Conclusions: Analyses conducted among individuals with malocclusions showed the impact of occlusion on static postural stability. In order to diagnose and effectively treat malocclusion, a multidisciplinary approach with the participation of dentists and physiotherapy specialists is necessary, with the use of stabilometric and kinematic posture assessments.

Suggested Citation

  • Monika Nowak & Joanna Golec & Aneta Wieczorek & Piotr Golec, 2023. "Is There a Correlation between Dental Occlusion, Postural Stability and Selected Gait Parameters in Adults?," IJERPH, MDPI, vol. 20(2), pages 1-17, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1652-:d:1037979
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    References listed on IDEAS

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    1. Christian Maurer & Felix Stief & Alexander Jonas & Andrej Kovac & David Alexander Groneberg & Andrea Meurer & Daniela Ohlendorf, 2015. "Influence of the Lower Jaw Position on the Running Pattern," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-16, August.
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