Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.01122
Revista de Odontologia da UNESP
Original Article

Radiographic studies of the hyoid bone and cervical spine in Angle Class I and Class II/2nd Division malocclusions

Estudos radiográficos do osso hioide e da coluna cervical nas maloclusões Classe I e Classe II/2ª Divisão de Angle

Ana Lucia de Oliveira NASCIMENTO; Fabiano REIS; Mirian Hideko NAGAE

Downloads: 0
Views: 451

Abstract

Abstract: Introduction: Interdisciplinary investigative study of the stomatognathic-cervical complex, necessary to understand the structure and biomechanics of the hyoid bone and cervical spine in Class I and II / 2nd Division participants.

Objective: To analyze the position of the hyoid bone and the curvature of the cervical spine on lateral radiographs of participants with Class I and II/2nd Division Angle malocclusion.

Material and method: We evaluated the position of the hyoid bone from its alignment with the corresponding cervical vertebra. The presentation of curvature of the cervical spine was evaluated from the fourth cervical vertebra.

Result: There was a statistically significant difference in the position of the hyoid bone (p=0.027) between the classes, which was located at C3 in Class I and further down, between C3 and C5, in Class II/2nd Division. The cervical spine showed alterations in both classes, with an increase, rectification, and inversion of the curvature with no statistical difference between them (p=0.533).

Conclusion: In this study, the hyoid bone showed different positions in the malocclusions studied, however, poor posture of the cervical spine was common in both classes.

Keywords

Malocclusion, radiography, hyoid bone, cervical column

Resumo

Resumo: Introdução: Estudo interdisciplinar investigativo do complexo estomatognático-cervical, necessário para compreender a estrutura e a biomecânica do osso hioide e coluna cervical em participantes Classe I e II/2ª Divisão de Angle.

Objetivo: Analisar a posição do osso hioide e da curvatura da coluna cervical nas radiografias em perfil de participantes com má oclusão Classes I e II/2ª Divisão de Angle.

Material e método: A posição do osso hioide foi avaliada a partir de seu alinhamento com a vértebra cervical correspondente. A apresentação da curvatura da coluna cervical foi determinada a partir da proximidade com a quarta vértebra cervical.

Resultado: Houve diferença estatística significativa na posição do osso hioide (p=0,027) entre as classes, que ficou situado em C3 na Classe I e mais abaixo, entre C3 e C5, na Classe II/2ª Divisão. A coluna cervical apresentou alterações em ambas as classes sem diferença estatística entre as mesmas (p=0,533), com aumento, retificação e inversão da curvatura.

Conclusão: Neste estudo, o osso hioide apresentou posições distintas nas más oclusões estudadas, no entanto, a má postura da coluna cervical foi comum em ambas as classes.
 

Palavras-chave

Má oclusão, radiografia, osso hioide, coluna cervical

References

1 De Santana JM, Perissinotti DMN, Oliveira JO Jr, Correia LMF, Oliveira CM, Fonseca PRB. Definição de dor revisada após quarto décadas. BrJP. 2020 jul-set;3(3):197-8.

2 Patti A, Bianco A, Messina G, Paoli A, Bellafiore M, Battaglia G, et al. The influence of the stomatognathic system on explosive strength: a pilot study. J Phys Ther Sci. 2016 Jan;28(1):72-5. PMid:26957731.

3 Nascimento ALO, Reis F, Bérzin F, López CACA, Nascimento ACO, Espinosa MNH. Quando exercícios de fortalecimento da língua refletem na região cervical. CoDAS. 2020;32(4):e20180285. http://dx.doi.org/10.1590/2317-1782/20202018285. PMid:32756852.

4 Auvenshine RC, Pettit NJ. The hyoid bone: an overview. Cranio. 2020 Jan;38(1):6-14. PMid:30286692.

5 Mortazavi S, Asghari-Moghaddam H, Dehghani M, Aboutorabzade M, Yaloodbardan B, Tohidi E, et al. Hyoid bone position in different facial skeletal patterns. J Clin Exp Dent. 2018 Apr;10(4):e346-51. PMid:29750095.

6 Bibby RE, Preston CB. The hyoid triangle. Am J Orthod. 1981 Jul;80(1):92-7. PMid:6942659.

7 Tan LA, Riew KD, Traynelis VC. Cervical spine deformity-part 1: biomechanics, radiographic parameters, and classification. Neurosurgery. 2017 Aug;81(2):197-203. PMid:28838143.

8 Carini F, Mazzola M, Fici C, Palmeri S, Messina M, Damiani P, et al. Posture and posturology, anatomical and physiological profiles: overview and current state of art. Acta Biomed. 2017 Apr;88(1):11-6. PMid:28467328.

9 Rocabado M. Análisis biomecánico cráneo cervical a través de una teleradiografía lateral. Rev Chil Ortod. 1984 ene-jun;1(1):42-52.

10 Randow K, Carlsson K, Edlund J, Oberg T. The effect of an occlusal interference on the masticatory system. An experimental investigation. Odontol Revy. 1976;27(4):245-56. PMid:1070629.

11 Bontrager K. Tratado de posicionamento radiográfico e anatomia associada. 9. ed. Rio de Janeiro: Guanabara Koogan; 2018.

12 Penning L. Functional pathology of the cervical spine. Netherlands: Royal van Gorcum; 1968.

13 Nunes PC, Ouverney LB, Venâncio L, Veiga VF Jr, Mello CAV. Spine pains and lesions, habits and behavior in physical therapy students. Fisioter Bras. 2005 Maio-Jun;6(3):198-203.

14 Tourné LP. Growth of the pharynx and its physiologic implications. Am J Orthod Dentofacial Orthop. 1991 Feb;99(2):129-39. PMid:1990822.

15 Brodie AG. Anatomy and physiology of head and neck musculature. Am J Orthod. 1950 Nov;36(11):831-44. PMid:14783190.

16 Rocabado Seaton M. Relaciones biomecánicas de las regiones craneales, cervicales e hioideas/Biomechanic relations of the cranial, cervical and hyoid regions. Ortodoncia. 1994 ene-jun;58(115):51-6.

17 Kapandji IA. Fisiologia articular: esquemas comentados de mecânica humana. 6. ed. Rio de Janeiro: Guanabara Koogan; 2009. (Vol. 3).

18 Tan LA, Riew KD, Traynelis VC. Cervical spine deformity-part 1: biomechanics, radiographic parameters, and classification. Neurosurgery. 2017 Aug;81(2):197-203. PMid:28838143.

19 Kim MA, Kim BR, Choi JY, Youn JK, Kim YJ, Park YH. Three-dimensional changes of the hyoid bone and airway volumes related to its relationship with horizontal anatomic planes after bimaxillary surgery in skeletal Class III patients. Angle Orthod. 2013 Jul;83(4):623-9. PMid:23311605.

20 Tallgren A, Solow B. Hyoid bone position, facial morphology and head posture in adults. Eur J Orthod. 1987 Feb;9(1):1-8. PMid:3470181.

21 Parrini S, Comba B, Rossin IG, Ravera S, Cugliar IG, De Giorgi I, et al. Postural changes in orthodontic patients treated with clear aligners: a rasterstereographic study. J Electromyogr Kinesiol. 2018 Feb;38:44-8. PMid:29156321.

22 Nunes D. Prevalência de maloclusões relacionadas ao uso e tipos de chupetas usadas na dentição decídua em crianças de Nova Friburgo. Rev Bras Odontol. 2018;75(Supl 2):15.

23 Cárdenas JM, Flores JCF, Cantú FJG, Cárdenas GM, Meraz WS, Barrera ALG. Estudio morfométrico de la posición cráneo-cervical en pacientes con clases esqueletales II y III. Int J Morphol. 2015 Jun;33(2):415-9.
 


Submitted date:
03/27/2022

Accepted date:
07/01/2022

636e4683a95395323c714b53 rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections