International Journal of Clinical Pediatric Dentistry

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VOLUME 17 , ISSUE 6 ( June, 2024 ) > List of Articles

ORIGINAL RESEARCH

Mandible Position and Chewing Preference Side Do Not Alter Plantar Support in Children Aged 4–11 Years

Karina Correia Bonalumi Bittar, Camile Ludovico Zamboti, Christiane de Souza Guerino Macedo

Keywords : Comprehensive healthcare, Photogrammetry, Postural balance, Vertical dimension

Citation Information : Bittar KC, Zamboti CL, Macedo CD. Mandible Position and Chewing Preference Side Do Not Alter Plantar Support in Children Aged 4–11 Years. Int J Clin Pediatr Dent 2024; 17 (6):658-664.

DOI: 10.5005/jp-journals-10005-2886

License: CC BY-NC 4.0

Published Online: 22-08-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Introduction: Mandible positioning can cause global postural adaptations. Physiotherapists and dentists try to relate the mandible position and chewing side to plantar support; however, this indication is uncertain. Objectives: To check the existence of a relationship between mandible position, preferred chewing side, age, and plantar support in children. Materials and methods: This is a cross-sectional study with 93 children, aged between 4 and 11 years. Photogrammetry was used to confirm the mandibular positions (centralized, to the right, and to the left), and baropodometry was used to measure plantar support. The mandibular displacement distance to the right and left was evaluated, and the plantar support in the three mandibular positions was compared as a function of age (4–7 and 8–11 years) and preferred chewing side. Results: There was greater mandibular displacement in left laterality [13 (9–19) cm] compared to right laterality [7 (3.50–12.00) cm] (p < 0.01). Mandibular position did not alter mean pressure, maximum pressure, or plantar support surface (p > 0.05). With the mandible centralized, higher mean pressure, maximum pressure, and surface area were observed in the left foot (p < 0.01). Older children showed greater mandibular displacement to the left (p < 0.01). No differences were observed for the variables of plantar support as a function of age (p > 0.05) and chewing side (p > 0.05). There was a moderate to strong correlation between age, body mass, height, and plantar surface area (0.63 < r < 0.83; p < 0.05) and between mean and maximum pressures of plantar support (0.58 < r < 0.89; p < 0.05). Conclusion: Mandibular position, age, and preferred chewing side do not influence plantar support in children.


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  1. Pollock AS, Durward BR, Rowe PJ, et al. What is balance? Clin Rehabil 2000;14(4):402–406. DOI: 10.1191/0269215500cr342oa
  2. Nowak M, Golec J, Wieczorek A, et al. Is there a correlation between dental occlusion, postural stability and selected gait parameters in adults? Int J Environ Res Public Health 2023;20(2):1652. DOI: 10.3390/ijerph20021652
  3. Cuccia A, Caradonna C. The relationship between the stomatognathic system and body posture. Clinics 2009;64(1):61–66. DOI: 10.1590/S1807-59322009000100011
  4. Solovykh EA, Bugrovetskaya OG, Maksimovskaya LN. Information value of functional status of the stomatognathic system for postural balance regulation. Bull Exp Biol Med 2012;153(3):401–405. DOI: 10.1007/s10517-012-1726-4
  5. Stancker TG, Silva AC de O, Neto HP, et al. Malocclusion influence on balance and posture: a systematic review. Man Ther Posturology Rehabil J 2015;1(1):1–6. DOI: 10.17784/mtprehabJournal.2015.13.320
  6. Alghadir AH, Zafar H, Iqbal ZA. Effect of three different mandible positions on postural stability during standing. Funct Neurol 2015;30(1):53–57.
  7. Julià-Sánchez S, Álvarez-Herms J, Cirer-Sastre R, et al. The influence of dental occlusion on dynamic balance and muscular tone. Front Physiol 2019;10(1):1626. DOI: 10.3389/fphys.2019.01626
  8. Bracco P, Deregibus A, Piscetta R. Effects of different mandible relations on postural stability in human subjects. Neurosci Lett 2004;356(3):228–230. DOI: 10.1016/j.neulet.2003.11.055
  9. Julià-Sánchez S, Álvarez-Herms J, Burtscher M. Dental occlusion and body balance: a question of environmental constraints? J Oral Rehabil 2019;46(4):388–397. DOI: 10.1111/joor.12767
  10. Ober WC, Garrison CW, Silverthon SAC. Fisologia, un approccio integrato. 2000.
  11. Billot M, Handrigan GA, Simoneau M, et al. Short term alteration of balance control after a reduction of plantar mechanoreceptor sensation through cooling. Neurosci Lett 2013;535(1):40–44. DOI: 10.1016/j.neulet.2012.11.022
  12. Iacob SM, Chisnoiu AM, Buduru SD, et al. Plantar pressure variations induced by experimental malocclusion—a pilot case series study. Healthcare 2021;9(5):599. DOI: 10.3390/healthcare9050599
  13. Valentino B, Valentino T, Melito F. Correlation between interdental occlusal plane and plantar arches. An EMG study. Pain Clin 2002;14(3):259–262. DOI: 10.1163/156856902320761487
  14. Aguilar RI, Sánchez FI, Pedraza CGE, et al. Correlação entre pegada e má oclusão. Um estudo de caso clínico. Rev Adm 2012;69(2):91–94.
  15. Ferrario VF, Sforza C, Schmitz JH, et al. Occlusion and center of foot pressure variation: is there a relationship? J Prosthet Dent 1996;76(3):302–308. DOI: 10.1016/S0022-3913(96)90176-6
  16. Perinetti G. Dental occlusion and body posture: no detectable correlation. Gait Posture 2006;24(2):165–168. DOI: 10.1016/j.gaitpost.2005.07.012
  17. Perinetti G, Contardo L, Silvestrini-Biavati A, et al. Dental malocclusion and body posture in young subjects: a multiple regression study. Clinics 2010;65(7):689–695. DOI: 10.1590/S1807-59322010000700007
  18. Manfredini D, Castroflorio T, Perinetti G, et al. Dental occlusion, body posture and temporomandibular disorders: where we are now and where we are heading for. J Oral Rehabil 2012;39(6):463–471. DOI: 10.1111/j.1365-2842.2012.02291.x
  19. Bittar KCB, Oliveira SSI, Michel MCB, et al. Reliability of plantar pressure and postural control measures of children from 4 to 12 years: analysis by baropodometry. Mot Rev Educ Física 2020;26(3):1–6. DOI: 10.1590/s1980-6574202000030002
  20. Kumar S, Garg S, Gupta S. A determination of occlusal plane comparing different levels of the tragus to form ala-tragal line or Camper's line: a photographic study. J Adv Prosthodont 2013;5(1):9–15. DOI: 10.4047/jap.2013.5.1.9
  21. Hsueh WY, Kang KT, Yao CCJ, et al. Measurements of craniofacial morphology using photogrammetry in children with sleep-disordered breathing. Int J Pediatr Otorhinolaryngol 2022;162(10):111287. DOI: 10.1016/j.ijporl.2022.111287
  22. Mukaka MM. Statistics corner: a guide to appropriate use of correlation coefficient in medical research. Malawi Med J 2012;24(3):69–71.
  23. Farkas LG, Bryson W, Klotz J. Is photogrammetry of the face reliable? Plast Reconstr Surg 1980;66(3):346–355.
  24. Bishara SE, Cummins DM, Jorgensen GJ, et al. A computer assisted photogrammetric analysis of soft tissue changes after orthodontic treatment. Part I: methodology and reliability. Am J Orthod Dentofac Orthop 1995;107(6):633–639. DOI: 10.1016/S0889-5406(95)70107-9
  25. Ferrario VF, Sforza C, Tartaglia G, et al. New television technique for natural head and body posture analysis. Cranio 1995;13(4):247–255. DOI: 10.1080/08869634.1995.11678076
  26. Amaricai E, Onofrei RR, Suciu O, et al. Do different dental conditions influence the static plantar pressure and stabilometry in young adults? PLoS One 2020;15(2):e0228816. DOI: 10.1371/journal.pone.0228816
  27. Michelotti A, Buonocore G, Manzo P, et al. Dental occlusion and posture: an overview. Prog Orthod 2011;12(1):53–58. DOI: 10.1016/j.pio.2010.09.010
  28. Baldini A, Nota A, Tripodi D, et al. Evaluation of the correlation between dental occlusion and posture using a force platform. Clinics 2013;68(1):45–49. DOI: 10.6061/clinics/2013(01)OA07
  29. Scharnweber B, Adjami F, Schuster G, et al. Influence of dental occlusion on postural control and plantar pressure distribution. Cranio 2017;35(6):358–366. DOI: 10.1080/08869634.2016.1244971
  30. Trulsson M, Johansson RS. Orofacial mechanoreceptors in humans: encoding characteristics and responses during natural orofacial behaviors. Behav Brain Res 2002;135(1–2):27–33. DOI: 10.1016/S0166-4328(02)00151-1
  31. Ferrario VF, Sforza C, Colombo A, et al. An electromyographic investigation of masticatory muscles symmetry in normo-occlusion subjects. J Oral Rehabil 2000;27(1):33–40. DOI: 10.1046/j.1365-2842.2000.00490.x
  32. Cenciarini M, Peterka RJ. Stimulus-dependent changes in the vestibular contribution to human postural control. J Neurophysiol 2006;95(5):2733–2750. DOI: 10.1152/jn.00856.2004
  33. Cavanagh PR, Rodgers MM, Liboshi A. Pressure distribution under symptom-free feet during barefoot standing. Foot Ankle 1987;7(5):262–278. DOI: 10.1177/107110078700700502
  34. Pineda-Lopez F, Guerra A, Montes E, et al. A low cost baropodometric system for children's postural and gait analysis. COLCOM IEEE 2016:1–4. DOI: 10.1109/ColComCon.2016.7516381
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