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Natural Head and Neck Posture and Vertical Dimension in Complete Denture Wearers

Year 2008, Volume: 35 Issue: 3 - Volume: 35 Issue: 3, 117 - 126, 01.08.2008

Abstract

Due to alveolar bone resorption followingtooth extractions, upward and anterior rotation ofthe mandible takes place and causes changes inintermaxillar relations. The hyoid bone and craniocervical relations are affected and variations areseen in sagittal and vertical dimension of occlusion,head posture and masticatory muscle activities. Wehave examined postural and vertical dimensionchanges in edentulous patients using upper andlower complete dentures.Twenty female patients, above 55 years of age,wearing complete dentures for at least 5 years havebeen included in our study. Cephalometric filmshave been taken in maximum intercuspidation andrest position in order to examine changes in verticaldimension. Fluid level method has been used to fixate the natural head and neck posture establishedwhile the patients were placed on the cephalostat.Recordings have been taken initially with the olddentures and then immediately, 3 and 6 months following the insertion of new dentures.As a result in our study, it has been observedthat insertion of new dentures does not change natural head and neck posture. No significantchanges were observed in craniovertical SN/GV ,craniocervical angulation SN/OPT and cervicalinclination OPT/GH, CVT/GH and OPT/CVT .But it has been observed that generally the patientswere in flexion posture due to their age.Examination of vertical dimension showed thatthere was a decrase in facial height compared todentulous subjects and insertion of new dentures

References

  • Escure S. Posture du patient age et prothese adjointe totale. Les Cahiers de Prothese 1995; 89:57- 78.
  • Çelikyurt C. Denge Sistemi: Vestibüler sis- tem. Erişim: http://www.geocities.com/HotSprings/ Villa/1707/denge.htm .Erişim Tarihi:29.04.2003.
  • Berg R, Morgenstein N E. Physiologic changes in the elderly. Dent Cl of North Am., 1997; 41:651-69
  • Gündüz H. Yaşlılarda postür ve yürüme. Türk Geriatri Dergisi 2000 Cilt 3, Sayı 4. Erişim: http://www.ato.org.tr/konuk/geriatri/sayfa3t.html Erişim Tarihi:29.04.2003.
  • Solow B, Tallgren A. Natural head position in standing subjects. Acta Odontol Scand 1971; 29:591-5.
  • Rocabado M. Diagnosis and treatment of abnormal craniocervical and craniomandibular machanics. In: Abnormal Jaw Mechanics, Ed: G. Clark, Solberg. Ilinois: Quinstessence Pub. Co., 1984 p. 141-59.
  • Ferrario V F, Sforza C, Germano M D, Dalloca L, Miani A. Head posture and cephalometric analysis: An integrated photographic/ radiographic tachnique. Am J Orthod Dentofac Orthop 1994;106:257-66.
  • Üşümez S, Orhan M. Inclinometer method for recording and transferring natural head position in cephalometrics. Am J Orthod Dentofac Orthop 2001;120: 664-70.
  • Solow B, Tallgren A. Head posture and cra- niofacial morphology. Am J Phys Anthropology 1976; 44:417-34.
  • Çalıkkocaoğlu S. Tam Protezler. 3. Baskı. İstanbul: Protez Akademisi ve Gnatoloji Derneği Yayı. 1998.
  • Hickey J C, Zarb G A, Bolender S. Prosthodontic treatment for edentulous patients. 9th ed. St. Louis: Mosby Co., 1985, p.267-76.
  • Silverman S I. Vertical dimension record: A three dimensional phenomenon. J Prosthet Dent 1985; 53:420-4.
  • Okeson J P. Management of temporo- mandibular disorders. 2nd ed. St.Louis: Mosby Co., 1989, p.17-30.
  • Tallgren A, Lang B R, Wolker G F, Ash M M. Changes in jaw relations, hyoid bone position and head posture in complete denture wearers. J Prosthet Dent 1983; 50:148-56.
  • Salonen M, Raustia A M, Huggare J. Head and cervicale spine postures in complete denture wearers. Cranio 1993;11:30-3.
  • Showfety K J, Vig P S, Matteson SA simple method for taking natural head position cephalo- grams. Am J Orthod 1983; 83:495-500.
  • Özbek M. Doğal baş ve boyun postürü ile kraniofasiyal ilişkilerin değerlendirilmesi. Ankara Üniversitesi Diş Hekimliği Fakültesi Ortodonti Anabilim Dalı Doktora Tezi, 1990, Ankara.
  • Akçam O M. Kraniofasiyal morfoloji ve nazofarengeal havayolu ilişkilerinin doğal baş pos- türü dikkate alınarak değerlendirilmesi. Ankara Üniversitesi Diş Hekimliği Fakültesi Ortodonti Anabilim Dalı Doktora Tezi, 1996, Ankara.
  • Daly P, Preston B D S, M.Dent C B, Evans W G. Postural response of the head to bite opening in adult males. Am J Orthod 1982; 82:157-60.
  • Darling D W, Kraus S, Glasheen-Wray M B. Relationship of head posture and rest position of the mandible J Prosthet Dent 1984; 52:111-5.
  • Salonen M, Raustia A M, Huggare J. Changes in head and cervical spine postures and EMG activities of masticatory muscles following treatment with complete upper and partial lower den- ture. Cranio 1994;12: 222-6.
  • Smith S D. Head and cevicale spine pos- tures in complete denture wearers. Cranio, 1993;11:34-5.
  • Gross M D, Ormanier Z A. Preliminary study on the effect of occlusal vertical dimension increase on mandibular postural rest position. Int J Prosthet 1994; 7:216-26.
  • Passamonti G, Kortajarus P, Ghewalla R K, Clark R E, Maness W L. The effect of imme- diate dentures on maxillomandibular relations. J Prosthet Dent 1981; 45:123-6.
  • Tuncay O C, Thomson S, Abari B, Ellinger C. Cephalometric evaluation of changes in patients wearing complete dentures. A ten year longitudinal study. J Prosthet Dent 1984; 51:169-80.
  • Tallgren A, Tryde G. Relationships between facial morphology and activity of orofacial muscles in patients with a complete upper and partial lower denture. J Oral Rehabil 1995; 22:643-51.

Tam protez kullanan hastalarda doğal baş-boyun postürünün ve dik yön boyutlarının değerlendirilmesi

Year 2008, Volume: 35 Issue: 3 - Volume: 35 Issue: 3, 117 - 126, 01.08.2008

Abstract

Diş çekimlerini takip eden alveoler kemikrezorpsiyonuna bağlı olarak mandibulanın öne veyukarı yer değiştirmesi çeneler arası ilişkilerdedeğişikliğe neden olur. Hyoid kemik ve kranioservikal ilişkiler bu değişikliklerden etkilenir.Oklüzyonun sagittal ve vertikal boyutunda dadeğişimler gözlenir. Ayrıca tam protezlerin takılmasından sonra kafa duruşunun etkilenmesi ve çiğneme kaslarının aktivitelerinin değişmesi mümkündür. Araştırmamızda alt üst tam protez taşıyanhastaların doğal baş boyun postürleri ve dik yönboyutları incelenmiştir.Bunun için Protetik Diş Tedavisi AnabilimDalı Kliniğine tam protez yaptırmak amacı ilebaşvuran hastalar içinden, en az 5 senedir aynı tamprotezi kullanmakta olan 55 yaşın üzerindeki 20bayan hasta seçilmiştir. Sefalometrik filmler dikeyyön boyutlarını da inceleyebilmek amacı ile maksimum interküspal pozisyonda ve istirahat pozisyonunda alınmıştır. Su terazisi yöntemi hastalarınsefalostata yerleştirilmesi sırasında tespit edilendoğal baş boyun postürünü sabitlemek amacı ile

References

  • Escure S. Posture du patient age et prothese adjointe totale. Les Cahiers de Prothese 1995; 89:57- 78.
  • Çelikyurt C. Denge Sistemi: Vestibüler sis- tem. Erişim: http://www.geocities.com/HotSprings/ Villa/1707/denge.htm .Erişim Tarihi:29.04.2003.
  • Berg R, Morgenstein N E. Physiologic changes in the elderly. Dent Cl of North Am., 1997; 41:651-69
  • Gündüz H. Yaşlılarda postür ve yürüme. Türk Geriatri Dergisi 2000 Cilt 3, Sayı 4. Erişim: http://www.ato.org.tr/konuk/geriatri/sayfa3t.html Erişim Tarihi:29.04.2003.
  • Solow B, Tallgren A. Natural head position in standing subjects. Acta Odontol Scand 1971; 29:591-5.
  • Rocabado M. Diagnosis and treatment of abnormal craniocervical and craniomandibular machanics. In: Abnormal Jaw Mechanics, Ed: G. Clark, Solberg. Ilinois: Quinstessence Pub. Co., 1984 p. 141-59.
  • Ferrario V F, Sforza C, Germano M D, Dalloca L, Miani A. Head posture and cephalometric analysis: An integrated photographic/ radiographic tachnique. Am J Orthod Dentofac Orthop 1994;106:257-66.
  • Üşümez S, Orhan M. Inclinometer method for recording and transferring natural head position in cephalometrics. Am J Orthod Dentofac Orthop 2001;120: 664-70.
  • Solow B, Tallgren A. Head posture and cra- niofacial morphology. Am J Phys Anthropology 1976; 44:417-34.
  • Çalıkkocaoğlu S. Tam Protezler. 3. Baskı. İstanbul: Protez Akademisi ve Gnatoloji Derneği Yayı. 1998.
  • Hickey J C, Zarb G A, Bolender S. Prosthodontic treatment for edentulous patients. 9th ed. St. Louis: Mosby Co., 1985, p.267-76.
  • Silverman S I. Vertical dimension record: A three dimensional phenomenon. J Prosthet Dent 1985; 53:420-4.
  • Okeson J P. Management of temporo- mandibular disorders. 2nd ed. St.Louis: Mosby Co., 1989, p.17-30.
  • Tallgren A, Lang B R, Wolker G F, Ash M M. Changes in jaw relations, hyoid bone position and head posture in complete denture wearers. J Prosthet Dent 1983; 50:148-56.
  • Salonen M, Raustia A M, Huggare J. Head and cervicale spine postures in complete denture wearers. Cranio 1993;11:30-3.
  • Showfety K J, Vig P S, Matteson SA simple method for taking natural head position cephalo- grams. Am J Orthod 1983; 83:495-500.
  • Özbek M. Doğal baş ve boyun postürü ile kraniofasiyal ilişkilerin değerlendirilmesi. Ankara Üniversitesi Diş Hekimliği Fakültesi Ortodonti Anabilim Dalı Doktora Tezi, 1990, Ankara.
  • Akçam O M. Kraniofasiyal morfoloji ve nazofarengeal havayolu ilişkilerinin doğal baş pos- türü dikkate alınarak değerlendirilmesi. Ankara Üniversitesi Diş Hekimliği Fakültesi Ortodonti Anabilim Dalı Doktora Tezi, 1996, Ankara.
  • Daly P, Preston B D S, M.Dent C B, Evans W G. Postural response of the head to bite opening in adult males. Am J Orthod 1982; 82:157-60.
  • Darling D W, Kraus S, Glasheen-Wray M B. Relationship of head posture and rest position of the mandible J Prosthet Dent 1984; 52:111-5.
  • Salonen M, Raustia A M, Huggare J. Changes in head and cervical spine postures and EMG activities of masticatory muscles following treatment with complete upper and partial lower den- ture. Cranio 1994;12: 222-6.
  • Smith S D. Head and cevicale spine pos- tures in complete denture wearers. Cranio, 1993;11:34-5.
  • Gross M D, Ormanier Z A. Preliminary study on the effect of occlusal vertical dimension increase on mandibular postural rest position. Int J Prosthet 1994; 7:216-26.
  • Passamonti G, Kortajarus P, Ghewalla R K, Clark R E, Maness W L. The effect of imme- diate dentures on maxillomandibular relations. J Prosthet Dent 1981; 45:123-6.
  • Tuncay O C, Thomson S, Abari B, Ellinger C. Cephalometric evaluation of changes in patients wearing complete dentures. A ten year longitudinal study. J Prosthet Dent 1984; 51:169-80.
  • Tallgren A, Tryde G. Relationships between facial morphology and activity of orofacial muscles in patients with a complete upper and partial lower denture. J Oral Rehabil 1995; 22:643-51.
There are 26 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Sezer Şen This is me

Betül Kalıpçılar This is me

Publication Date August 1, 2008
Published in Issue Year 2008 Volume: 35 Issue: 3 - Volume: 35 Issue: 3

Cite

Vancouver Şen S, Kalıpçılar B. Tam protez kullanan hastalarda doğal baş-boyun postürünün ve dik yön boyutlarının değerlendirilmesi. EADS. 2008;35(3):117-26.