• O. I. Dushyna National Medical University A. A. Bohomolets
Keywords: distal occlusion, posture, spine


Analysis of contemporary publications about morphological and functional disorders of the spine and its relationship to distal occlusion become the background for this article. The aim was to study the necessity of orthodontics orthopedic diagnosis and treatment of distal occlusion.

Objective. The purpose of this study was to research the necessity of orthopedics examination and treatment of children with distal occlusion/

Materials and Methods. Articles, clinical studies and monographs were reviewed. The selection was based on the availability of modern methods of investigation, control and study group and clear and specific conclusions at the end of the study and the availability of practical importance for orthodontists.


A number of domestic and foreign authors point to the wrong posture as one of the factors that affect the occurrence of occlusion anomalies and their complications.

Posture is the result of complex comprehensive system of mechanisms work, that is regulated by receptors integrated into the central nervous system. Activation of specific muscle groups that are controlled by the central nervous system results posture correction (adaptation).

The research of relationship between usual position of the head and anomalies of occlusion in the sagittal plane showed that the Angle Class I and II had no significant difference between the position of the head and neck, whereas at Class III had straightening of the cervical spine and head tilt down present. Class II patients with the weakness of the neck muscles have longer faces and the nomination of the head in front, as well as increases the curvature of the cervical spine.

Patients with domination of vertical growth have more expressed sagittal curve of the spine, respectively, more expressed cervical lordosis and lumbar lordosis. While children with prevailing horizontal growth has flattened curve of the spine.

Based on the analysis of selected studies it became apparent that the different degrees of scoliosis prevails unilateral distal occlusion, the risk of a unilateral cross-bite and the central line deviation.


High-risk groups (functional and morphological disorders of the spine) need the early diagnosis and prevention of distal occlusion.

Diagnosis of distal occlusion should include a study of the cervical spine, which allows CRT technique.

There are techniques that do not require X-rays to diagnose problems of the spine. There is the need for their implementation and dissemination among orthopedists and osteopaths.

This will increase the effectiveness of distal occlusion treatment, and be more comprehensive and attentive to the health of patients.


Download data is not yet available.


1. Taheren H. The relationship between the stomatognatic system and body posture/Taheren H. N., Pejman J.A. // Iran J. Radiol. - 2011 November.- Vоl.8 (3).- Р. 161-166.

2. Associations between the Cervical Vertebral Column and Craniofacial Morphology /L. Sonnesen. - Int J Dent. - 2010. – Р. 126-130.

3. Иванов В. В. Влияние зубочелюстной системы на постуральный статус пациента/ Иванов В. В., Марков Н. В. // Мануальная терапия.- 2013.- № 3 (51).- С. 83-88.

4. Смаглюк Л. В. Оцінка взаємозв’язку між патологією оклюзії та стабільністю положення тіла людини у просторі/ Л. В. Смаглюк, К. О. Соловей // Вісник проблем біології і медицини.- 2014. – Вип. 2, т. 2. – С. 148-151.

5. Взаимосвязь постурального дисбаланса в шейном отделе позвоночника с параметрами лицевого скелета у пациентов с дистальной окклюзией / Карпова В.С., Польма Л.В., Бугровецкая О.Г. [и др.] // Ортодонтия.- 2013. - № 4.-С.9-16.

6. Urak. F. I.Comparison of craniofacial morphology, head posture and hyoid bone position with different breathing patterns / Urak. F. I., Ekizer A., Uysal T. // Saudi Dent J. – 2012.- Vоl.24 (3-4).- Р. 135-141.

7. Kumar S. Effect of low pull headgear on head position/ Kumar S., Pentapaty K. C.// Saudi Dent J. – 2013.- Vоl.25(1).- Р. 23-27. Vоl.10(3).- Р. 210-22.

8. Hedayati Z. Comparison of natural head position in different ateroposterior malooclusions/ Hedayati Z., Paknahad M., Zorriasatine F. // J. Dent.- 2013.

9. Sagittal back contour and craniofacial morphology in preadolescents/ Lippold C., Settago E. Vegh A. [еt аl.] // Eur. Spine J. - 2010 March.- Vоl.19(3).- Р. 427– 434.

10. Morphometric analysis of cervical vertebrae morphology and correlation of cervical vertebrae morphometry, cervical spine inclination and cranial base angle to craniofacial morphology and stature in an adult skeletal class I and class II population / S. Nambiar, S.Mogra, B. Unnikrishnan Nair [еt аl.] // Contemp. Clin. Dent.- 2014 Oct-Dec.- Vоl.5(4).- Р. 456–460.

11. Nik T. N. The Relationship between cervical column curvature and sagittal position of the jaws: using a new method for tvaluating curvature / Nik T. N., Aciyabar P. J. // Iran J Radiol. – 2011.- Vоl.8(3).- Р. 161–166.

12. Scoliosis and dental occlusion: a review of the literature / M. Saccucci, L. Tettamanti, S. Mummolo [еt аl.]// Scoliosis. -2011.- Vоl.6.- Р. 15.

13. The relation between idiopathic scoliosis and the frontal and lateral facial form/Tae-Hwan K., Joo-Hwan K., Yae-Jin K. [еt аl.] // Korean J. Orthod. – 2014.- Vоl.44(5).- Р. 254–262.

14. Segatto E. Craniofacial features of children with spinal deformities / Segatto E., Lippold C., Vegh A. // BMC Musculoskelet diisod.- 2008.- Vоl. 9.- Р.169.
How to Cite