Orthodontic malocclusions and cranio-cervical posture: a systematic review

Abstract

Introduction Increased number of body posture changes in growing children is found, it causes deviations in craniocervical posture. Clinical trials are performed to evaluate the relationship between head and neck posture and orthodontic malocclusions, however, the results vary (1,2). Aim The purpose is to analyze the relationship between craniocervical posture and Class I, II and III orthodontic malocclusions. Methods The systemic review was carried out according to protocol and PRISMA statement. The electronic search by 3 independent researchers was performed from 16 October till 16 December 2021 in databases: PubMed, Wiley Online Library and Cochrane Clinical Trials Register. Following keywords were used: craniocervical posture, head posture, cephalometry, orthodontic malocclusion, Class II malocclusion. Inclusion criteria for the articles were: published less than 5 years ago, written in English, subjects human beings, craniocervical posture was evaluated performing cephalometric analysis. Exclusion criteria were the following: case reports, systemic or literature reviews, meta-analysis, studies with patients, having craniofacial syndromes or clefts, previous surgical, orthodontic, or physical therapy treatment. Results After an initial search in electronic databases, following an examination of 438 initially identified articles 17 articles were assessed for eligibility and after applying the selection criteria 6 studies were included. Three studies were retrospective, two cross sectional and one pilot randomized controlled trial. In total 421 patients aged from 8 to 16 were involved. […].