Cranio-cervical-mandibular physiotherapy

What is it?

Occluso Postural Semeiotics is a discipline that investigates, in a non-invasive form, the dysfunctional syndromes of the cranio-cervical district and tries to discriminate those that are pertinent to the dentist from those referable to other specialists (e.g.: physiatrist, optometrist, etc.).

When is this procedure indicated?

Postural issues are considered predisposing factors for the occurrence of temporomandibular disorders.

The aim of this work is to try to restore the lost well-being of patients who suffer, even for a long time, from muscle tension headaches, rather than cervicalgia or other disorders that we generically define as dysfunctional, by treating their presumed causes and not only their symptoms.

Even in the sports field, occlusal postural semeiotics is often helpful to athletes seeking the best result with the least effort, which can be brought about by postural rebalancing. Relative then to orthodontic problems, the use of occluso-postural semeiotics techniques can be of great help in determining the causes of the defect, which may also be located in other districts, for example, in an imbalance of plantar support (flat foot or hollow foot), in the incorrect synergy of the oculomotor muscles (heterophoria), etc. Obviously, at this point, collaboration between orthodontist and other specialists will become automatic to carry out causal therapy of the defect in order to shorten treatment time and, most importantly, prevent recurrence.

How is it performed?

The postural examination represents a very small part of the gnathological examination and is included because of the correlation between the muscles of the cervical portion of the spine and the muscles of the stomatognathic apparatus. From these neurological corellations a series of anatomical correlations between stomatognathic muscles and cervical muscles come to life, which justify the simultaneous occurrence of some symptoms of neck pain in patients who have temporomandibular disorders, but a strong correlation with posture there is only as far as the cervical portion of the spine is concerned.

When we open and close our mouth there is a whole movement concerning the cervical spine and the back part, so indeed there is no doubt that there is a change in cranio-cervical posture the moment we adopt functions of the stomatognathic apparatus.

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