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Malocclusion and Scoliosis: Is There a Correlation?

Introduction: Scoliosis is a complex three-dimensional malformation of the spine. Although its etiology is still being investigated, it is clear that a number of factors can influence this syndrome. The spinal deformity of idiopathic scoliosis can be viewed from an etiopathogenetic perspective as a...

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Autores principales: Saccomanno, Sabina, Saran, Stefano, Paskay, Licia Coceani, Giannotta, Nicola, Mastrapasqua, Rodolfo Francesco, Pirino, Alessio, Scoppa, Fabio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455086/
https://www.ncbi.nlm.nih.gov/pubmed/37623498
http://dx.doi.org/10.3390/jpm13081249
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author Saccomanno, Sabina
Saran, Stefano
Paskay, Licia Coceani
Giannotta, Nicola
Mastrapasqua, Rodolfo Francesco
Pirino, Alessio
Scoppa, Fabio
author_facet Saccomanno, Sabina
Saran, Stefano
Paskay, Licia Coceani
Giannotta, Nicola
Mastrapasqua, Rodolfo Francesco
Pirino, Alessio
Scoppa, Fabio
author_sort Saccomanno, Sabina
collection PubMed
description Introduction: Scoliosis is a complex three-dimensional malformation of the spine. Although its etiology is still being investigated, it is clear that a number of factors can influence this syndrome. The spinal deformity of idiopathic scoliosis can be viewed from an etiopathogenetic perspective as a symptom of a complicated condition with a multifactorial etiology. Numerous studies have established its relationship with malocclusion, but it is still unclear how these factors interact. Malocclusion is a change in the physiological alignment of the upper and lower teeth that can be either dental or skeletal in origin. This study’s objective is to assess the relationship between scoliosis and malocclusion. Material and Methods: A total of 646 patients were enrolled (554 females and 92 males), 447 with scoliosis and 199 without, from private dental and orthopedic practices, to answer an anonymous questionnaire. They were selected in private dental and orthopedic practices where they had dental and orthopedic examinations. Twenty-two patients were excluded because of a lack of answers. Participants were given a bilingual survey, in English and Italian, composed of 13 questions formulated specifically for this study, using Google Forms (Google LLC, Mountain View, CA, USA). Results: Univariate analysis of the question “Do you have scoliosis?” shows a significant correlation with the following questions: “Was scoliosis a family issue?” (p < 0.05 OR 7.30 IC: 3.05–17.46) “Do you have malocclusion?” (p < 0.05, OR: 1.19 IC:1.0–1.34) and “Was mal-occlusion a family issue?” (p < 0.01, OR: 1.39 IC 1.10–1.77). Performing a multivariate analysis for the same variables, the best predictors of scoliosis were “Was scoliosis a family issue?” (p < 0.001) and “Was malocclusion a family issue?” (p < 0.05), while the question “Do you have malocclusion” lost significance. Conclusion: This study adds further confirmation that there might be an important connection between malocclusion and scoliosis; it suggests that dentists and orthopedists have to check, as early as possible, for the probable presence of both pathologies to avoid a severe progression which, in most cases, may require significant therapy and even surgery.
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spelling pubmed-104550862023-08-26 Malocclusion and Scoliosis: Is There a Correlation? Saccomanno, Sabina Saran, Stefano Paskay, Licia Coceani Giannotta, Nicola Mastrapasqua, Rodolfo Francesco Pirino, Alessio Scoppa, Fabio J Pers Med Article Introduction: Scoliosis is a complex three-dimensional malformation of the spine. Although its etiology is still being investigated, it is clear that a number of factors can influence this syndrome. The spinal deformity of idiopathic scoliosis can be viewed from an etiopathogenetic perspective as a symptom of a complicated condition with a multifactorial etiology. Numerous studies have established its relationship with malocclusion, but it is still unclear how these factors interact. Malocclusion is a change in the physiological alignment of the upper and lower teeth that can be either dental or skeletal in origin. This study’s objective is to assess the relationship between scoliosis and malocclusion. Material and Methods: A total of 646 patients were enrolled (554 females and 92 males), 447 with scoliosis and 199 without, from private dental and orthopedic practices, to answer an anonymous questionnaire. They were selected in private dental and orthopedic practices where they had dental and orthopedic examinations. Twenty-two patients were excluded because of a lack of answers. Participants were given a bilingual survey, in English and Italian, composed of 13 questions formulated specifically for this study, using Google Forms (Google LLC, Mountain View, CA, USA). Results: Univariate analysis of the question “Do you have scoliosis?” shows a significant correlation with the following questions: “Was scoliosis a family issue?” (p < 0.05 OR 7.30 IC: 3.05–17.46) “Do you have malocclusion?” (p < 0.05, OR: 1.19 IC:1.0–1.34) and “Was mal-occlusion a family issue?” (p < 0.01, OR: 1.39 IC 1.10–1.77). Performing a multivariate analysis for the same variables, the best predictors of scoliosis were “Was scoliosis a family issue?” (p < 0.001) and “Was malocclusion a family issue?” (p < 0.05), while the question “Do you have malocclusion” lost significance. Conclusion: This study adds further confirmation that there might be an important connection between malocclusion and scoliosis; it suggests that dentists and orthopedists have to check, as early as possible, for the probable presence of both pathologies to avoid a severe progression which, in most cases, may require significant therapy and even surgery. MDPI 2023-08-10 /pmc/articles/PMC10455086/ /pubmed/37623498 http://dx.doi.org/10.3390/jpm13081249 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Saccomanno, Sabina
Saran, Stefano
Paskay, Licia Coceani
Giannotta, Nicola
Mastrapasqua, Rodolfo Francesco
Pirino, Alessio
Scoppa, Fabio
Malocclusion and Scoliosis: Is There a Correlation?
title Malocclusion and Scoliosis: Is There a Correlation?
title_full Malocclusion and Scoliosis: Is There a Correlation?
title_fullStr Malocclusion and Scoliosis: Is There a Correlation?
title_full_unstemmed Malocclusion and Scoliosis: Is There a Correlation?
title_short Malocclusion and Scoliosis: Is There a Correlation?
title_sort malocclusion and scoliosis: is there a correlation?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455086/
https://www.ncbi.nlm.nih.gov/pubmed/37623498
http://dx.doi.org/10.3390/jpm13081249
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