GUIDELINES OF THE ITALIAN STUDY GROUP ON CRANIOMANDIBULAR DISORDERS ON THE DENTAL OCCLUSION-BODY POSTURE RELATIONSHIP
(edited by Daniele Manfredini & Giuseppe Perinetti, 2017)
1.All musculoskeletal districts of the human body interact with each other – the skull is not detached from the rest of the body
2.Head and body posture are obviosuly «correlated», but any possible correlations between skeletal features and TMD get lost already at the cervical spine level (Armijo-Olivo et al., 2011)
3.Body posture is a dynamic condition, which varies at the intra- ed inter-individual level – some parameters even change more than 1000% after repeated measurements…it cannot be used to discriminate between treatment-related improvement and changes that occur by chance/natural fluctuation (Perinetti et al., 2012)
4.Body posture is determined and influenced by several factors, among which muscle tension and pain. Isn’t it possible that postural «abnormalities» are caused by the presence of pain, which provokes protective neuromuscular adaptation? The pain adaptation model (Lund et al., 1991) and its integrations should teach us something…(Murray & Peck, 2007)
5.Based on current knowledge, there aren’t any technological instruments or visual assessment that are useful to discriminate between «healthy» and «diseased» individuals – the error of the method is superior to any possible between-group differences (Rocha et al., 2017)
6.All the above issues have nothing to do with dental occlusion…any subsequent therapeutical proposals based on the correction of purported occlusal abnormalities are a biological nonsense (Manfredini et al., 2012)!