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Zahnheilkunde 25. August 2009

On the Symposium: Consensus Conference Posture and Occlusion: Hypothesis of Correlation

INTRODUCTION: A symposium was held in Milan, Italy, on November 28th, 2008: Posture and Occlusion:Hypothesis of correlation. An International Scientific Committee, produced a consensus document approved and subscribed by the scientific delegates of the SIDO, Società Italiana di Ortodonzia and SIMFER, Società Italiana di Medicina Fisica e Riabilitazione, the sponsors of the event. The previous consensus document, approved in a similar meeting in 1997 was acknowledged and regarded as valid and widely utilized in controversies (Medical and Legal, Insurances Companies, etc.) until now. PURPOSE: The goal of this meeting was an adjournment of that document with present state of the art evidence-based literature and experience. A thesis supporting a correlation between posture and occlusion was opposed to an oppositional position on the lack of a correlation (the pro and con positions). RESULTS: After thorough review of the current literature, the committee developed a new document (consensus). The committee noted that current literature is poor both for quality and for quantity on this topic; nevertheless, it was observed, that conservative treatment might have a beneficial role in the treatment of postural and occlusal disorders. However, because of the lack of evidence in favor of any definitive treatment or evidence-based therapies, treatment cannot be invasive and should be limited to only conservative and reversible modalities. CONCLUSIONS: It was recognized by the committee that conservative, non-invasive, and reversible treatment may be beneficial for some patients, and treatment is not contraindicated, but no treatment can be provided unless a working diagnosis is arrived before instituting a treatment plan. For this reason, the updated document of this 2008 Consensus Symposium exhibits a significant improvement for guiding the clinicians while compared with 1997 position in that it suggests that there may be a rationale for conservative treatment for certain, well-defined conditions. The definition of posture in the new document encompasses the neurophysiological basis of posture and gait, and emphasizes that posture is now regarded as controlled by a dynamic, multifaceted system.

R. Ciancaglini, C. Cerri, R. Saggini, R. G. Bellomo, R. Ridi, V. Pisciella, L. Di Pancrazio, C. Di Paolo, R. Leonardi, M. Greco, G. Heir, international journal of stomatology & occlusion medicine 2/2009

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