Moscow, Moscow, Russian Federation
graduate student from 01.01.2025 until now
Moscow, Moscow, Russian Federation
Moscow, Moscow, Russian Federation
Moscow, Moscow, Russian Federation
Moscow, Moscow, Russian Federation
UDC 616.31
CSCSTI 76.29
Relevance. Modern dentistry is witnessing a steady increase in the number of patients with temporomandibular joint dysfunction (TMD), necessitating the development of a comprehensive approach that considers the stomatognathic system as part of the musculoskeletal system. Despite data on the relationship between occlusion and postural balance, standard diagnostic algorithms often lack objective methods to assess this relationship. Aim. Based on an analysis of current literature, to substantiate the necessity of including posturological and stabilometric screening in the diagnostic protocol for patients with TMD to improve the effectiveness and stability of rehabilitation. Materials and methods. An analytical review of sources selected from PubMed, Scopus, Web of Science, eLIBRARY, and Cyberleninka databases for the period 2015–2025 was conducted using keywords related to TMD, occlusion, posturology, and stabilometry. The final selection included 26 relevant publications. Results. The literature analysis confirmed the existence of a neurophysiological and biomechanical relationship between occlusion, TMJ status, and postural control. It was shown that various mandibular positions have a statistically significant effect on postural balance. Key mechanisms of this relationship were identified: disrupted proprioceptive afferent input from the trigeminal system and changes in muscle chain activity. Studies demonstrate that patients with TMD have significantly lower postural stability parameters, and the nature of their changes during teeth clenching depends on the type of disorder. Conclusion. The inclusion of stabilometry in the comprehensive diagnostic protocol for TMD provides an objective criterion for treatment effectiveness. Improvement in stabilometric parameters after using an occlusal stabilization appliance indicates normalization of TMJ function and improved overall postural balance.
orthopedic dentistry, temporomandibular dysfunction, occlusion, posturology, stabilometry
1. Álvarez Solano C., González Camacho L.A., Castaño Duque S.P., Cortés Velosa T., Vanoy Martin J.A., Chambrone L. To evaluate whether there is a relationship between occlusion and body posture as delineated by a stabilometric platform: A systematic review // CRANIO®. – 2020. DOI:https://doi.org/10.1080/08869634.2020.1857614.
2. Bolmont B., Gangloff P., Vouriot A., Perrin P.P. Mood states and anxiety influence abilities to maintain balance control in healthy human subjects // Neurosci. Lett. – 2002. – Vol. 329. – P. 96–100.
3. Bracco P., Deregibus A., Piscetta R., Ferrario G. Observations on the correlation between posture and jaw position: a pilot study // J. Craniomandib. Pract. – 1998. – Vol. 16. – P. 252–258.
4. Braun B.L. Postural differences between asymptomatic men and women and craniofacial pain patients // Arch. Phys. Med. Rehabil. – 1991. – Vol. 72. – P. 653–656.
5. Fernández-de-las-Peñas, C., Alonso-Blanco, C., Cuadrado, M.L., Gerwin, R.D., Pareja, J.A. Trigger points in the suboccipital muscles and forward head posture in tension-type headache // Headache. – 2006. – Vol. 46. – P. 454–460.
6. Ferrario V.F., Sforza C., Schmitz J.H., Taroni A. Occlusion and center of foot pressure variation: is there a relationship? // J. Prosthet. Dent. – 1996. – Vol. 76. – P. 302–308.
7. Gagey P.M., Weber B. Posturologic Regulation of Dereglements de la Station Debout. – Paris: Masson, 1995. – P. 138–174, 325–327.
8. Gangloff P., Louis J.P., Perrin P.P. Dental occlusion modifies gaze and posture stabilization in human subjects // Neurosci. Lett. – 2000. – Vol. 293. – P. 203–206.
9. Gangloff P., Perrin P.P. Unilateral trigeminal anaesthesia modifies postural control in human subjects // Neurosci. Lett. – 2002. – Vol. 330. – P. 179–182.
10. Holzl, M.; Behrmann, R.; Biesinger, E.; von Heymann, W.; Hulse, R.; Goessler, U.R.; Arens, C. Selected ENT symptoms in functional disorders of the upper cervical spine and temporomandibular joints. Hno 2019, 67, 1–9.
11. Ioniță C. et al. Methods of postural in connection with the stomatognathic system. A systematic review // Journal of Medicine and Life. – 2023. – Vol. 16(4). – P. 507-514.
12. Kantor E., Poupard L., Le Bozec S., Bouisset S. Does body stability depend on postural chain mobility or stability area? // Neurosci. Lett. – 2001. – Vol. 308. – P. 128–132.
13. Kogler A., Lindfors J., Odkvist L.M., Ledin T. Postural stability using different neck positions in normal subjects and patients with neck trauma // Acta Otolaryngol. – 2000. – Vol. 120. – P. 151–155.
14. Milani R.S., De Pierre D.D., Lapeyre L., Pourreyron L. Relationship between dental occlusion and posture // J. Craniomandib. Pract. – 2000. – Vol. 18. – P. 127–134.
15. Palano D., Molinari G., Cappelleiro M., Guidetti G., Vernole B. The use of computer-assisted stabilometry in the diagnosis of cranioamadibular disorders // Bull. Group Int. Rech. Sci. Stomatol. Odontol. – 1994. – Vol. 37. – P. 19–22.
16. Palano D., Molinari G., Cappelleiro M., Guidetti G., Vernole B. The role of stabilometry in assessing the correlations between cranio- mandibular disorders and equilibrium disorders // Bull. Group Int. Rech. Sci. Stomatol. Odontol. – 1994. – Vol. 37. – P. 23–26.
17. Sambataro S. et al. TMJ Dysfunctions Systemic Implications and Postural Assessments: A Review of Recent Literature // Journal of Functional Morphology and Kinesiology. – 2019. – Vol. 4(3), 58.
18. Silveira, A., Armijo-Olivo, S., Gadotti, I.C., Magee, D. Masticatory and cervical muscle tenderness and pain sensitivity in a remote area in subjects with a temporomandibular disorder and neck disability // J Oral Facial Pain Headache. – 2014. – Vol. 28(2). – P. 138-46. doi:https://doi.org/10.11607/ofph.1112.
19. Wada M., Sunaga N., Nagai M. Anxiety affects the postural sway of the anterior-posterior axis in college students // Neurosci. Lett. – 2001. – Vol. 302. – P. 157–159.
20. Belousova A.I. Vzaimovliyanie zubochelyustnoy i postural'noy sistem organizma // Molodoy uchenyy. – 2025. – № 3 (554). – S. 236-238.
21. Bugroveckaya O.G., Maksimova E.A., Kim K.S. Differencial'naya diagnostika putey formirovaniya postural'nyh narusheniy pri disfunkcii visochno-nizhnechelyustnogo sustava (posturologicheskoe issledovanie) // Manual'naya terapiya. – 2016. – №1 (61). – S. 3-13.
22. Ivanov V.V., Markov N.M. Sravnitel'naya ocenka rezul'tativnosti osteopaticheskoy korrekcii i ortodonticheskogo lecheniya u pacientov s cervikokranialgiey, obuslovlennoy disfunkciey visochno-nizhnechelyustnogo sustava.
23. Ivanova O.P., Pahomkina P.A., Ivanova A.I. Chastota vstrechaemosti pozotonicheskih refleksov u studentov stomatologicheskogo fakul'teta // Medicina v Kuzbasse. – 2023. – №4. – S. 65-68.
24. Klimko K.A., Naumovich S.A. Gnatologiya v stomatologii // Sovremennaya stomatologiya. – 2016. – №2. – S. 9–13.
25. Krechina E.K., Pogabalo I.V., Verzilova M.V. i dr. Vzaimosvyaz' mezhdu bioelektricheskoy aktivnost'yu myshc chelyustno-licevoy oblasti, postural'nym statusom i funkciey zhevaniya v period smeny zubov // Stomatologiya. – 2013. – №4. – S. 57–61.
26. Markov N.M., Pogabalo I.V., Krechina E.K. i dr. Stabilometriya kak diagnosticheskiy metod v ortodontii // Klinicheskaya stomatologiya. – 2013. – №2/66. – S. 16–21.
27. Pimenova A.A., Proshin A.G. Vliyanie prikusa na osanku i zdorov'e pozvonochnika //Rossiyskaya stomatologiya. 2019. T. 12, № 2. S. 69-70.
28. Álvarez Solano C., González Camacho L.A., Castaño Duque S.P., Cortés Velosa T., Vanoy Martin J.A., Chambrone L. To evaluate whether there is a relationship between occlusion and body posture as delineated by a stabilometric platform: A systematic review. CRANIO. 2023;41(4):368-379. https://doi.org/10.1080/08869634.2020.1857614
29. Wainio-Theberge S., Spiousas I., Armony J.L. Physical Mechanisms of Emotions Evoked by Postural Feedback. Psychophysiology. 2025;62(7):e70095. https://doi.org/10.1111/psyp.70095
30. Nowak M., Golec J., Wieczorek A., Golec P. Is There a Correlation between Dental Occlusion, Postural Stability and Selected Gait Parameters in Adults? International Journal of Environmental Research and Public Health. 2023;20(2):1652. https://doi.org/10.3390/ijerph20021652
31. Dursun Ö., Tanhan A., Arslan M., Çelikel R. Postural and biomechanical insights in disc displacement with reduction. Journal of Oral & Facial Pain and Headache. 2025;39(2):112-123. https://doi.org/10.22514/jofph.2025.030
32. Holzl M., Behrmann R., Biesinger E., von Heymann W., Hulse R., Goessler U.R. et al. Selected ENT symptoms in functional disorders of the upper cervical spine and temporomandibular joints. Hno. 2019;67(Suppl 1):1-9. https://doi.org/10.1007/s00106-019-0610-1
33. Ioniță C., Petre A.E., Cononov R.S., Covaleov A., Mitoiu B.I., Nica A.S. Methods of postural analysis in connection with the stomatognathic system. A systematic review. Journal of medicine and life. 2023;16(4):507-514. https://doi.org/10.25122/jml-2022-0327
34. Ries L.G., Graciosa M.D., Medeiros D.L., Pacheco S.C., Fassicolo C.E., Graefling B.C. et al. Influence of craniomandibular and cervical pain on the posture of patients with temporomandibular disorders. CoDAS. 2014;26(5):389-394. https://doi.org/10.1590/2317-1782/20142014040
35. Pérez-Belloso A.J., Coheña-Jiménez M., Cabrera-Domínguez M.E., Galan-González A.F., Domínguez-Reyes A., Pabón-Carrasco M. Influence of Dental Malocclusion on Body Posture and Foot Posture in Children: A Cross-Sectional Study. Healthcare (Basel). 2020;8(4):485. https://doi.org/10.3390/healthcare8040485
36. Roytman S., Paalanen N., Carli G., Marusic U., Kanel P., van Laar T. et al. Multisensory mechanisms of gait and balance in Parkinson's disease: an integrative review. Neural regeneration research. 2025;20(1):82-92. https://doi.org/10.4103/NRR.NRR-D-23-01484
37. Ivanov V.V., Achkasov E.E., Markov N.M., Krechina E.K. Izmenenie postural'nogo statusa pri ortodonticheskom lechenii narusheniy prikusa. Stomatologiya. 2018;97(1):50-53. [Ivanov V.V., Achkasov E.E., Markov N.M., Krechina E.K. Changes of postural statusa in patients undergoing orthodontic treatment. Stomatology. 2018;97(1):50-53. (In Russ.)]. https://doi.org/10.17116/stomat201897150-53
38. Carrick F.R., Hankir A., Zaman R., Wright C.H.G. Metrological Performance of Instruments used in Clinical Evaluation of Balance. Psychiatria Danubina. 2019;31(Suppl 3):324-330. https://www.psychiatria-danubina.com/UserDocsImages/pdf/dnb_vol31_noSuppl%203/dnb_vol31_noSuppl%203_324.pdf
39. Barzaghideanu G.B., Jighirgiu A.A., Duceac M., Francu L., Ilie A., Scutariu M.M. From jaw to spine: a narrative review on oral health, TMJ function, and postural rehabilitation strategies. Romanian Journal of Medical and Dental Education. 2025;14(4):70-80. https://journal.adre.ro/from-jaw-to-spine-a-narrative-review-on-oral-health-tmj-function-and-postural-rehabilitation-strategies/
40. Gadotti I., Hicks K., Koscs E., Lynn B., Estrazulas J., Civitella F. Electromyography of the masticatory muscles during chewing in different head and neck postures - A pilot study. Journal of oral biology and craniofacial research. 2020;10(2):23-27. https://doi.org/10.1016/j.jobcr.2020.02.002
41. Johnson K.J., Zaback M., Tokuno C.D., Carpenter M.G., Adkin A.L. Exploring the relationship between threat-related changes in anxiety, attention focus, and postural control. Psychological research. 2019;83(3):445-458. https://doi.org/10.1007/s00426-017-0940-0
42. Sambataro S., Cervino G., Bocchieri S., La Bruna R., Cicciù M. TMJ Dysfunctions Systemic Implications and Postural Assessments: A Review of Recent Literature. Journal of functional morphology and kinesiology. 2019;4(3):58. https://doi.org/10.3390/jfmk4030058
43. Paço M., Duarte J.A., Pinho T. Orthodontic Treatment and Craniocervical Posture in Patients with Temporomandibular Disorders: An Observational Study. International journal of environmental research and public health. 2021;18(6):3295. https://doi.org/10.3390/ijerph18063295
44. Hall K.J., Van Ooteghem K., McIlroy W.E. Emotional state as a modulator of autonomic and somatic nervous system activity in postural control: a review. Frontiers in neurology. 2023;14:1188799. https://doi.org/10.3389/fneur.2023.1188799
45. Belousova A.I. Vzaimovliyanie zubochelyustnoy i postural'noy sistem organizma. Molodoy uchenyy. 2025;(3):236-238. [Belousova A.I. Interaction of the dental and postural systems of the body. Young scientist. 2025;(3):236-238. (In Russ.)]. https://moluch.ru/archive/554/121990
46. Bugroveckaya O.G., Maksimova E.A., Kim K.S. Differencial'naya diagnostika putey formirovaniya postural'nyh narusheniy pri disfunkcii visochno-nizhnechelyustnogo sustava (posturologicheskoe issledovanie). Manual'naya terapiya. 2016;(1):3-13. [Bugrovetskaya O.G., Maksimova E.A., Kim K.S. Differential diagnostics of pathways of the development of postural disorders in case of the tmj dysfunction (a posturological study). The Manual Therapy Journal. 2016;(1):3-13. (In Russ.)]. http://www.mtj.ru/num-61_1_2016.pdf
47. Ivanov V.V., Markov N.M., Tekut'eva N.V., An T.Z. Sravnitel'naya ocenka rezul'tativnosti osteopaticheskoy korrekcii i ortodonticheskogo lecheniya u pacientov s cervikokranialgiey, obuslovlennoy disfunkciey visochno-nizhnechelyustnogo sustava. Rossiyskiy osteopaticheskiy zhurnal. 2016;(1-2):67-74. [Ivanov V., Markov N., Tekutieva N., An T. Comparative Evaluation of the Effectivenessof Osteopathic Correction and Orthodontic Carein Patients Presenting Cervical and Cranial Pain, Caused by the Dysfunction of the Temporomandibular Joint. Russian Osteopathic Journal. 2016;(1-2):67-74. (In Russ.)]. https://doi.org/10.32885/2220-0975-2016-1-2-67-74
48. Ivanova O.P., Pahomkina P.A., Ivanova A.I. Chastota vstrechaemosti pozotonicheskih refleksov u studentov stomatologicheskogo fakul'teta. Medicina v Kuzbasse. 2023;(4):65-68. [Ivanova O.P., Pakhomkina P.A., Ivanova A.I. The frequency of occurrence of posotonic reflexes in students of the faculty of dentistry. Medicine in Kuzbass. 2023;(4):65-68. (In Russ.)]. https://doi.org/10.24412/2687-0053-2023-4-65-68
49. Klimko K.A., Naumovich S.A. Gnatologiya v stomatologii. Sovremennaya stomatologiya (Minsk). 2016;(2):9–13. [Klimko K.A., Naumovich S.A. Gnathology in Dentistry. Sovremennaya stomatologiya (Minsk). 2016;(2):9–13. (In Russ.)]. https://elibrary.ru/item.asp?id=26237520
50. Markov N.M., Ivanov V.V., Krechina E.K., Pogabalo I.V. Stabilometriya kak metod ocenki vliyaniya ortodonticheskogo lecheniya na postural'nyy status u pacientov s distal'noy okklyuziey. Stomatologiya dlya vseh. 2019;(2)1:6-21. [Markov N.M., Ivanov V.V., Krechina E.K., Pogabalo I.V. Stabilometry as a method for as-sessing the impact of orthodontic treatment on postural status in patients with distal occlusion. Stomatology for All / International Dental Review. 2019;(2)1:6-21. (In Russ.)]. https://doi.org/10.35556/idr-2019-2(87)16-21
51. Pimenova A.A., Proshin A.G. Vliyanie prikusa na osanku i zdorov'e pozvonochnika. Rossiyskaya stomatologiya. 2019;12(2):69‑70. [Pimenova A.A., Proshin A.G. The influence of bite on posture and spinal health. Russian Journal of Stomatology. 2019;12(2):69-70. (In Russ.)]. https://www.mediasphera.ru/issues/rossijskaya-stomatologiya/2019/2/1207264062019021069
