Romanian Journal of Oral Rehabilitation Numarul 4 LINKING CERVICAL SPINE PATHOLOGY TO ORAL HEALTH AND PSYCHOLOGICAL STATUS: TOWARD A COMPREHENSIVE UNDERSTANDING OF PATIENT BURDEN

LINKING CERVICAL SPINE PATHOLOGY TO ORAL HEALTH AND PSYCHOLOGICAL STATUS: TOWARD A COMPREHENSIVE UNDERSTANDING OF PATIENT BURDEN

Georgiana-Brândușa Barzaghideanu, Raoul Ciprian Burculet, Albert-Andrei Jighirgiu, Marius Cocu, Corina Ciupilan, Laurian Francu, Oana Cristina Cretu, Adina Ilie, Monica Mihaela Scutariu

ABSTRACT

Cervical spine pathology is increasingly recognized as a multisystem condition whose effects extend beyond the musculoskeletal level. Growing evidence suggests that alterations in cervical biomechanics, proprioception, and neuromuscular control may influence craniofacial function, occlusal dynamics, and temporomandibular joint stability, contributing to diverse oral health disturbances. These biomechanical and sensory disruptions frequently coexist with psychological factors—such as anxiety, hypervigilance, and stress reactivity—which modulate pain perception, muscle tone, and behavioral responses. Together, these interactions may amplify symptom chronicity and contribute to a substantial patient burden that conventional single-domain assessments often fail to capture.

This narrative review synthesizes current knowledge on the interconnected pathways linking cervical spine dysfunction with oral health outcomes and psychological status. By integrating biomechanical, neurophysiological, and psychosocial perspectives, the review highlights the need for comprehensive evaluation frameworks capable of identifying the multidirectional relationships underlying persistent symptoms.

DOI : 10.62610/RJOR.2025.4.17.9

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