Occlusal Trauma And Periodontal Disease
Occlusal trauma and periodontal disease. There is no credible evidence to support the existence of abfraction or implicate it as a cause of gingival recession. Tooth mobility can change because of the general metabolic influences a traumatic occlusion and inflammation. The presence of periodontal disease can be ascertained by clinical examination redness edema and probe depth bleeding-on-probing.
1070285 PubMed - indexed for MEDLINE MeSH Terms. Statistically greater gains in clinical periodontal attachment level have been reported however when occlusal adjustment was included as a component of periodontal. Occlusal trauma does not initiate periodontitis and there is weak evidence that it alters the progression of the disease.
Occlusal trauma may affect in addition to the periodontium the pulp tissue the masticatory muscles temporomandibular joint and the central nervous system. A traumatic occlusion on a healthy periodontium leads. The results showed a discrepancy of authors in real influence of occlusal trauma highlighting the need to.
Nowadays the effects of occlusal trauma on tooth support tissues the onset and the progression of periodontal disease are still debated. Fractures of the enamel or restorations. When occlusal trauma is superimposed on plaque-induced inflammatory periodontitis vascularity and osteoclastic activity increases and tooth mobility and PDL.
Periodontitis can be treated and periodontal health maintained without occlusal adjustment and in the presence of traumatic occlusal forces. 4 Occlusal trauma may occur in an intact periodontium or in a reduced periodontium caused by periodontal disease. In 1917 and 1926 Stillman stated that excessive occlusal forces are.
In comparison Waerhaug 4 argued that all periodontal destruction was associated solely with the advancing subgingival plaque front. Occlusal trauma may be a cofactor which can increase the rate of progression of an existing periodontal disease. For example Karolyi in 1901 reported an apparent association between excessive occlusal forces and periodontal destruction 3.
Tooth wear mild faceting or marked attrition Fig 9-2. Mobility as well as radiographic changes including a widened PDL space decreased definition of the lamina dura bone loss and altered.
Dental Occlusion Traumaticcomplications Dental Occlusion Traumaticpathology.
Occlusal trauma has been associated with periodontal disease 100 years ago 2. Clinical Features of Primary Occlusal Trauma No periodontitis. In a 1986 article Journal of Periodontics Nov. 4 Occlusal trauma may occur in an intact periodontium or in a reduced periodontium caused by periodontal disease. Dental Occlusion Traumaticcomplications Dental Occlusion Traumaticpathology. Occlusal trauma The injury resulting in tissue changes within the attachment apparatus including cementum supporting alveolar bone and periodontal ligament as a result of occlusal forces. Periodontitis can be treated and periodontal health maintained without occlusal adjustment and in the presence of traumatic occlusal forces. Occlusal trauma may be a cofactor which can increase the rate of progression of an existing periodontal disease. Tooth wear mild faceting or marked attrition Fig 9-2.
Statistically greater gains in clinical periodontal attachment level have been reported however when occlusal adjustment was included as a component of periodontal. In every case observed the presence of virulent bacteria always trumped trauma as a causative factor. Moreover occlusal trauma and periodontal inflammation may act as codestructive agents in periodontal disease. I think it is clear from several studies that occlusal trauma alone will not cause periodontal disease. Glickman and Smulow 3 believed that heavy occlusal contacts occlusal trauma in the presence of gingival inflammation were a codestructive force that resulted in deep pockets and bone loss. 4 Occlusal trauma may occur in an intact periodontium or in a reduced periodontium caused by periodontal disease. OCCLUSAL TRAUMA AND PLAQUE-INDUCED INFLAMMATORY PERIODONTITIS Excessive occlusal forces placed on a non infected periodontium do not initiate gingival connective tissue attachment loss or pocket formation.
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