Occlusal trauma can not be compared to orthodontic movement or Occlusal trauma in orthodontic practice and V-shaped recession

Consolaro, Alberto

doi:10.1590/s2176-94512012000600003

Cited by 3 publications

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“…The clinical practice shows that Stillman's clefts, another form of recession, are induced by occlusal trauma [8]. The mechanism involved in the development of recession has been described by Consolaro [18,19]. Occlusal overloads generate pressure and pull out forces.…”

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“…The decrease in the volume is mediated by a permanent physiological reconstruction of tissues, which is aimed at restoring right proportions between gingival sulcus epithelium, junctional epithelium, gingival connective tissue and alveolar bone. Consolaro reports that the V-shaped recessions are associated with occlusions contrary to the U-shaped recessions, which are concomitant with periodontitis or results from an improper tooth brushing [19]. The majority of primary concomitant symptoms of the V-shaped recession can be attenuated through the elimination of occlusal trauma.…”

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confidence: 99%

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The Influence of Occlusal Loading on the Periodontal Tissue. A Literature Review. Part II: Occlusion and Recession, Occlusion and Healthy Periodontium

Meredyk¹,

Kostrzewa-Janicka²,

Nędzi-Góra³

2016

Dent. Med. Probl.

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Gingival recession is characterized by apical displacement of the gingival margin to the cemento-enamel junction, which in consequence contributes to the dehiscence of the root surface [1]. Epidemiological studies confirm a frequent occurrence of gingival recession in the adult population, and its prevalence increases with age. They also reveal that gingival recessions are found more frequently on the buccal surfaces [2][3][4][5][6][7]. Clinical problems related to gingival recession are as follows: dentin hypersensitivity, higher risk of non-carious cervical lesions, root caries and elongation of the tooth crown resulting in esthetic problems, especially when the anterior teeth are affected. Gingival recession uncomplicated by inflammation is termed 'classic recession'. It is the most common form of gingival recession, with clinical attachment loss on the buccal surface, but without the presence of additional factors. Inadequate oral hygiene or recessions reaching the muco-gingival line can lead to secondary inflammation and the development of periodonti- AbstractThe stomatognathic system is a morphological and functional complex where any disturbance in one part of this system influences the functioning of the others. The possible relation between teeth, their supporting structures, the jaws, the masticatory muscles and the temporomandibular joints is a subject of many studies. The impact of occlusion on the response of periodontal tissues are still being discussed. The aim of this study was to review the literature concerning the association between the occlusal loading and the formation of gingival recession and changes in the healthy periodontal tissues. On the basis of clinical trials in human populations the following conclusions can be drawn: premature contacts in maximum intercuspation and balancing occlusal contacts during lateral movements are doubtful factors responsible for destructive changes in the healthy periodontium, but the absence of mutually protected occlusion may contribute to the development of gingival recession, so the examination of occlusion and correction of improper tooth contact are suggested in this clinical cases (Dent. Med. Probl. 2016, 53, 4, 529-535).

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The Influence of Occlusal Loading on the Periodontal Tissue. A Literature Review. Part II: Occlusion and Recession, Occlusion and Healthy Periodontium

Meredyk¹,

Kostrzewa-Janicka²,

Nędzi-Góra³

2016

Dent. Med. Probl.

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“…It should be noted that the recession (<2 mm) reported in some studies is usually not progressive and might be related to the heterogeneity of tissue quality. 55,[70][71][72] If gingival recession is observed after the orthodontic therapy, the treatment alternatives depend on its severity 73 and the probability of elimination by orthodontic intervention (Figure 3). It should also be kept in mind that the clinical relevance of the induced recession is unclear, and most studies have only documented the pre-or post-orthodontic incidence of gingival recession.…”

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Effect of gingival biotype on orthodontic treatment-induced periodontal complications: A systematic review

Amid

Kadkhodazadeh

Moscowchi

et al. 2020

J Adv Periodontol Implant Dent

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Background. It is crucial to maintain periodontal health in patients undergoing orthodontic treatment. Biotype is a critical factor to be considered in this regard. This systematic review investigated the scientific evidence on the relationship between gingival biotype and marginal periodontal alterations induced by orthodontic interventions. Methods. An electronic search was conducted for pertinent studies in three databases: PubMed, Scopus, and Cochrane up to August 1, 2019 based on a detailed protocol according to the PRISMA statement. The authors also completed a hand search in six dental journals and the bibliographic lists of the relevant studies. Results. Of 1512 citations retrieved through the electronic search, 602 were duplicate entries. By evaluating titles, abstracts, and full texts, eight articles conformed to the inclusion criteria; however, no relevant studies were found through hand searching. The evidence suggested that recession was inversely related with the thickness of the facial margin. These findings were more evident in proclined teeth and patients using fixed appliances. Conclusion. The existing evidence suggests that orthodontic therapy might result in mild detrimental effects on the periodontium, especially in patients with thin biotype. However, due to the limited investigations and their inconsistent methodology, further well-designed prospective studies are necessary.

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“…Lighter orthodontic forces when applied and dissipated slowly cause no harm to the affected tooth from TFO. 10 A case report by Thierens et al 11 showed that a maxillary central incisor that was periodontally affected by TFO was reversed to normal with reduced PPD and recession decreased after 12 months of orthodontic treatment. This gives an insight on orthodontic treatment also being therapeutic to eliminate symptoms of TFO.…”

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confidence: 99%

Occlusal Contact Changes With Traumatic Occlusion After Orthodontic Treatment: A Prospective Study

Sowmithra Devi S,

Sundari

2023

Journal of Advanced Oral Research

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Aim: The aim of this study was to evaluate trauma from occlusion in patients undergoing orthodontic treatment through assessment of fremitus, pocket depth, gingival biotype, and occlusal contacts pre-orthodontic treatment (T0) and post-orthodontic treatment (T1). Materials and Methods: This prospective randomized trial included 40 participants selected based on a simple random sampling method, of which 27 were women and 13 were men with ages ranging from 25 to 40 years. All the participants were clinically checked for gingival recession, fremitus, pocket depth, gingival biotype, and occlusal contacts obtained via digital intraoral scans and fed to 3Shape software to perform the occlusal mapping analysis for pre-orthodontic treatment (T0) and post-orthodontic treatment (T1). T-Scan occlusal analysis was performed to check the force levels pertaining to each tooth. A paired t-test was done to find out the changes in fremitus, pocket depth, gingival biotype, and number of occlusal contacts between T0 and T1. Results: Results of paired t-tests showed a statistically significant difference for fremitus between T0 and T1 ( p < .05). Gingival biotype and pocket depth did not show any improvement post-orthodontic treatment (T1) ( p > .05). Number of traumatic occlusal contacts reduced at T1 for incisors and canines showing a statistically significant difference between T0 and T1 ( p < .05). Conclusion: Orthodontic treatment helps in relieving the traumatic occlusal contacts, especially in the incisors and canine regions. As the teeth are relieved from traumatic occlusal contacts, fremitus also has shown to have drastically improved at the end of orthodontic treatment. Gingival biotype and pocket depth might take a longer time to regenerate and improve, which requires long-term observation.

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Occlusal trauma can not be compared to orthodontic movement or Occlusal trauma in orthodontic practice and V-shaped recession

Cited by 3 publications

References 1 publication

The Influence of Occlusal Loading on the Periodontal Tissue. A Literature Review. Part II: Occlusion and Recession, Occlusion and Healthy Periodontium

The Influence of Occlusal Loading on the Periodontal Tissue. A Literature Review. Part II: Occlusion and Recession, Occlusion and Healthy Periodontium

Effect of gingival biotype on orthodontic treatment-induced periodontal complications: A systematic review

Occlusal Contact Changes With Traumatic Occlusion After Orthodontic Treatment: A Prospective Study

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