Abfractions and Attachment Loss in Teeth With Premature Contacts in Centric Relation: Clinical Observations

Reyes, Elio; Hildebolt, Charles; Langenwalter, Eric M.; Miley, D. Douglas

doi:10.1902/jop.2009.090149

Cited by 39 publications

(54 citation statements)

References 32 publications

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“…If abnormal occlusal contacts occur in the healthy periodontium, occlusal adjustment is still disputable. The findings [26,33] are comparable with the statement that periodontal pockets and apical migration of the junction epithelium are not a consequence of the excessive occlusal forces applied to the teeth with normal supporting structures established by Zander and Polson in 1977 [34]. The authors emphasized that tooth mobility and widened periodontal ligaments in the radiographs despite the absence of periodontal pocket could indicate primary occlusal trauma.…”

Section: Discussionsupporting

confidence: 84%

“…Abstracts of the remaining 110 relevant papers were evaluated to see if they met the inclusion criteria. Of these, seven articles were selected and their full texts read [22][23][24][25][26][27][28]. Two articles did not meet the eligibility criteria [25,28].…”

Section: Resultsmentioning

confidence: 99%

“…In the opinion of the authors, balancing contacts are a doubtful factor responsible for primary occlusal trauma, and the correction of those contacts is controversial. The purpose of Reyes' et al study [26] was to find the association between premature contacts in centric relation (PCCR), clinical attachment loss, and abfraction lesions. The study group comprised 46 subjects (the median age was 45 years), 44 subjects had teeth with and without PCCR.…”

Section: Resultsmentioning

confidence: 99%

“…However, it is not a primary factor responsible for the development of periodontal diseases. Premature contacts in the centric relation and balancing occlusal contacts during lateral movements are doubtful causes of destructive changes in the healthy periodontium [26,33]. If abnormal occlusal contacts occur in the healthy periodontium, occlusal adjustment is still disputable.…”

Section: Discussionmentioning

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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Section: Discussionsupporting

confidence: 84%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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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“…In conclusion, it is no longer deemed advisable to use selective grinding in an attempt to cure abfraction lesions 30,36 . Nevertheless, in the framework of orthodontic treatment, it may be worthwhile for orthodontists to discern specific areas of interference and to modify the values of lateral torque during finishing stages of treatment.…”

Section: --Occlusal Trauma As An Etiological Factormentioning

confidence: 99%

Computerized occlusal analysis in Dentofacial orthopedics: indications and clinical use the T-scan III system

Cohen-Lévy¹,

Cohen²

2012

J Dentofacial Anom Orthod

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By definition, orthodontists take special care in achieving a high quality occlusion when finishing cases, believing good contacts are essential to maintain dental health, function, and insure stable long-term of results. The T-scan III system provides a real-time digitized analysis of occlusion, in both static and dynamic modes, and records the distribution of occlusal forces within the dental arches in different clinical situations. While the first T-Scan generations versions showed weaknesses, recent technical improvements have made T-scan a reliable and reproducible tool, whose findings are independent of the operator. It is now possible to calibrate the sensitivity of the sensor for individual patients, and to evaluate the quality of records so that comparisons can be made between various stages of a patient's treatment, as well as between patients. In addition to the accuracy of occlusal diagnosis, that often exceed clinical requirements, the T-scan III also can help understanding better each patient's functional pattern. This article describes the T-scan III occlusal analysis system, reviews current literature that evaluated its clinical use, and outlines its principal indications in dentofacial orthopedics. Four clinical cases treated with full bonded lingual appliance will illustrate how the Tscan III influences orthodontic case finishing : one case of ''occlusal discomfort'' after completion of surgical and orthodontic treatments, a case of cervical abfraction lesions, a case of anterior deep bite restored with an implant-supported prosthesis, and a case of severe facial hemiatrophy treated with a complex protocol. KEY WORDS Occlusion Lingual orthodontics DiagnosisDental implant

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Restorative material and loading type influence on the biomechanical behavior of wedge shaped cervical lesions

et al. 2015

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Abfractions and Attachment Loss in Teeth With Premature Contacts in Centric Relation: Clinical Observations

Cited by 39 publications

References 32 publications

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

Computerized occlusal analysis in Dentofacial orthopedics: indications and clinical use the T-scan III system

Restorative material and loading type influence on the biomechanical behavior of wedge shaped cervical lesions

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