Occlusal trauma and excessive occlusal forces: Narrative review, case definitions, and diagnostic considerations

Fan, Jingyuan; Caton, Jack G.

doi:10.1111/jcpe.12949

Cited by 29 publications

(26 citation statements)

References 82 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the present study the measurement of the depth of the abrasion could not be standardized because it was performed without the use of microscope or loupes, as well as the etiology of NCCL is still controversial . Indeed, there is no credible evidence that traumatic occlusal forces may cause NCCL while some clinical studies indicated that improper toothbrushing maneuvers and in particular the position of the toothbrush may influence the wear of the teeth …”

Section: Discussionmentioning

confidence: 94%

“…Currently we are also lacking studies that report on a possible association between NCCL and the quantity of gingiva present at baseline. In this context, even if any amount of KT is sufficient to maintain oral health when optimal oral hygiene is attainable, it is clinically recognized that the presence of a minimum band of 2 mm of KT (with at least 1 mm of tissue attached) is deemed essential to allow a correct and more comfortable/less traumatic toothbrushing technique …”

Section: Discussionmentioning

confidence: 99%

“…In fact, the etiology of NCCL is still controversial . There is no reliable evidence that traumatic occlusal forces cause NCCL, abfraction, or GR . The presence of NCCL can cause several problems to the periodontist and to the patient as well.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effect of gingival augmentation procedure (free gingival graft) on reducing the risk of non‐carious cervical lesions: A 25‐ to 30‐year follow‐up study

Agudio

Selvaggi

Pini‐Prato³

2019

Journal of Periodontology

View full text Add to dashboard Cite

Background The aim of this long‐term case series was to assess the development/prevalence of non‐carious cervical lesions (NCCLs) at sites that have and have not been treated with gingival augmentation following free gingival graft (FGG). Methods Fifty‐two patients had at least one test and one control site: 1) test site showing absence of attached gingiva (AG) associated with gingival recession (GR) treated with FGG; and 2) contralateral site with or without AG. Patient/tooth/site‐associated variables were recorded for each tooth/site at baseline (T0), 12 months after surgery (T1), during the follow‐up period (T2) (15 to 20 years), and at the end of the follow‐up period (T3) over 25 to 30 years. Mixed‐effects logistic regression was used throughout the study. Results Forty‐nine patients/130 sites were available for analysis at T2 whereas 44 patients/120 sites at T3. Twenty‐two NCCLs >0.5 mm were restored in the test sites and in 35 in the untreated sites. The development of NCCL over time appeared associated with sites with attached KT <2 mm (i.e., odds ratio [OR]: 3.80 [P = 0.045] and 3.47 [P = 0.046], 15‐ to 20‐ and 20‐ to 30‐year follow‐ups, respectively), as well as to teeth presenting a thin/non‐modified periodontal phenotype (i.e., OR: 3.53 [P = 0.037] and 5.51 [P = 0.008], 15‐ to 20‐ and 20‐ to 30‐year follow‐ups, respectively). Conclusions Periodontal phenotype modification achieved by FGG may prevent the development/progression of NCCL. Evidence suggests that the thickness and width of the AG had a direct influence on the need of restoring these lesions during the 25‐ to 30‐year observation period.

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of gingival augmentation procedure (free gingival graft) on reducing the risk of non‐carious cervical lesions: A 25‐ to 30‐year follow‐up study

Agudio

Selvaggi

Pini‐Prato³

2019

Journal of Periodontology

View full text Add to dashboard Cite

show abstract

“…Traumatic occlusal forces can result in occlusal trauma (the lesion) and excessive wear or fracture of the teeth . There is lack of evidence from human studies implicating occlusal trauma in the progression of attachment loss in periodontitis (Table ) …”

Section: Mucogingival Conditionsmentioning

confidence: 99%

A new classification scheme for periodontal and peri‐implant diseases and conditions – Introduction and key changes from the 1999 classification

Caton

Armitage

Berglundh

et al. 2018

J Clinic Periodontology

Self Cite

1,006

772

View full text Add to dashboard Cite

A classification scheme for periodontal and peri-implant diseases and conditions is necessary for clinicians to properly diagnose and treat patients as well as for scientists to investigate etiology, pathogenesis, natural history, and treatment of the diseases and conditions. This paper summarizes the proceedings of the World Workshop on the Classification of Periodontal and Peri-implant Diseases and Conditions. The workshop was co-sponsored by the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) and included expert participants from all over the world. Planning for the conference, which was held in Chicago on November 9 to 11, 2017, began in early 2015. An organizing committee from the AAP and EFP commissioned 19 review papers and four consensus reports covering relevant areas in periodontology and implant dentistry. The authors were charged with updating the 1999 classification of periodontal diseases and conditions and developing a similar scheme for peri-implant diseases and conditions. Reviewers and workgroups were also asked to establish pertinent case definitions and to provide diagnostic criteria to aid clinicians in the use of the new classification. All findings and recommendations of the workshop were agreed to by consensus. This introductory paper presents an overview for the new classification of periodontal and peri-implant diseases and conditions, along with a condensed scheme for each of four workgroup sections, but readers are directed to the pertinent consensus reports and review papers for a thorough discussion of the rationale, criteria, and interpretation of the proposed classification. Changes to the 1999 classification are highlighted and discussed. Although the intent of the workshop was to base classification on the strongest available scientific evidence, lower level evidence and expert opinion were inevitably used whenever sufficient research data were unavailable. The scope of this workshop was to align and update the classification scheme to the current understanding of periodontal and peri-implant diseases and conditions. This introductory overview presents the schematic tables for the new classification of periodontal and peri-implant diseases and conditions and briefly highlights changes made to the 1999 classification. It cannot present the wealth of information included in the reviews, case definition papers, and consensus reports that has guided the development of the new classification, and reference to the consensus and case definition papers is necessary to provide a thorough understanding of its use for either case management or scientific investigation. Therefore, it is strongly recommended that the reader use this overview as an introduction to these subjects. Accessing this publication online will allow the reader to use the links in this overview and the tables to view the source papers (Table ).

show abstract

“…In preparation, four position papers were provided, that had been accepted for publication. Discussions were based on these four reviews covering 1) periodontal manifestions of systemic diseases and conditions; 2) mucogingival conditions around natural teeth; 3) traumatic occlusal forces and occlusal trauma; and 4) dental prostheses and tooth‐related factors . This consensus report is based on the results of these reviews and on expert opinions of the participants.…”

mentioning

confidence: 99%

Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions

Jepsen

Caton

Albandar

et al. 2018

J Clinic Periodontology

Self Cite

417

312

View full text Add to dashboard Cite

show abstract

Occlusal trauma and excessive occlusal forces: Narrative review, case definitions, and diagnostic considerations

Cited by 29 publications

References 82 publications

Effect of gingival augmentation procedure (free gingival graft) on reducing the risk of non‐carious cervical lesions: A 25‐ to 30‐year follow‐up study

Effect of gingival augmentation procedure (free gingival graft) on reducing the risk of non‐carious cervical lesions: A 25‐ to 30‐year follow‐up study

A new classification scheme for periodontal and peri‐implant diseases and conditions – Introduction and key changes from the 1999 classification

Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions

Contact Info

Product

Resources

About