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

Abstract

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).

Relationship of Trauma From Occlusion and Severity of Periodontitis on Patients in Periodontal Clinic RSGMP FKG USU

“…This is consistent with the Consensus Report on Periodontal Disease in 1999 that alleged occlusal trauma may cause injury to the periodontal tissue resulting from excessive occlusal forces but occlusal forces alone cannot cause gingival diseases associated with bacterial plaque and also attachment loss in periodontitis [15].…”

The Treatment of Acute Periodontal Abscess and Secondary Occlusal Trauma: A Case Report

“…A multidisciplinary approach comprising complete diagnosis and properly planned comprehensive treatment executed in cooperation with periodontists and prosthodontists plays an important role in achieving the desired therapeutic outcome [5]. The present case reported that the treatment may involve combined periodontics and restorative dentistry in order to keep the tooth chewing function.…”

“…It is known that the persistence of untreated abnormal occlusal contacts can exacerbate periodontitis. Moreover, the occlusal adjustment is able to improve the periodontal parameters, thus suggesting that the occlusion therapy should be adequate after periodontal therapy [5].…”

Hubungan Derajat Keparahan Kelainan Periodontal Dengan Traumatik Oklusi Pada Pemakai Gigi Tiruan Sebagian Lepasan Di RSGM Usu

“…Pasien dengan periodontitis yang parah memiliki jumlah prematur kontak yang lebih banyak. 15 Masih banyaknya pemakai GTSL yang memiliki OH buruk menunjukkan bahwa pasien tidak mengetahui dan tidak mengerti cara membersihkan gigi tiruan dan rongga mulut, serta kurangnya kesadaran pasien akan kebersihan rongga mulut. Masih banyaknya pasien yang mengalami traumatik oklusi menunjukkan masih tidak tepatnya pemeriksaan traumatik oklusi yang dilakukan, sehingga masih ditemukan banyak pemakai GTSL yang mengalami traumatik oklusi.…”