This 40 year old patients front teeth increasingly moved out towards her lip and down and she now has a teeth gap space. Occlusal adjustment in the treatment of primary traumatic injury. The signs and symptoms experienced by patients with occlusal trauma are mobility of teeth, pain on mastication, and periodontal disease. Additionally, headaches, migraines and facial pain may be warning signs of tmj occlusal dysfunction and associated sleep disorders. Acute trauma from occlusionacute trauma from occlusion it results from an abrupt occlusal impact, such as that produced by biting on a hard object eg. This type of adjustment is needed when there are loose or shifting teeth, severe grinding or clenching during sleep, and sensitivity to temperature.
Introduction traumatic dental injuries tdis occur with great frequency in preschool, school age children and young adults comprising 5% of all injuries for which people seek treatment. Symptoms and treatment if you experience pain in your ear and feel like chewing and grinding constantly, then you are probably affected by tmj temporomandibular joint disorder. Combined tfo it is the injury that occurs to the periodontium resulting from abnormal occlusal forces that are applied to a tooth or teeth with abnormal periodontal support. There was a significant association between tooth mobility and gingival recession p occlusal or bite adjustment is similar to occlusal equilibration. Functional loading of teeth, usually offaxis, that is of sufficient magnitude to induce changes to the teeth ex. Attributing the clinical signs of occlusal trauma to injury of the attachment apparatus is somewhat speculative. The present study describes an experimental approach for inducing bruxism and trauma from occlusion in animals. Thus, it appears that occlusal trauma in these animals is not a causative agent of periodontal disease harrel et al. Trauma from occlusion an orthodontists perspective.
Mar 06, 2018 when a patient exerts abnormally heavy biting forces on the teeth, stress cracks, chips and wear may result. Mar 04, 2015 the occlusal trauma red herring presents in essentially the same as a pulpitis with two clinical differences. Occlusal trauma is a term used to describe injury resulting in tissue changes within the attachment apparatus, including periodontal ligament, supporting alveolar bone and cementum, as a result of occlusal forces. Primary trauma occurs in teeth with a normal periodontal. The mechanisms of tissue changes induced by occlusal trauma are in no way comparable to orthodontic movement. It was diagnosed as a periodontal abscess caused by occlusal trauma. Start this article has been rated as startclass on the projects quality scale. A condition where injury results to the supporting structures of the teeth by the act of bringing the jaws into a closed position. Trauma from occlusion is a term used to describe pathologic alterations or adaptive changes which develop in the periodontium as a result of undue force produced by the masticatory muscles. These adjustments will aid in prevention of a future occlusal trauma. The effect of these forces on the periodontium is in. Mar 22, 2010 trauma from occlusion is considered the primary etiological factor, and the only local alteration to which a tooth is subjected is from occlusion. Studies show that fifty to seventy percent of the patients with tmj related problems have a sleep disturbance as a contributing or causative reason.
The aim of this study was to describe the effects of bruxism in periimplant bone loss 6 years after the placement of a successful implantsupported prosthesis, to describe its treatment, and to propose a differential diagnosis of. When a patient exerts abnormally heavy biting forces on the teeth, stress cracks, chips and wear may result. A positive correlation between occlusal trauma and peri. A new classification scheme for periodontal and peri. Occlusion in relation to periodontal disease pocket. The temporomandibular joint tmj is the part of body that is directly in front of the ear canal on both sides of the head where the upper jaw and lower jaw join. Secondary occlusal trauma on xray film displays two lonestanding mandibular teeth, the lower left first premolar and canine. Having the right facts and knowledge of occlusal trauma can help when dealing with questions about occlusions. In this case report, an 8yearold girl who was noticed to have intraoral swelling by her parents 2 days ago is reported. Occlusal adjustment in the treatment of primary traumatic. Occlusal traumaocclusal trauma injury to the periodontium. Occlusal traumatism functional loading of teeth usually. A bad bite can cause periodontal gum disease because of occlusal trauma.
Traumatic occlusion and occlusal trauma nyc dentist. Trauma from occlusion is considered the primary etiological factor, and the only local alteration to which a tooth is subjected is from occlusion. Over the years there has been endless discussion and debate on the topic of occlusal trauma in dentistry. Orthodontic movement of teeth into functionally unacceptable positions 8. A growing problem in dentistry is complications associated with failing amalgam restorations that have been in place for many years. Occlusal equilibriation according to world workshop of the american academy of periodontology some guidelines for situations when occlusal equilibration are indicated. Jan 17, 2015 secondary occlusal trauma trauma within a diseased periodontium current literature indicates that occlusal forces can cause changes in the alveolar bone and periodontal connective tissues both in the presence and in the absence of periodontitis. In addition, restorations or prosthetic appliances that interfere with the direction of occlusal forces on the teeth may induce acute trauma. Trauma from occlusion, types, mechanism, actions on soft and hard tissue, treatment options. Firstly, when performing the extraoral exam you will often find masseter and temporalis muscles which are tender to palpation with cordlike knots in the muscles. In reality is there occlusal trauma without bruxism. Secondary occlusal trauma refers to the presence of occlusal trauma in the presence of periodontitis. Pdf association of trauma from occlusion with localized.
In both events the primary cause is of a physical nature, but the forces delivered to dental tissues exhibit completely different characteristics in terms of intensity, duration, direction, distribution, frequency and form of uptake by periodontal tissues. Many studies have been conducted with various and conflicting results on both primary and secondary forms. Treatment of periodontal abscess caused by occlusal trauma. Insertion of prosthetic replacement that creates excessive force on abutments 3. Tissue damage associated with occlusal trauma can be divided into two types. Once the restoration is complete the occlusal bite of the tooth will be adjusted. Comprised of current research on clinical applications. Secondary occlusal trauma occurs when there has been some degree of periodontal attachment loss, and normal biting forces which were once tolerated by the gums, periodontal ligaments and bone are now too excessive for those structures to withstand. Occlusal trauma definition of occlusal trauma by the free. In addition restorations or prosthetic appliances that interfere with or alter the direction of occlusal forces on the teeth may induce acute trauma. How much adjustment is required is determined by using computerbased occlusal analysis. To investigate the relationship of occlusal trauma to the severity of periodontal disease as reflected in clinical parameters and possible effects of occlusal treatment on the progression of periodontal disease.
The relationship between trauma from occlusion and periodontal disease has long been a area of discussion. Human studies human research on occlusion has yielded mixed results harrel et al. When trauma, disease or dental treatment alters occlusion by changing the biting surface of any of the teeth, the teeth will come together. Experts can help answer questions about occlusal trauma or occlusal trauma symptoms. However, when the force reaches a compromised periodontium, it has the secondary occlusal trauma 27. Jun 20, 2018 traumatic occlusal forces can result in occlusal trauma the lesion and excessive wear or fracture of the teeth. There was a significant association between tooth mobility and gingival recession p o cclusal trauma may be defined as an injury to the attachment apparatus as a result of excessive occlusal force. Occlusal trauma synonyms, occlusal trauma pronunciation, occlusal trauma translation, english dictionary definition of occlusal trauma.
Occlusal trauma definition of occlusal trauma by medical. When persistent horizontal forces exceed the physiological limit of adaptation the periodontal fibres are unable to absorb the force and localised tissue remodelling with widening of the periodontal membrane space occurs fig 91. The injuries resulting from occlusal trauma, besides affecting the periodontal tissues in the case of natural teeth, can affect. Acute trauma from occlusion results from an abrupt occlusal impact, such as that produced by biting on a hard object e. As the remnants of a once full complement of 16 lower teeth, these two teeth have been alone in opposing the forces associated with mastication for some time, as can be evidenced by the widened pdl surrounding the premolar. Trauma from occlusion may if left untreated, a pyogenic granuloma will most likely all of the following are well documented initiating factors of hairy tongue except a patient with pain, fever and unilateral parotid swelling following a general anesthetic most likely has which of the following diseases may cause an enlargement of the jaws. Occlusal trauma questions about occlusal trauma and its. Occlusal trauma can not be compared to orthodontic. The culprit of this type of histologically diagnosed lesion is the occlusal traumatism glossary of periodontal terms, 2001 or traumatogenic occlusion. Jul 31, 2012 occlusal trauma refers to the injury resulting in tissue changes within the attachment apparatus as a result of occlusal forces glossary of periodontal terms, 2001. Mobility and a widened periodontal ligament are typically the most common parameters used in research dealing with this topic. Primary occlusal trauma implies there has been no loss of the periodontal attachment gingival attachment fibers, periodontal ligament, or bone, and the teeth themselves are damaged by the excessive forces on them. Gold occlusal cap splints overlaying the maxillary premolar and molar teeth were. Excellent sources for a comprehensive understanding of dental anatomy and function include texts by wheeler, 3 mcneill, 27 and dawson.
Clinical signs of trauma from occlusion increased tooth mobility this is a hallmark of trauma from occlusion it can be easily measured by blunt ends of two dental instruments which are placed approximately at the buccal and lingual heights of contour of the tooth, and force are applied in the buccolingual direction. The handbook of research on computerized occlusal analysis technology applications in dental medicine explores the use of digital tools in dentistry, including their evolution as well as evidencebased research on the benefits of technological tools versus nondigital occlusal indicators. The result is loosening, tipping and movement of the teeth. Occlusal trauma can not be compared to orthodontic movement. Handbook of research on computerized occlusal analysis. Our new crystalgraphics chart and diagram slides for powerpoint is a collection of over impressively designed datadriven chart and editable diagram s guaranteed to impress any audience. This article is supported by wikiproject dentistry. Abfractive lesions often accompany the development of wear facets andor attrition. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. Secondary trauma from occlusion occurs when the adaptive capacity of the tissues to withstand occlusal forces is impaired by bone loss resulting from marginal inflammation. Ppt temporomandibular joint powerpoint presentation. The earliest radiographic sign of occlusal trauma is quizzn. Occlusal trauma can be classified as primary or secondary see chapter 2. Occlusal trauma synonyms, occlusal trauma antonyms.
Occlusal trauma definition of occlusal trauma by the. Occlusal trauma is the damage to teeth when an excessive force is acted upon them and they do not align properly when the jaws close, for instance during chewing or at rest, the relationship between the opposing teeth is referred to as occlusion. A positive correlation between occlusal trauma and periimplant bone loss. Secondary trauma from occlusion it is related to situations in which occlusal forces cause damage in a periodontium of reduced height attachment loss present 14. A dentition undergoing primary occlusal trauma may exhibit isolated wear facets or more generalized severe attrition, in some cases exposing dentin. If you want to participate andor join, please visit the project page, or ask questions on the project talk page. Ppt temporomandibular joint powerpoint presentation free. Headaches, facial pain, tmj occlusal dysfunction and. It has become evident that excessive force on a tooth with normal periodontium can exist only in the presence of occlusal parafunction or bruxism. The injuries resulting from occlusal trauma, besides affecting the periodontal tissues in the case of natural teeth, can affect the periimplant region. Primary trauma occurs in teeth with a normal periodontal structure, while secondary trauma is related to normal or excessive occlusal forces causing damage to an already compromised periodontium 24. Primary occlusal trauma will occur when there is a normal periodontal attachment apparatus and, thus, no periodontal disease. The earliest radiographic sign of occlusal trauma is in radiography, minimum magnification and maximum definition are achieved by question was removed from public access an acute periapical abscess must be associated with 1. Conside rations about the relation between occlusal trauma.