Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
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ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2015, vol. 52, nr 2, April-June, p. 215–221

Publication type: review article

Language: English

Creative Commons BY-NC-ND 3.0 Open Access

The Effect of Occlusal Loading on the Periodontal Tissues. A Literature Review. Part I – Occlusion and Periodontitis

Ocena wpływu zaburzeń zwarcia na tkanki przyzębia – przegląd piśmiennictwa. Część I – okluzja a periodontitis

Katarzyna Meredyk1,A,B,C,D, Jolanta Kostrzewa-Janicka1,A,B,C,D,E,F, Małgorzata Nędzi-Góra2,C,E,F

1 Department of Dental Prosthodontics, Medical Univeristy of Warsaw, Warsaw, Poland

2 Department of Periodontology and Oral Diseases, Medical University of Warsaw, Warsaw, Poland


The aim of this study was to review the literature concerning the association between occlusal loading and the presence and progression of periodontal diseases. The results of the work will be discussed in two parts. The first part of the study presents the latest research on the impact of occlusal disharmony on periodontal tissue changes during periodontitis. The second section reviews the literature on the relationship between the occlusal trauma and changes in the healthy periodontal tissues and formation of gingival recession. The results of some studies allow to conclude that occlusal interferences may correlate with periodontal tissue destruction during periodontitis and the presence of gingival recession, although some studies deny this findings. Hovever, despite these various reports assessing occlusion and the response of periodontal tissues it is noted that untreated abnormal occlusal contacts exacerbate periodontal diseases. Confirmed in research impact of occlusal adjustment on an improvement in periodontal parameters suggests the desirability of occlusive therapy in patients with periodontal diseases and the need a multidisciplinary approach to patients and their treatment team. The studies suggest occlusal therapy as an effective management of these pathologies. Therefore, a thorough diagnosis and comprehensive treatment, properly scheduled and carried out in cooperation with periodontists and prosthodontists, play an important role to achieve the intended therapeutic success.

Key words

periodontitis, occlusion, periodontium

Słowa kluczowe

zapalenie przyzębia, okluzja, przyzębie

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