Dental and Medical Problems

Dent Med Probl
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ISSN 1644-387X (print)
ISSN 2300-9020 (online)
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Dental and Medical Problems

2016, vol. 53, nr 4, October-December, p. 529–535

doi: 10.17219/dmp/64555

Publication type: review article

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

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

Ocena wpływu zaburzeń zwarcia na tkanki przyzębia – przegląd piśmiennictwa. Część II – okluzja a recesje dziąseł, okluzja a zdrowe przyzębie

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

1 Department of Prosthetic Dentistry, Medical University of Warsaw, Warsaw, Poland

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

Abstract

The 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.

Key words

occlusion, periodontium, gingival recession

Słowa kluczowe

okluzja, przyzębie, recesje dziąsłowe

References (37)

  1. The American Academy of Periodontology. Glossary of Periodontal Terms, 2001, 4th edition, 44.
  2. Löe H., Ånerud Å., Boysen H.: The natural history of periodontal disease in man: Prevalence, severity, and extent of gingival recession. J. Periodontol. 1992, 63, 489–495.
  3. Serino G., Wennström J.L., Lindhe J., Eneroth L.: The prevalence and distribution of gingival recession in subjects with a high standard of oral hygiene. J. Clin. Periodont. 1994, 21, 57–63.
  4. Susin C.: Gingival recession: Epidemiology and risk indicators in a representative urban Brazilian population. J. Periodontol. 2004, 75, 1377–1386.
  5. Kassab M.M., Cohen R.E.: The etiology and prevalence of gingival recession. J. Am. Dent. Assoc. 2003, 134, 220–225.
  6. Marini M.G., Greghi S.L., Passanezi E., Sant’ana A.C.: Gingival recession: Prevalence, extension and severity in adults. J. Appl. Oral Sci. 2004, 12, 250–255.
  7. Albandar J.M., Kingman A.: Gingival recession, gingival bleeding and dental calculus in adults 30 years of age and older in the United States, 1988–1994. J. Periodontol. 1999, 70, 30–43.
  8. Wolf H.F., Rateitschak E.M., Rateitschak K.H.: Periodontology. Wyd. Czelej, Lublin, 2006, 155–164 [in Polish].
  9. Zawada Ł., Konopka T., Chrzęszczyk D.: Prevalence of the gingival recessions in adult residents of Wrocław. Dent. Med. Probl. 2012, 49, 383–390 [in Polish].
  10. Sarfati A., Bourgeois D., Katsahian S., Mora F., Bouchard P.: Risk assessment for buccal gingival recession defects in an adult population. J. Periodontol. 2010, 81, 1419–1425.
  11. Rios F.S., Costa F.S., Moura M.S., Jardim J.J., Maltz M., Haas A.N.: Estimates and multivariable risk assessment of gingival recession in the population of adults from Porto Alegre, Brazil. J. Clin. Periodontol. 2014, 41, 1098–1107.
  12. Reddy Manchala S., Vandana K.L., Mandalapu N.B., Mannem S., Dwarakanath C.D.: Epidemiology of gingival recession and risk indicators in dental hospital population of Bhimavaram. J. Int. Soc. Prev. Community Dent. 2012, 2, 69–74.
  13. Dominiak M., Konopka T., Szajowski K.: Gingival recession with regard to potential etiopathogenic factors. Stom. Współ. 2002, 9, 2, 22–28 [in Polish].
  14. Dominiak M.: Author’s evaluation method of forecasting periodontal recession. Habilitation thesis, Wrocław 2009, 114–121 [in Polish].
  15. Stillman P.R.: The management of pyorrhea. Dent. Cosmos 1917, 59, 405–414.
  16. Stillman P.R.: Early clinical evidence of disease in the gingiva and pericementum. J. Dent. Res. 1921, 3, 25–31.
  17. Goldman H.M.: Gingival vascular supply in induced occlusal traumatism. J. Oral Surg. 1956, 9, 939–941.
  18. Consolaro A.: Diagnosis of occlusal trauma: Extrapolations for peri-implant bone region can be done. Dent. Press Implantol. 2012, 6, 4, 22–37.
  19. Consolaro A.: Occlusal trauma cannot be compared to orthodontic movement or occlusal trauma in orthodontic practice and V-shaped recession. Dent. Press J. Orthod. 2012, 17, 6, 4–11.
  20. Górski B., Górska R.: Cone beam computed tomography as an useful tool in periodontology. Nowa Stomatol. 2012, 17, 4, 161–164 [in Polish].
  21. Maroso F.B., Gaio E.J., Rösing C.K., Fernandes M.I.: Correlation between gingival thickness and gingival recession in humans. Acta Odontol. Latinoam. 2015, 28,162–166.
  22. Harrel S.K., Nunn M.E.: The association of occlusal contacts with the presence of increased periodontal probing depth. J. Clin. Periodontol. 2009, 36, 1035–1042.
  23. Branchofsky M., Beikler T., Schafer R., Fleming T.F., Lang H.: Secondary trauma from occlusion and periodontitis. Quintes Int. 2011, 42, 515–522.
  24. Jin J., Cao F.: Clinical diagnosis of trauma from occlusion and its relation with severity of periodontitis. J. Clin. Periodontol. 1992, 19, 92–97.
  25. Bernhardt O., Gesh D., Look J.O., Hodges J.S., Schwahn C., Mack F., Kocher T.: The influence of dynamic occlusal interferences on probing depth and attachment level: Results of the study of health in Pomerania (SHIP). J. Periodontol. 2006, 77, 506–516.
  26. Reyes E., Hildebolt C., Langewalter E., Miley D.: Abfraction and attachment loss in teeth with premature contacts in centric relation: Clinical observations. J. Periodontol. 200, 80, 1955–1962.
  27. Prasad Krishna D., Shetty Sridhar N., Solomon E.G.R.: The influence of occlusal trauma on gingival recession and gingival clefts. J. Indian Prosthodont. Soc. 2013, 13, 7–12.
  28. Kundapur P.P., Bhat K.M., Bhat G.S.: Association of trauma from occlusion with localized gingival recession in mandibular anterior teeth. Dent. Res. J. 2009, 6, 71–74.
  29. Burgett F.G., Ramfjord S.P., Nissle R.R., Morrison E.C., Charbeneau T.D., Caffesse R.G.: A randomized trial of occlusal adjustment in the treatment of periodontitis patients. J. Clin. Periodontol. 1992, 19, 381–387.
  30. Harrel S.K., Nunn M.E.: The effect of occlusal discrepancies on periodontitis. II. Relationship of occlusal treatment to the progression of periodontal disease. J. Periodontol. 2001, 72, 495–505.
  31. Harrel S.K., Nunn M.E.: The effect of occlusal discrepancies on periodontitis. I. Relationship of initial occlusal discrepancies to initial clinical parameters. J. Periodontol. 2001, 72, 485–494.
  32. Harrel S.K., Nunn M.E.: The effect of occlusal discrepancies on gingival width. J. Periodontol. 2004, 75, 98–105.
  33. Ishigaki S., Kurozumi T., Morishige E., Yatani H.: Non-working contact does not initiate primary occlusal trauma. Prosthodont. Res. Pract. 2008, 7, 49–54.
  34. Zander H.A., Polson A.M.: Present status of occlusion and occlusal therapy in periodontics. J. Periodontol. 1977, 48, 540–544.
  35. Solnit A., Stambaugh R.V.: Treatment of gingival clefts by occlusal therapy. Int. J. Periodontics Restor. Dent. 1983, 3, 3, 38–55.
  36. Gala A., Pihut M., Majewski S.: Practical considerations concerning instrumental occlusal analysis. Implantoprot. 2011, 12, 1–2, 80–84 [in Polish].
  37. Jurkowski P., Kostrzewa-Janicka J., Mierzwińska-Nastalska E.: T-Scan III computerized occlusal analysing system: Structure, functions and applications. Prot. Stomatol., 2012, 62, 100–109 [in Polish].
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