Occlusal trauma: Difference between revisions

Revision as of 11:10, 15 February 2025

An article about occlusal trauma in dentistry

Occlusal Trauma

Occlusal trauma refers to injury to the periodontium resulting from excessive occlusal forces. It is a significant factor in the progression of periodontal disease and can lead to tooth mobility, tooth migration, and periodontal bone loss.

Types of Occlusal Trauma

Occlusal trauma can be classified into two main types:

Primary Occlusal Trauma

Primary occlusal trauma occurs when excessive occlusal forces are applied to a tooth or teeth with normal periodontal support. This type of trauma is often seen in cases of bruxism or malocclusion.

Secondary Occlusal Trauma

Secondary occlusal trauma occurs when normal or excessive occlusal forces are applied to a tooth or teeth with compromised periodontal support. This is commonly associated with periodontitis, where the supporting structures of the teeth are already weakened.

Clinical Features

The clinical features of occlusal trauma may include:

Increased tooth mobility
Tooth migration
Fremitus
Wear facets on the occlusal surfaces
Pain or discomfort on biting
Periodontal bone loss

Diagnosis

Diagnosis of occlusal trauma involves a thorough clinical examination, including:

Assessment of tooth mobility
Evaluation of occlusal contacts using articulating paper
Radiographic examination to assess periodontal bone loss

Management

Management of occlusal trauma involves:

Occlusal adjustment to redistribute occlusal forces
Use of occlusal splints to protect teeth from excessive forces
Treatment of underlying periodontal disease

Related Pages

@@ Line 1: / Line 1: @@
-'''Occlusal trauma''' is a pathological condition involving the tissues that surround and support the teeth (the periodontium), resulting from excessive biting forces exerted by the teeth when they come together (occlude). These forces can be caused by either the presence of high spots on filled or crowned teeth, or the misalignment of teeth within the dental arch.
+{{Short description|An article about occlusal trauma in dentistry}}
-== Causes ==
+== Occlusal Trauma ==
-The primary cause of occlusal trauma is the misalignment of the teeth, also known as [[malocclusion]]. This can occur due to a variety of reasons, including genetics, the premature loss of baby teeth, and habits such as thumb sucking. Other causes include the presence of high spots on filled or crowned teeth, which can create uneven pressure on the teeth and gums when biting or chewing.
+[[File:Periodontalboneloss.JPG|thumb|right|Periodontal bone loss associated with occlusal trauma]]
-== Symptoms ==
+'''Occlusal trauma''' refers to injury to the [[periodontium]] resulting from excessive [[occlusal force]]s. It is a significant factor in the progression of periodontal disease and can lead to [[tooth mobility]], [[tooth migration]], and [[periodontal bone loss]].
-Symptoms of occlusal trauma can vary, but often include tooth sensitivity, tooth mobility, and discomfort or pain when biting or chewing. Other symptoms may include receding gums, the deepening of pockets around the teeth, and the loosening or loss of teeth.
+== Types of Occlusal Trauma ==
+Occlusal trauma can be classified into two main types:
+=== Primary Occlusal Trauma ===
+Primary occlusal trauma occurs when excessive occlusal forces are applied to a tooth or teeth with normal periodontal support. This type of trauma is often seen in cases of [[bruxism]] or [[malocclusion]].
+=== Secondary Occlusal Trauma ===
+Secondary occlusal trauma occurs when normal or excessive occlusal forces are applied to a tooth or teeth with compromised periodontal support. This is commonly associated with [[periodontitis]], where the supporting structures of the teeth are already weakened.
+== Clinical Features ==
+The clinical features of occlusal trauma may include:
+* Increased [[tooth mobility]]
+* [[Tooth migration]]
+* [[Fremitus]]
+* [[Wear facets]] on the occlusal surfaces
+* [[Pain]] or discomfort on biting
+* [[Periodontal bone loss]]
 == Diagnosis ==
-Diagnosis of occlusal trauma is typically made through a combination of clinical examination and dental radiographs. The dentist may also use a special type of paper to identify high spots on the teeth.
+Diagnosis of occlusal trauma involves a thorough clinical examination, including:
+* Assessment of [[tooth mobility]]
+* Evaluation of [[occlusal contacts]] using [[articulating paper]]
+* Radiographic examination to assess [[periodontal bone loss]]
-== Treatment ==
+== Management ==
-Treatment for occlusal trauma typically involves adjusting the bite to evenly distribute the forces exerted when the teeth come together. This can be achieved through a variety of methods, including reshaping the biting surfaces of the teeth, orthodontics, or the replacement of old fillings or crowns.
+Management of occlusal trauma involves:
-== Prevention ==
+* Occlusal adjustment to redistribute occlusal forces
-Prevention of occlusal trauma can be achieved through regular dental check-ups, which can identify early signs of the condition. Additionally, maintaining good oral hygiene and avoiding habits that can lead to malocclusion, such as thumb sucking, can also help prevent occlusal trauma.
+* Use of [[occlusal splints]] to protect teeth from excessive forces
+* Treatment of underlying periodontal disease
-== See also ==
+== Related Pages ==
-* [[Periodontal disease]]
+* [[Periodontitis]]
+* [[Bruxism]]
 * [[Malocclusion]]
-* [[Orthodontics]]
+* [[Tooth mobility]]
-[[Category:Dental conditions]]
+[[Category:Dentistry]]
-[[Category:Oral pathology]]
+[[Category:Periodontology]]
-{{dentistry-stub}}