occlusal trauma

By : NGET RATTANADD51

Occlusal trauma is a dental term that refers to the damage incurred when teeth are in traumatic occlusion without proper treatment.

occlusal relationship is not balanced properly it may result in pain, tenderness and even mobility of the affected teeth.

What is occlusal trauma?

1 Histologic features associated with occlusal trauma

2 Clinical signs and symptoms associated with occlusal trauma

3 Primary vs. secondary occlusal trauma ◦ 3.1 Primary occlusal trauma◦ 3.2 Secondary occlusal trauma

4 Etiology and treatment 5 References

Contents

Hemorrhage Necrosis Widening periodontal ligament Bone resorption Cementum loss and tears

HISTOLOGICAL FEATURE

Tooth migration Pain Wear facets

Clinical sign and symptoms

Primary vs. secondary occlusal trauma

•There are two types of occlusal trauma, primary and secondary.

Primary occlusal trauma occurs when greater than normal occlusal forces .

parafunctional habits, various chewing or biting habits, bitng fingernails and pencils or pens

Primary occlusal trauma will occur when t normal periodontal attachment , no periodontal disease.

PRIMARY OCCLUSAL TRUMA

Secondary occlusal trauma occurs when normal occlusal forces are placed on teeth with compromised periodontal attachment

Secondary occlusal trauma

parafunctional habits(nightguard) Higth spot ( remove some) someone who is missing enough teeth(

removable prosthesis or implant-supported crown or bridge.)

Tooth mobility ( bone grafts)

Etiology and treatment

^ a b Bibb, CA: Occlusal Evaluation and Therapy in the Management of Periodontal Disease. In Newman, MG; Takei, HH; Carranza, FA; editors: Carranza’s Clinical Periodontology, 9th Edition. Philadelphia: W.B. Saunders Company, 2002. pages 698-701.

^ Hinrichs, JE: Occlusal The Role of Dental Calculus and Other Predisposing Factors. In Newman, MG; Takei, HH; Carranza, FA; editors: Carranza’s Clinical Periodontology, 9th Edition. Philadelphia: W.B. Saunders Company, 2002. page 192.

^ traumatogenic occlusion - definition of traumatogenic occlusion in the Medical dictionary - by the Free Online Medical Dictionary, Thesaurus and Encyclopedia

^ Carranza, FA: Bone Loss and Patterns of Bone Destructions. In Newman, MG; Takei, HH; Carranza, FA; editors: Carranza’s Clinical Periodontology, 9th Edition. Philadelphia: W.B. Saunders Company, 2002. page 362.

^ Trauma from Occlusion Handout, Dr. Michael Deasy, Department of Periodontics, NJDS 2007. page 5 ^ Trauma from Occlusion Handout, Dr. Michael Deasy, Department of Periodontics, NJDS 2007. page 7 ^ Wentz et al. J Perio, 1958 ^ Trauma from Occlusion Handout, Dr. Michael Deasy, Department of Periodontics, NJDS 2007. page 12 ^ Trauma from Occlusion Handout, Dr. Michael Deasy, Department of Periodontics, NJDS 2007. page 14 ^ a b Carranza, FA; Bernard, GW: The Tooth-Supporting Structures. In Newman, MG; Takei, HH;

Carranza, FA; editors: Carranza’s Clinical Periodontology, 9th Edition. Philadelphia: W.B. Saunders Company, 2002. page 53.

^ Trauma from Occlusion Handout, Dr. Michael Deasy, Department of Periodontics, NJDS 2007. page 4

References