The role of occlusion and occlusal adjustment on temporomandibular dysfunction gustavo augusto seabra barbosa 1 candido dos reis badaro filho 2. Mar 22, 2010 occlusal trauma has been defined as injury to the periodontium resulting from occlusal forces that exceeds the reparative capacity of the attachment apparatus. Primary occlusal trauma ot is an injury of the periodontium with normal height as a result of. Occlusal trauma may be a factor to cause periapical le herald. Disagreement about the relationship between traumatic occlusal. Intergenerational trauma is the transmission of the consequences of trauma from one generation to the next maviglia 2006. Total treatment time was about nine hours in two visits during one business week.
Occlusal adjustment in the treatment of primary traumatic injury. Traumatic occlusion definition of traumatic occlusion by. Trauma comes in many forms, and there are vast differences among people who experience trauma. Extreme stress overwhelms the persons capacity to cope. Priebe, dds, ms keywords occlusal stability fixed prosthodontic treatment removable prosthodontic treatment implant prosthodontic treatment key points in dentistry, articulation is the static and dynamic contact relationship between the occlusal surfaces of the teeth during function. Facial trauma, maxillary and le fort fractures author. Effects of occlusal trauma on the periodontium, alveolar. Trauma from occlusion an orthodontists perspective. Occlusal trauma is a dental term that refers to the damage incurred when nuts uk worlds best boobs 20 26 april 20 pdf p2p teeth are left in traumatic occlusion without proper treatment. Photos on traumatic occlusion and occlusal trauma created in our nyc tmj bite guards office. Traumatic occlusion and occlusal trauma nyc dentist.
Occlusal trauma is defined as an injury to the attachment apparatus as a result of excessive occlusal force. The culprit of this type of histologically diagnosed lesion is the occlusal traumatism glossary of periodontal terms, 2001 or traumatogenic occlusion. Full occlusal protection theory and practice of occlusal. The concept of developing restorative anatomical shapes or biodesigning occlusal schemes of crowns. Occlusal adjustment in the treatment of primary traumatic injury raulino naves borges barbara morais arantes denise ferreira vieira orlando aguirre guedes carlos estrela abstract a major concern in dentistry is the correct distribution of occlusal forces to promote balance among the elements of the stomatognathic system. Injury resulting from excessive occlusal forces applied to a tooth or teeth with normal support. Traumatic occlusion does not mean malocclusion, unless the. Le terme traumatisme occlusal nest quun des nombreux termes qui ont ete utilises pour decrire les alterations du parodonte. Abfractive lesions often accompany the development of wear facets andor attrition.
Find powerpoint presentations and slides using the power of, find free presentations research about trauma from occlusion ppt. An occlusion that produces such injury is called a traumatic occlusion. Despite volumes of publications on the theory of occlusion, occlusal design, and equilibration techniques, there have been few welldesigned human studies directed at answering the question does occlusal trauma modify the progression of attachment loss in periodontitis. Occlusal trauma questions about occlusal trauma and its. Pdf the importance of occlusal trauma in the primary etiology of. Occlusal trauma definition of occlusal trauma by the free. Primary occlusal trauma will occur when there is a normal periodontal attachment apparatus and, thus, no periodontal disease. By doing so the pressure on individual teeth is lessened, thereby making them less susceptible to becoming weak or contaminated. Sources making mention of and attempting to explain intergenerational trauma include levine 1997, yehuda, schmeidler, elkin, houshmand, siever. A case in perspective the decision to initiate occlusal 0cclusal trauma is defined as an injury to the.
We report the case of a patient with extensive moderate chronic periodontitis associated with occlusal trauma. How to manage trauma trauma occurs when a person is overwhelmed by events or circumstances and responds with intense fear, horror, and helplessness. But the similarities and patterns of response cut across the variety of stressors and victims, so it is very useful to think broadly about trauma. The patient was diagnosed with extensive moderate chronic periodontitis associated with. Trauma from occlusion refers to tissue injury due to distorted occlusion. The idiom red herring is used to refer to something that misleads or detracts from the actual or otherwise important issue. The mechanisms of tissue changes induced by occlusal trauma are in no way comparable to orthodontic movement. There is a direct correlation between trauma and physical health conditions such as diabetes, copd, heart disease. There were 10 animals, randomly divided into 2 groups. Conocimiento multidisciplinario y practica interdisciplinaria. Does traumatic occlusal forces lead to periimplant bone loss. Influence of trauma from occlusion on progression of experimental. Acute trauma from occlusion results from an abrupt occlusal impact, such as that produced by biting on a hard object e.
Occlusal trauma can not be compared to orthodontic. Occlusal trauma synonyms, occlusal trauma pronunciation, occlusal trauma translation, english dictionary definition of occlusal trauma. A dentition undergoing primary occlusal trauma may exhibit isolated wear facets or more generalized severe attrition, in some cases exposing dentin. Primary trauma care primary trauma care manual standard edition 2000 a manual for trauma management in district and remote locations isbn 0953941108 published by primary trauma care foundation north house, farmoor court, cumnor road, oxford ox2 9lu email. 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. A complex facial trauma case with multiple mandibular fractures and dentoalveolar injuries yelizguven, 1 sevgizorlu, 2 abdulkadirburakcankaya, 3 oyaaktoren, 1 andkoraygencay 1 department of pedodontics, faculty of dentistry, istanbul university, capa, istanbul, turkey. 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 and tooth mobility are associated with periodontal bone and attachment loss. These adjustments will aid in prevention of a future occlusal trauma. How is traumatic occlusion treated in dentistry dr. Having the right facts and knowledge of occlusal trauma can help when dealing with questions about occlusions.
The result is loosening, tipping and movement of the teeth. 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. Feb 23, 2012 classification acute and chronic trauma primary, secondary and combined tfo 9. Occlusal adjustment is a clinical procedure in which. Occlusal trauma ucla international post doctoral training. In the dental office, a red herring is a set of signs and symptoms which can confuse or obfuscate the diagnosis resulting in a course of treatment which does not address the patients chief concern. Clinical associate professor of surgery, division of head and neck surgery, university of california, san diego. Pini et al 2004 accept glickmans findings according to which occlusioninduced trauma is an aggravating factor for the progression of the periodontal disease. Parmi les autres termes souvent utilises on peut citer.
Evaluation of bone loss due to primary occlusal trauma in. Research paper cytological kinetics of periodontal ligament in an experimental occlusal trauma model tatsuo takaya 1, hiroaki mimura, saeka matsuda2, keisuke nakano2, hidetsugu tsujigiwa3, mihoko tomida4, norimasa okafuji2, takeo fujii1, and toshiyuki kawakami2 1. The key is to obtain comprehensive information about the injury and, to do so, one must conduct thorough extraoral and intraoral clinical exams as well as appropriate radiographic evaluations. The importance of occlusal trauma in the primary etiology of periodontal disease article pdf available in journal of biological regulators and homeostatic agents 322 suppl. Traumatic occlusion may be either a potential or an actual injurious agent j as long as no tissue change has taken place the stress may be looked upon as a potential injurious agent. When a patient exerts abnormally heavy biting forces on the teeth, stress cracks, chips and wear may result. It follows that over many years, this association may lead to enough destruction of periodontal support to threaten periodontal longevity. Traumatic occlusion is mostly treated by a procedure called occlusal equilibration in which the chewing and biting surfaces of teeth are grinded to achieve balance and proper alignment. Occlusal trauma can be classified as primary or secondary see chapter 2. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext.
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. Increase in tooth mobility is a result of consistent trauma, and excessive widening of the pdl. The effect of traumatic occlusal forces in periimplant bone loss is. Once the patient has been cleared of any cns issues, the dental trauma should be assessed. Classification acute and chronic trauma primary, secondary and combined tfo 9. Occlusal trauma definition of occlusal trauma by medical. Occlusal trauma can be divided into 3 general categories. The first sentence definition seems a bit circular. 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.
Kris s moe, md, facs, chief, division of facial plastic and reconstructive surgery, department of otolaryngologyhead and neck surgery, university of washington school of medicine. 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. Significance of occlusion in the etiology and treatment. Role of trauma from occlusion in periodontal disease a. View and download powerpoint presentations on trauma from occlusion ppt. The condition or clinical entity known as occlusal trauma is syn onymous with occlusion trauma, traumatic occlusion, traumatogenic occlusion. Any occlusal force which goes beyond the adaptive capacity of our periodontium causes injury to periodontal structures, and the resultant trauma is called as trauma from occlusion tfo, several. 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. Mar 06, 2018 when a patient exerts abnormally heavy biting forces on the teeth, stress cracks, chips and wear may result. Experts can help answer questions about occlusal trauma or occlusal trauma symptoms. Multidisciplinary knowledge and interdisciplinary practice. Research paper cytological kinetics of periodontal ligament.
Occlusal trauma and excessive occlusal forces the efp. Occlusal trauma can not be compared to orthodontic movement. Assessment of occlusal function in a patient with an angle. Full mouth oral reconstruction of a dental fear phobia patient who was a wall street executive. Occlusal trauma is a dental term that refers to the damage incurred when teeth are. Case report a complex facial trauma case with multiple. Comprehensive and appropriate occlusion reconstruction therapy is necessary for orthodontic treatment of adult patients with malocclusion with periodontal disease associated with occlusal trauma.
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