Correlation between occlusal contact and root resorption in teeth with periodontal disease

Vázquez, Elvira; Abelleira, Antonio Crespo; Quintanilla, José María Suárez; Cobos, María Ángeles Rodríguez

doi:10.1111/j.1600-0765.2010.01315.x

Cited by 11 publications

(6 citation statements)

References 41 publications

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“…When this happens, a sudden and abrupt increase in tooth mobility occurs. Early activation of osteoclasts is observed in the damaged tissues, which corresponds with the osteoclastic bone resorption observed at the tension side 48 hours after intensive pressure …”

Section: The Role Of Occlusion In the Injury Of Periodontal Supportinmentioning

confidence: 52%

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Role of occlusion in periodontal disease

Passanezi

Sant’Ana

2019

Periodontology 2000

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This article deals with establishing a new link between trauma from occlusion and periodontal pockets based on the know‐how and background gradually developed. To provide a better understanding to the reader, a historical perspective is firstly presented. The main features on the controversy of the role played by trauma from occlusion on the physiologic behavior of the periodontal structures are shown, together with how deviations from the normal characteristics of this relationship itself affect the integrity of the periodontal tissues when or associated with dental biofilm in the presence or not of periodontal pockets have arisen. The literature provides evidence showing that the very first publication to establish a strong correlation between trauma from occlusion and periodontal pockets in humans was of Latin‐American origin. However, subsequently, trauma from occlusion was mostly evaluated by an American group, followed by a Scandinavian group, yet with some contributions from the Latin‐American group. Basically trauma from occlusion has been correlated with periodontal pockets in view of the fact that these would render the periodontal supporting tissues more amenable to the spread of inflammation of biofilm‐related periodontal pockets. This would facilitate the fast deepening of periodontal pockets, influencing the generation of infrabony periodontal pockets or suprabony periodontal pockets that are deeper than in areas without trauma from occlusion. The factors related to these different behaviors are discussed. Several clinical cases are presented showing evidence that corroborates the possibility of an actual interrelationship between trauma from occlusion and periodontitis. Theoretical evaluations based on recent advances of the mechanisms involving molecular modulation in physiological and altered occlusal functions, as well as on research data, and evaluations from data of clinical cases, support the assumption that trauma from occlusion and periodontitis may embrace the unique pathologic condition of the associated lesion trauma from occlusion plus periodontitis or act independently even if both co‐exist simultaneously in a particular case. The link between both conditions that was emphasized as definitively necessary in order for an associated lesion to develop is that both lesions, namely trauma from occlusion and periodontitis, occur in their destructive stage at exactly the same time. This involvement would explain why so many different data are presented in the literature and hopefully will shed some light for development of new methodologies of research. Clinical cases were selected to present a treatment philosophy on the subject.

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Section: The Role Of Occlusion In the Injury Of Periodontal Supportinmentioning

confidence: 52%

“…Crespo Vázquez et al . investigated root resorption in extracted teeth showing one‐third to two‐thirds of alveolar bone loss (Group 2) and more than two‐thirds of alveolar bone loss (Group 3), with and without antagonists.…”

Section: The Role Of Occlusion In the Injury Of Periodontal Supportinmentioning

confidence: 99%

Role of occlusion in periodontal disease

Passanezi

Sant’Ana

2019

Periodontology 2000

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“…Teeth affected by periodontitis were found to have an increased incidence of root resorption when in direct contact with an opposing tooth, and occlusal trauma also exacerbates periodontal attachment loss. 15 The more severe resorption of the buccal roots seen in this patient may be explained by more occlusal loading of the buccal cusps as well as by more attachment loss on these roots compared to the palatal roots.…”

Section: Discussionmentioning

confidence: 75%

Multiple external root resorptions in a patient with Stage IV, Grade C periodontitis and autoimmune diseases: A case report

Thandi

Hirschfeld

2023

Clin Adv Periodontics

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BackgroundPathological root resorption affects permanent teeth and is usually triggered by infectious‐inflammatory stimuli and/or dental trauma. Periodontitis and traumatic occlusion have been reported as possible causative factors of root resorptions, whilst the impact of systemic diseases is less well understood. This case highlights the need for consideration of multiple risk factors, especially when presenting in combination.Methods and ResultsA 62‐year‐old South Asian female presented with unstable Stage IV Grade C periodontitis, poor oral hygiene and multiple autoimmune conditions including oral lichen planus. Clinical and radiographic examination revealed multiple advanced apical and external root resorptions of the patient's molars associated with periapical bone loss, despite of a minimally restored dental status.ConclusionA likely etiology of this patient's multiple root resorptions is the presence of unstable periodontitis with periodontal‐endodontic lesions, exacerbated by a dysbalanced immune response to infectious agents. Appropriate monitoring and managing of such patients can prevent or limit the pathological process of inflammatory root resorption.Key pointsWhy is this case new information? This is the first report documenting advanced multiple external inflammatory root resorptions in a periodontitis patient with oral and systemic co‐morbidities. What are the keys to successful management of this case? Early diagnosis, prevention and intervention to limit periodontal inflammation, endodontic infection and occlusal trauma. What are the primary limitations to success in this case? Late diagnosis of multiple root resorptions, palliative periodontal treatment due to poor oral hygiene compliance, and poorly controlled systemic inflammation favoring the persistence of a dysregulated immune response to the oral microbiota.

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“…Так, дослідження, спрямоване на вивчення впливу оклюзійних сил на резорбцію кістко вої тканини пародонта, було проведене серед пацієнтів віком 43-91 років, для 88 зубів із патологією пародонта гістологічним методом з використанням оптичного мікроскопа Olympus BX40. Встановлено, що наявність оклюзійного контакту прискорює резорбцію альвеолярної кістки, тим самим ускладнює перебіг пародонтиту [3].…”

Section: îðòîïåäè÷íà ñòîìàòîëîã³ Iÿunclassified

Оклюзійна Травма Та Захворювання Пародонта (Огляд Літератури)

Fastovets¹,

Малиновський²

2014

Klìn. stomatol.

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©О. О. Фастовець, В. Г. МалиновськийДЗ «Дніпропетровська медична академія МОЗ України» Оклюзійна травма та захворювання пародонта (огляд літератури) Резюме. У даній статі представлено огляд літератури щодо вивчення проблеми впливу оклюзійної травми на розвиток захворювань пародонта. Описані сучасні гіпотези розвитку запально дистрофічного процесу в пародонті під впливом оклюзійних порушень. Вказано на спірність питання можливості первинної ініціації пародонтиту дією оклюзійного перевантаження. Зазначено неоднозначність підходів щодо необхідності, а також порядку проведення заходів оклюзійної корекції в комплексному лікуванні пародонтиту, що потребує подальших наукових досліджень.Ключові слова: оклюзійна травма, захворювання пародонта. Е. A. Фастовец, В. Г. МалиновскийГУ «Днепропетровская медицинская академия МЗ Украины» Окклюзионная травма и заболевания пародонта (обзор литературы)Резюме. В данной статье представлен обзор литературы по изучению влияния окклюзионной травмы на развитие заболеваний пародонта. Описаны современные гипотезы развития воспалительно дистрофического процесса в пародонте под влиянием окклюзионных нарушений. Указано на спорность вопроса возможности первичной инициации пародонтита влиянием окклюзионной перегрузки. Обозначена неоднозначность подходов касательно необходимости, а также порядка проведения мероприятий окклюзионной коррекции в комплексном лечении пародонтита, что требует дальнейших научных исследований.Ключевые слова: окклюзионная травма, заболевания пародонта. O. O. Fastovets, V. H. Malynovsky SI «Dnipropetrovsk Medical Academy of MPH of Ukraine» Occlusial trauma and periodontal diseases (literature review)Summary. This article reviews the literature on the effect of occlusial trauma on the development of periodontal disease. The modern hypothesis of pathogenesis of inflammatory degenerative process in the periodontium under the influence of occlusial disorders has been described. They indicated on debatable question of the possibility of primary initiation of periodontitis by occlusial overload. They denoted the ambiguity of approaches on the need, as well as the order of occlusial correction in the complex treatment of periodontitis, which requires the further research.

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Correlation between occlusal contact and root resorption in teeth with periodontal disease

Abstract: The severity of periodontal disease increases the extension and the depth of the radicular resorption, and the presence of antagonist forces aggravates the resorption.

Cited by 11 publications

References 41 publications

Role of occlusion in periodontal disease

Role of occlusion in periodontal disease

Multiple external root resorptions in a patient with Stage IV, Grade C periodontitis and autoimmune diseases: A case report

Оклюзійна Травма Та Захворювання Пародонта (Огляд Літератури)

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