The Influence of Occlusal Trauma on Gingival Recession and Gingival Clefts

Prasad, D Krishna; Shetty, Nillan; Solomon, E. G. R.

doi:10.1007/s13191-012-0158-1

Cited by 16 publications

(14 citation statements)

References 17 publications

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“…Current results showed that the presence and extent of mbGR were affected by the increase in the number of occlusal interferences of premolar/molar teeth in anterior or lateral guidance during mandibular movements. These findings were in line with the previous result demonstrating that occlusal interferences in maximum intercuspation and eccentric movements can contribute to the occurence of gingival lesions 9 . Again, group function occlusion demonstrated higher mbGRs in premolar/molars than in canine guided occlusion.…”

Section: Discussionsupporting

confidence: 92%

“…4,5 Predisposing factors, such as occlusal interferences and malocclusions, have been associated with recession and widely investigated. [6][7][8][9][10] Malocclusions have been classified to identify the disturbances of the occlusion, planning and decision of the treatment protocols. 11,12 Currently, among the worldwide dental health-related topics malocclusions rank third, following dental caries and periodontal diseases.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of mid‐buccal gingival recessions and occlusal interferences

Gürbüz

Bakhishov²,

Koçyiğit

et al. 2023

J of Oral Rehabilitation

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BackgroundDental malocclusions may cause disruption in occlusal harmony, and destructive interferences during mandibular functional movements can be seen. Ideal occlusal contacts during dynamic mandibular movements may be crucial for preventing the occurrence of mid‐buccal gingival recession (mbGR). While determining mbGR risk factors in young adults, the effect of occlusal interferences on mbGR has not yet been focused on. Based on this gap, this field needs to be clarified with new studies.ObjectiveThe aim of this case–control study was to evaluate the relationships between the presence, extent and severity of mbGRs to dental malocclusions, occlusal interferences in anterior (AG) and lateral guidance (LG) and to determine the potential risk indicators in a young population.MethodsA total of 149 dental students were comprised and 70 of them presented mbGR(s) and 79 did not (18–25 years, 4553 teeth). Periodontal status was assessed with full mouth bleeding (FMBS) and plaque score (FMPS), probing depth, clinical attachment level, recession depth and keratinised tissue width (KTW) by a periodontist. Malocclusions and occlusal interferences were evaluated by an orthodontist. Logistic regression analyses provided data on the effect of occlusal interferences and the other indicators towards mbGR.ResultsThe mean of the number of teeth with mbGR(s) per subject was 4.3. The mean of the overall extent of teeth with mbGR(s) was 14.2%. FMBS, decreased KTW, self‐reported bruxism, group function occlusion, increased contact number of all teeth and only premolars/molars in AG or LG and Class III malocclusions were significantly associated with the presence of mbGR. Decreased KTW presenting mbGR in the mandible and non‐carious cervical lesion adjunct to mbGR significantly increased the odds of the severity of mbGR. Group function occlusion revealed higher mbGRs in premolar/molars than canine guided occlusion.ConclusionIncrease in the occlusal interferences in premolars/molars during lateral and anterior guidance may have an effect on the presence and severity of mbGR. Further studies should be designed to confirm these findings.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Evaluation of mid‐buccal gingival recessions and occlusal interferences

Gürbüz

Bakhishov²,

Koçyiğit

et al. 2023

J of Oral Rehabilitation

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show abstract

“…For cases with canine protection in lateral guidance, gingival recessions were observed on the buccal surfaces, while, for group protection, gingival recessions were distributed on the lingual surfaces of the anterior teeth. The authors also emphasized how occlusal interferences, in the case of dynamic occlusion associated with an absence of mutually protected occlusion, may contribute to gingival lesions, such as gingival recessions and fissures [18].…”

Section: Discussionmentioning

confidence: 99%

Incidence of Malocclusion among Young Patients with Gingival Recessions—A Cross-Sectional Observational Pilot Study

et al. 2021

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Background and Objectives: Dental occlusion and gingival recession have been studied over the past years especially because of the increasing incidence of occlusal interferences in young patients. The purpose of this pilot study is to investigate any association between occlusal dysfunctions and gingival recessions. Data on gingival phenotype and previous orthodontic treatment were also collected to assess any correlation with the presence of gingival recession. Materials and Methods: Forty systemically healthy subjects, without signs of periodontitis and with gingival recessions, were included in the study. The following parameters were determined: location and extent of the gingival recession, gingival phenotype and functional occlusion by means of observing and registering the occlusal contacts in maximum intercuspation position, protrusive and lateral guidance. Results: Premolars were mostly affected in cases of working-side interferences during lateral guidance (71.19% of the affected teeth during left and 75% during right mandibular movements). The chi-squared exact test applied for the analysis of contingency tables revealed statistically significant associations between excursive interferences during lateral guidance and anterior guidance and the presence of gingival recession on the involved group of teeth. Conclusions: The results suggest that most gingival recessions might be associated with working-side interferences, the highest number of gingival recessions being associated with active interferences during lateral guidance.

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“…Occlusal wear was present on all teeth with gingival clefts and on almost all teeth with gingival recession. These results suggest that occlusal interferences in maximal intercuspation and eccentric movements and the absence of mutually protected occlusion can contribute to gingival recessions and clefts . It should be mentioned that in many of the aforementioned studies the oral hygiene habits of the patient, as well as other possible influencing factors, presently recognized, have not been considered.…”

Section: Role Of Trauma From Occlusion In Periodontal Diseasesmentioning

confidence: 98%

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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The Influence of Occlusal Trauma on Gingival Recession and Gingival Clefts

Cited by 16 publications

References 17 publications

Evaluation of mid‐buccal gingival recessions and occlusal interferences

Evaluation of mid‐buccal gingival recessions and occlusal interferences

Incidence of Malocclusion among Young Patients with Gingival Recessions—A Cross-Sectional Observational Pilot Study

Role of occlusion in periodontal disease

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