We present the clinical and radiological findings and the limitation of periodontal treatment of a severe gingival recession in a case with traumatic occlusion. A years old male, systemically healthy and non-smoking patient presented to our clinic with severe gingival recession of mandibular canines and incisors. It is generally observed that gingival recession in relation to a tooth is coupled with traumatic occlusal forces. Yet, there is reluctance to relate trauma from occlusion as an etiological factor in gingival recession and is expressed only in a murmur or hushing voice.
When the jaws close, for instance during chewing or at rest, the relationship between the opposing teeth is referred to as occlusion. The purpose of the present cross-sectional study was to explore the role of trauma from occlusion on the development of gingival recession.
Methods: Three hundred patients reporting to the department of Periodontics were screened for the presence of gingival recession in the lower incisors. Localized gingival recession of a mandibular. In its generalized form, occlusal trauma is characterized by severe attrition, exposed dentin, sensitive teeth, and tooth mobility.
Due to the lack of prospective clinical studies in the current literature because of the ethical issues involve little is known about the influence of occlusal trauma in the gingiva an as a consequence, its influence in the development of gingival recession. Occlusal trauma can be classified as primary or secondary. Although many studies have been done to evaluate any relation between progressions of gingival inflammation and trauma from occlusion , conflicting have been encountered.
In the following discussion, we shall try to analyze our current understanding of TFO and its association with inflammatory periodontal diseases. This was associated with a deep traumatic overbite and lack of posterior support. As seen from the radiograph ( Fig. ) a deep.
Gum recession is most common in adults over the age of 4 but the process can begin in the teenage years. The traumatic occlusion had caused mobility and early gingival recession to the opposing mandibular central incisors. The patient’s chief symptom was moderate tooth pain during mastication. His medical history was normal and healthy, with no family history of prognathism.
In cases of V-shaped local gingival recession , which is often associated with occlusal trauma, orthodontically correcting the interference and the traumatic occlusion might cause the process to recede without surgical intervention at the site. Historically, it has been suggested that excessive occlusal force might be a factor in gingival recession and the loss of gingiva. It was postulated that.
Trauma from occlusion may cause a shift in tooth position and the direction of the movement depends on the occlusal force. Another “biological” rationale for occlusal adjustment could be: stabilization of blood clot, increasing mobility despite of therapy, or mobility not. The Parameter of Care suggests that the initial therapy for patients with periodontal inflammation should include the elimination, alteration, or control of risk factors because periodontal diseases are infections and may have several associated risk factors.
GRAFTS IN V-SHAPED GINGIVAL RECESSION ASSOCIATED WITH OCCLUSAL TRAUMA. When gingival recession appears very severe it could mean that the root surface was exposed too long in the mouth under the action of bacterial plaque, thereby irreversibly contaminating the root structure with lipopolysaccharides (LPS). Sweidan about what you should expect.
Gingival recession is classified into different classes. You can also look at pictures of treated cases in our gallery. A years old boy come for a routine check up, he is in mixed dentition.
I noticed there are a traumatic occlusion during function. How is Traumatic Occlusion Treated ? 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.
By doing so the pressure on individual teeth is lessene thereby making them less susceptible to becoming weak or contaminated. In the absence of inflammation, a traumatogenic occlusion will result in increased mobility, widened PDL, loss of crestal bone height and bone volume, but no attachment loss. Fifty subjects having gingival recession and ten subjects having gingival clefts belonging to age group of 18–25nbsp;years were selected after. In some cases, orthodontic treatment can help improve gingival recession or prevent it from worsening. For example, teeth in traumatic occlusion due to horizontal forces from buccolingual inclination can be uprighted so that proper vertical forces are placed on the tooth, reducing risk for recession and abfractions.
The case of a 47-year-old female patient with an asymmetric traumatic occlusion , great alveolar destruction in the.
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