Mar 06, 2018 when a patient exerts abnormally heavy biting forces on the teeth, stress cracks, chips and wear may result. Classification acute and chronic trauma primary, secondary and combined tfo 9. How to manage trauma trauma occurs when a person is overwhelmed by events or circumstances and responds with intense fear, horror, and helplessness. Acute trauma from occlusion results from an abrupt occlusal impact, such as that produced by biting on a hard object e. Full occlusal protection theory and practice of occlusal. Occlusal adjustment in the treatment of primary traumatic injury. Occlusal trauma may develop in situations where the magnitude of the load exerted by occlusion exceeds the ability of the periodontium surrounding the involved. 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. Occlusal trauma synonyms, occlusal trauma pronunciation, occlusal trauma translation, english dictionary definition of occlusal trauma. Occlusal trauma definition of occlusal trauma by the free. Comprehensive and appropriate occlusion reconstruction therapy is necessary for orthodontic treatment of adult patients with malocclusion with periodontal disease associated with occlusal trauma. 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. 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.
There were 10 animals, randomly divided into 2 groups. Occlusal trauma ucla international post doctoral training. Traumatic occlusion and occlusal trauma nyc dentist. Case report a complex facial trauma case with multiple. 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. 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. Full mouth oral reconstruction of a dental fear phobia patient who was a wall street executive. Evaluation of bone loss due to primary occlusal trauma in. 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. When a patient exerts abnormally heavy biting forces on the teeth, stress cracks, chips and wear may result. 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. Multidisciplinary knowledge and interdisciplinary practice. Pini et al 2004 accept glickmans findings according to which occlusioninduced trauma is an aggravating factor for the progression of the periodontal disease. Occlusal trauma may be a factor to cause periapical le herald.
Sources making mention of and attempting to explain intergenerational trauma include levine 1997, yehuda, schmeidler, elkin, houshmand, siever. Total treatment time was about nine hours in two visits during one business week. Does traumatic occlusal forces lead to periimplant bone loss. 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. The effect of traumatic occlusal forces in periimplant bone loss is. The role of occlusion and occlusal adjustment on temporomandibular dysfunction gustavo augusto seabra barbosa 1 candido dos reis badaro filho 2. The role of occlusal trauma in the initiation and progression of. The result is loosening, tipping and movement of the teeth. An occlusion that produces such injury is called a traumatic occlusion. These adjustments will aid in prevention of a future occlusal trauma. Experts can help answer questions about occlusal trauma or occlusal trauma symptoms. Occlusal adjustment is a clinical procedure in which. Occlusal trauma and tooth mobility are associated with periodontal bone and attachment loss. Extreme stress overwhelms the persons capacity to cope.
Influence of trauma from occlusion on progression of experimental. Effects of occlusal trauma on the periodontium, alveolar. 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. Facial trauma, maxillary and le fort fractures author. The condition or clinical entity known as occlusal trauma is syn onymous with occlusion trauma, traumatic occlusion, traumatogenic occlusion. Primary occlusal trauma ot is an injury of the periodontium with normal height as a result of. The influence of primary occlusal trauma on the development of. 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 culprit of this type of histologically diagnosed lesion is the occlusal traumatism glossary of periodontal terms, 2001 or traumatogenic occlusion. Abfractive lesions often accompany the development of wear facets andor attrition. How is traumatic occlusion treated in dentistry dr. Occlusal trauma can not be compared to orthodontic movement. The first sentence definition seems a bit circular.
Trauma from occlusion refers to tissue injury due to distorted occlusion. Primary occlusal trauma will occur when there is a normal periodontal attachment apparatus and, thus, no periodontal disease. Having the right facts and knowledge of occlusal trauma can help when dealing with questions about occlusions. Injury resulting from excessive occlusal forces applied to a tooth or teeth with normal support. The idiom red herring is used to refer to something that misleads or detracts from the actual or otherwise important issue. Feb 23, 2012 classification acute and chronic trauma primary, secondary and combined tfo 9. Occlusal trauma and excessive occlusal forces the efp. We report the case of a patient with extensive moderate chronic periodontitis associated with occlusal trauma. Increase in tooth mobility is a result of consistent trauma, and excessive widening of the pdl. 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.
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. View and download powerpoint presentations on trauma from occlusion ppt. Traumatic occlusion definition of traumatic occlusion by. Rosling et al 1976 consider that the occlusal trauma is an im. Intergenerational trauma is the transmission of the consequences of trauma from one generation to the next maviglia 2006. Trauma comes in many forms, and there are vast differences among people who experience trauma.
Pdf the importance of occlusal trauma in the primary etiology of. 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. 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. Occlusal trauma can be classified as primary or secondary see chapter 2. Occlusal trauma definition of occlusal trauma by medical. Find powerpoint presentations and slides using the power of, find free presentations research about trauma from occlusion ppt. Role of trauma from occlusion in periodontal disease a. Significance of occlusion in the etiology and treatment. Once the restoration is complete the occlusal bite of the tooth will be adjusted. 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. Repeated trauma lenore terr, in her studies of traumatized children, has made the. 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. By doing so the pressure on individual teeth is lessened, thereby making them less susceptible to becoming weak or contaminated.
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. It follows that over many years, this association may lead to enough destruction of periodontal support to threaten periodontal longevity. 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. Parmi les autres termes souvent utilises on peut citer. 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. Occlusal trauma is defined as an injury to the attachment apparatus as a result of excessive occlusal force.
Occlusal trauma has been defined as injury to the periodontium resulting from occlusal forces that exceeds the reparative capacity of the attachment apparatus. Occlusal trauma can be divided into 3 general categories. The concept of developing restorative anatomical shapes or biodesigning occlusal schemes of crowns. 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. Assessment of occlusal function in a patient with an angle. A dentition undergoing primary occlusal trauma may exhibit isolated wear facets or more generalized severe attrition, in some cases exposing dentin. Once the patient has been cleared of any cns issues, the dental trauma should be assessed. 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. There is a direct correlation between trauma and physical health conditions such as diabetes, copd, heart disease. Traumatic occlusion does not mean malocclusion, unless the. Conocimiento multidisciplinario y practica interdisciplinaria. 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. Le terme traumatisme occlusal nest quun des nombreux termes qui ont ete utilises pour decrire les alterations du parodonte.
Clinical associate professor of surgery, division of head and neck surgery, university of california, san diego. Photos on traumatic occlusion and occlusal trauma created in our nyc tmj bite guards office. Occlusal trauma questions about occlusal trauma and its. Disagreement about the relationship between traumatic occlusal. 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. Research paper cytological kinetics of periodontal ligament. Pdf the importance of occlusal trauma in the primary. Occlusal trauma can not be compared to orthodontic. Trauma from occlusion an orthodontists perspective. 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. A case in perspective the decision to initiate occlusal 0cclusal trauma is defined as an injury to the. The patient was diagnosed with extensive moderate chronic periodontitis associated with. The mechanisms of tissue changes induced by occlusal trauma are in no way comparable to orthodontic movement. Occlusal trauma is a dental term that refers to the damage incurred when teeth are.
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