Occlusal trauma
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's weight loss doctor NYC
Philadelphia GLP-1 weight loss and GLP-1 clinic NYC
| Occlusal trauma | |
|---|---|
| File:Periodontalboneloss.JPG | |
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Tooth mobility, tooth pain, tooth wear, periodontal disease |
| Complications | Tooth loss, periodontal bone loss |
| Onset | |
| Duration | |
| Types | Primary occlusal trauma, Secondary occlusal trauma |
| Causes | Malocclusion, bruxism, dental restorations |
| Risks | |
| Diagnosis | Clinical examination, dental radiographs |
| Differential diagnosis | Periodontitis, pulpitis |
| Prevention | Occlusal adjustment, night guard |
| Treatment | Occlusal adjustment, orthodontic treatment, restorative dentistry |
| Medication | Analgesics, anti-inflammatory drugs |
| Prognosis | |
| Frequency | |
| Deaths | |
Occlusal trauma refers to injury to the periodontium resulting from excessive occlusal forces. It is a significant factor in the progression of periodontal disease and can lead to tooth mobility, tooth migration, and periodontal bone loss.
Types of Occlusal Trauma[edit]
Occlusal trauma can be classified into two main types:
Primary Occlusal Trauma[edit]
Primary occlusal trauma occurs when excessive occlusal forces are applied to a tooth or teeth with normal periodontal support. This type of trauma is often seen in cases of bruxism or malocclusion.
Secondary Occlusal Trauma[edit]
Secondary occlusal trauma occurs when normal or excessive occlusal forces are applied to a tooth or teeth with compromised periodontal support. This is commonly associated with periodontitis, where the supporting structures of the teeth are already weakened.
Clinical Features[edit]
The clinical features of occlusal trauma may include:
- Increased tooth mobility
- Tooth migration
- Fremitus
- Wear facets on the occlusal surfaces
- Pain or discomfort on biting
- Periodontal bone loss
Diagnosis[edit]
Diagnosis of occlusal trauma involves a thorough clinical examination, including:
- Assessment of tooth mobility
- Evaluation of occlusal contacts using articulating paper
- Radiographic examination to assess periodontal bone loss
Management[edit]
Management of occlusal trauma involves:
- Occlusal adjustment to redistribute occlusal forces
- Use of occlusal splints to protect teeth from excessive forces
- Treatment of underlying periodontal disease
