Información del artículo
Abstract
Traumatic occlusion was defined as an aggression of the tooth and periodontal tissues by an excessive force. In the beginning of the 20th century, started a long controversy about the association between excessive occlusal forces and the beginning and progression of periodontal disease, with advances and retreats on the inclusion of oclusal pathology treatment in a periodontal treatment plan.
The main purpose of this work is to review publications for clinically viable information about the relation between occlusion and periodontology, and about possible influences between typically studied situations in both areas.
Occlusal treatment seems to be pointed as a part of periodontal therapy, and although it doesn’t solve periodontal disease, it can induce its progression and prognosis.
Key-words:
Occlusion
Malocclusion
Periodontitits
Tooth mobility
Splinting
Traumatic occlusion
Resumo
Oclusão Traumática, foi definida como uma agressão do aparelho de inserção resultante de uma força oclusal excessiva. No início do século XX iniciou-se uma longa controvérsia quanto à associação entre forças oclusais excessivas e início e progressão da doença periodontal, com avanços e recuos quanto à inclusão de tratamentos de patologia oclusal no plano de tratamento periodontal.
É objectivo deste trabalho rever a literatura para obter informação clinicamente relevante acerca de uma possível relação entre a Oclusão e a Periodontologia, bem como de possíveis influências mútuas entre determinadas situações tipicamente estudadas em ambas as disciplinas.
O tratamento oclusal parece estar indicado como parte integrante da terapia periodontal, apesar de não resolver por si a doença periodontal, mas poder interferir na sua progressão e no prognóstico da condição periodontal.
Palavras-Chave:
Oclusão
Má-oclusão
Periodontite
Mobilidade dentária
Ferulização
Oclusão traumática
El Texto completo está disponible en PDF
Bibliografia
[1-]
American Academy of Periodontology.
1999 International Workshop for a classification os Periodontal Diseases and Conditions.
Ann Periodontol, 4 (1999), pp. 102-107
[2-]
Lindhe J, Nyman S, Ericsson I. Clinical periodontology and implant dentistry. 9th edition. Blackwell Munksgaard, 352–365, 731–743.
[3-]
W. Hallmon, S. Harrel.
Oclusal analysis, diagnosis and management in the practice of periodontics.
Periodontol, 34 (2004), pp. 151-164
[4-]
Klaus H, Rateiyschak EM, Wolf HF. Atlas de Periodoncia. 2ª ed. Masson – Salvat odontologia. Tratamiento complementário. 325–340;347–352.
[5-]
P.R. Stillman.
What is traumatic occlusion and how can it be diagnosed and corrected.
J Am Dent Assoc, 12 (1926), pp. 1330-1338
[6-]
H.H. Stones.
An experimental investigation into the association os traumatic occlusion with periodontal disease.
Proc R Soc Med (Odontol Sec), 31 (1938), pp. 405-479
[7-]
P.R. Stillman.
The management of pyorrhoea.
Dent Cosmos, 59 (1917), pp. 405-414
[8-]
H.K. Box.
Experimental traumatogenic occlusion in sheep.
Oral Health, 25 (1935), pp. 9-15
[9-]
R. Bunting.
Oral Hygiene and the Treatment of Periodontal Diseases.
Lea & Febiger, (1936),
[10-]
J.O. McCall.
Traumatic occlusion.
J Am Dent Assoc, 26 (1939), pp. 519-526
[11-]
B. Orban, J. Weinmann.
Signs of traumatic occlusion in average human jaws.
J Dent Res, 13 (1933), pp. 216
[12-]
J.P. Weinmann.
Progresso f gingival inflammation into the supporting structures of the teeth.
J Periodontol, 12 (1941), pp. 71-82
[13-]
M.D. Comar, J.A. Kollar, A.W. Gargiulo.
Local irritation and occlusal trauma as co-factors in the periodontal disease process.
J Periodontol-Periodontics, 40 (1969), pp. 193-200
[14-]
S.J. Ewen, S.S. Stahl.
The response of the periodontium to chronic gingival irritation and long-term tilting forces in adult dogs.
Oral Surg Oral Med Oral Pathol, 15 (1962), pp. 1426-1433
[15-]
L.C. Macapanpan, J.P. Weinmann.
The influence of injury to the periodontal membrane on the spread of gingival inflammation.
J Dent Res, 33 (1954), pp. 263-272
[16-]
B.L. Pihlstrom, S.P. Ramfjord.
Periodontal effect of nunfunction in monkeys.
J Periodontol, 42 (1971), pp. 748-756
[17-]
F.M. Wentz, J. Jarabak, B. Orban.
Experimental occlusal trauma imitating cuspal interferences.
J Periodontol, 29 (1958), pp. 117-127
[18-]
I. Glickman, J. Smulow.
Adaptative alteration in the periodontium of the rhesus monkey in chronic trauma from occlusion.
J Periodontol, 39 (1968), pp. 101-105
[19-]
I. Glickman, R. Stein, J. Smulow.
The effect of increased functional forces upon the periodontium of splinted and non-splinted teeth.
J Periodontol, 32 (1961), pp. 290-300
[20-]
I. Glickman, J.B. Smulow.
Alterations in the pathway of gingival inflammation into the underlying tissues induced by excessive occlusal forces.
J Periodontol, 33 (1962), pp. 7-13
[21-]
I. Glickman.
Inflammation and trauma from occlusion, co-destructive factors in chronic periodontal disease.
J Periodontol, 34 (1963), pp. 5-10
[22-]
I. Glickman.
Clinical significance of trauma from occlusion.
J Am Dent Assoc, 70 (1965), pp. 607-618
[24-]
I. Glickman.
Role of occlusion in the etiology and treatment of periodontal disease.
J Dent Res, 50 (1971), pp. 199-204
[25-]
I. Glickman, J. Smulow.
The combined effects of inflammation and trauma from occlusion in periodontitis.
Int Dent J, 39 (1969), pp. 101-105
[26-]
J. Waerhaug.
Subgingival plaque and loss of attachment in periodontosis as observed in autopsy material.
J Periodontol, 47 (1976), pp. 636-642
[27-]
J. Waerhaug.
The angular boné defect and its relationship to trauma from occlusion and downgrowth of subgingival plaque.
J Clin Periodontol, 6 (1979), pp. 61-82
[28-]
J. Waerhaug.
The infrabony pocket and its relationship to trauma from occlusion and subgingival plaque.
J Periodontol, 50 (1979), pp. 355-365
[29-]
S.S. Stahl.
The responses of the periodontium to combined gingival inflammation and occluso-functional stresses in four human surgical specimens.
Periodontics, 6 (1968), pp. 14-22
[30-]
M. Kantor, A.M. Polson, H.A. Zander.
Alveolar boné regeneration after removal of inflammatory and traumatic factors.
J Periodontol, 47 (1976), pp. 685-687
[31-]
M. Perrier, A. Polson.
The effect of progressive and increasing tooth hypermobility on reduced but healthy periodontal supporting tissue.
J Periodontol, 53 (1982), pp. 152-157
[32-]
A.M. Polson.
Trauma and progression of marginal periodontitis in squirrel monkeys. II. Co-destructive factors of periodontitis and mechanically produced injury.
J Periodont Res, 9 (1974), pp. 108-113
[33-]
A.M. Polson.
The relative importance of plaque and occlusion in periodontal disease.
J Clin Periodontol, 13 (1986), pp. 923-927
[34-]
A.M. Polson, H.A. Zander.
Effects of periodontal trauma on intrabony pockets.
J Periodontol, 54 (1983), pp. 586-591
[35-]
A.M. Polson, J.E. Kennedy, H.A. Zander.
Trauma and progression of periodontitis in squirrel monkeys. I. Co-destructive factors of periodontitis and thermally produced injury.
J Periodont Res, 9 (1974), pp. 100-107
[36-]
A.M. Polson, S.W. Meitner, H.A. Zander.
Trauma and progression of marginal periodontitis in squirrel monkeys. III. Adaptation of interproximal alveolar bone to repetitive injury.
J Periodont Res, 11 (1976), pp. 279-289
[37-]
A.M. Polson, S.W. Meitner, H.A. Zander.
Trauma and progression of marginal periodontitis in squirrel monkeys IV. Reversibility of boné loss due to trauma alone and trauma superimposed upon periodontitis.
J Periodont Res, 11 (1976), pp. 290-297
[38-]
A.M. Polson, M.E. Kantor, H.A. Zander.
Periodontal repair after reduction of inflammation.
J Periodont Res, 14 (1979), pp. 520-525
[39-]
A.M. Polson, R.A. Adams, H.A. Zander.
Osseous repair in the presence of active tooth hypermobility.
J Clin Periodontol, 10 (1983), pp. 370-379
[40-]
I. Ericsson, J. Lindhe.
Lack of effect of trauma from occlusion on the recurrence of experimental periodontitis.
J Clin Periodontol, 4 (1977), pp. 115-127
[41-]
I. Ericsson, J. Lindhe.
Effect of longstanding jiggling on experimental marginal periodontitis in the beagle dog.
J Clin Periodontol, 9 (1982), pp. 497-503
[42-]
I. Ericsson, J. Lindhe.
Lack of significance of increased tooth mobility in experimental periodontitis.
J Periodontol, 55 (1984), pp. 447-452
[43-]
J. Lindhe, I. Ericsson.
Influende of trauma from occlusion on reduced but healthy periodontal tissues in dogs.
J Clin Periodontol, 3 (1976), pp. 110-122
[44-]
J. Lindhe, I. Ericsson.
The effect of elimination of jiggling forces on periodontally exposed teeth in the dog.
J Periodontol, 53 (1982), pp. 562-567
[45-]
J. Lindhe, G. Svanberg.
Influence of trauma from occlusion on progression of experimental periodontitis in the beagle dog.
J Clin Periodontol, 1 (1974), pp. 3-14
[46-]
S. Nyman, J. Lindhe, I. Ericsson.
The effect of progressive tooth mobility on destructive periodontitis in the dog.
J Clin Periodontol, 5 (1978), pp. 213-225
[47-]
S. Nyman, T. Karring, G. Bergenholtz.
Boné regeneration in alveolar boné dehiscences produced by juggling forces.
J Periodont Res, 17 (1982), pp. 316-322
[48-]
G. Svanberg.
Influence of trauma from occlusion on the periodontium of dog with normal or inflamed gingiva.
Odontol Revy, 25 (1974), pp. 165-178
[49-]
G. Svanberg, J. Lindhe.
Experimental tooth hypermobility in the dog.
Odontol Revy, 24 (1973), pp. 269-282
[50-]
G. Svanberg, J. Lindhe.
Vascular reactions in the periodontal ligament incident to trauma from occlusion.
J Clin. Periodontol, 1 (1974), pp. 58-69
[51-]
J.P. Bernimoulin, Z. Curilovic.
Gingival recession and tooth mobility.
J Clin Periodontol, 4 (1977), pp. 107-114
[52-]
M.E. Gher.
Non-surgical pocket therapy: dental occlusion.
Ann Periodontol, 1 (1996), pp. 567-580
[53-]
L.J. Lin, C.F. Cão.
Clinical diagnosis of trauma from occlusion and its relation with severity of periodontitis.
J Clin Periodontol, 19 (1992), pp. 92-97
[54-]
J.W. Knowles.
Occlusal interferences and loss of periodontal attachment.
J Dent Res (Abstract), 46 (1967), pp. 168
[55-]
B.L. Philstrom, K.A. Anderson, D. Aeppli, E.M. Schaffer.
Association between signs of trauma from occlusion and periodontitis.
J Periodontol, 57 (1986), pp. 1-6
[56-]
S.P. Ramfjord, M.M. Ash Jr..
Significance of occlusion in the etiology and treatment of early, moderate and advanced periodontitis.
J Periodontol, 52 (1981), pp. 511-517
[57-]
S.P. Ramfjord, C.A. Kohler.
Periodontal reaction to functional occlusal stress.
J Periodontol, 30 (1959), pp. 95-112
[58-]
G.J. Shefter, W.T. McFall Jr..
Occlusal relations and periodontal status in human adults.
J Periodontol, 55 (1984), pp. 368-374
[59-]
H.-L. Wang, F.G. Burgett, Y. Shyr, S.P. Ramfjord.
The influence of molar furcation involvement and mobility on future clinical periodontal attachment loss.
J Periodontol, 65 (1994), pp. 25-29
[60-]
F.G. Burgett, S.P. Ramfjord, R.R. Nissle, E.C. Morison, T.D. Charbeneau, R.G. Caffesse.
A randomized trial of occlusal adjustment in the treatment of periodontitis patients.
J Clin Periodontol, 19 (1992), pp. 381-387
[61-]
T.J. Fleszar, J.W. Knowles, E.C. Morrison, F.G. Burgett, R.R. Nissle, S.P. Ramfjord.
Tooth mobility and periodontal therapy.
J CLin Periodontol, 7 (1980), pp. 495-505
[62-]
M.K. McGuire, M.E. Nunn.
Prognosis versus actual outcome. III. The effectiveness of clinical parameters in accurately predicting tooth survival.
J Periodontol, 67 (1996), pp. 666-674
[63-]
P. Cortellini, M.S. Tonetti, N.P. Lang, J.E. Suvan, G. Zuchelli, T. Vangsted, M. Silvestri, R. Rossi, P. McClain, A. Fonzar, D. Dubravec, P. Adriaens.
The simplified papilla preservation flap in the regenerative treatment of deep intrabony defects: clinical outcomes and postoperative morbidity.
J Periodontol, 72 (2001), pp. 1702-1712
[64-]
S.K. Harrel, M.E. Nunn.
The effect of occlusal discrepancies on treated and untreated periodontitis. II. Relationship of occlusal treatment to the progression of periodontal disease.
J Periodontol, 72 (2001), pp. 495-505
[65-]
S.K. Harrel, M.E. Nunn.
Longitudinal comparison of the periodontal status of patients with moderate to severe periodontal disease receiving no treatment, non-surgical treatment, and surgical treatment utilizing individual sites for analysis.
J Periodontol, 72 (2001), pp. 1509-1519
[66-]
M.E. Nunn, S.K. Harrel.
The effect of occlusal discrepancies on treated and untreated periodontitis: I. Relationship of initial occlusal discrepancies to initial clinical parameters.
J Periodontol, 72 (2001), pp. 485-494
[67-]
S.K. Harrel, M.E. Nunn.
The effect of occlusal discrepancies on gingival width.
J Periodontol, 75 (2004), pp. 98-105
[68-]
T. Segura-Egea, A. Jimenez-Rubio, E. Velasco-Ortega, J. Rios-Santos.
Talon cusp causing occlusal trauma and acute apical periodontitis. Report of a case.
Dent Traumatol, 16 (2003), pp. 55-59
[69-]
S. Ishigaki, T. Kurozumi, E. Morishige, H. Yatani.
Occlusal interference during mastigation can cause pathological tooth mobility.
J Periodont Res, 41 (2006), pp. 189-192
[70-]
J.O. Grippo.
Abfraction: A new classification of hard tissues of teeth.
J Esthet Dent, 3 (1991), pp. 14-19
[71-]
D.W. Bóston, H. Al-Bargi, M. Bogert.
Abrasion, erosion and abfraction combined with linear enamel hyperplasia: a case report.
Quintessence Int, 30 (1999), pp. 683-687
[72-]
R.L. Lambert, J.S. Lindenmuth.
Abfraction – a new name for an old entity.
J Colo Dent Assoc, 72 (1994), pp. 31-33
[73-]
W.C. Lee, W.S. Eakle.
Possible role of tensile stress in the etiology of cervical erosion lesions of teeth.
J Prosthet Dent, 52 (1984), pp. 374-380
[74-]
B.T. Piotrowski, W.B. Gillette, E.B. Hancock.
Examining the prevalence and characteristics of abfractionlike cervical lesions in a population of U.S. veterans.
J Am Dent Assoc, 132 (2001), pp. 1694-1701
[75-]
T. Imfeld.
Dental erosion. Definition, classification and links.
Eur J Oral Sci, 104 (1996), pp. 151-155
[76-]
N. Miller, J. Penaud, P. Ambrosini, C. Bisson-Boutilliez, S. Briançon.
Analysis of etiologic factors and periodontal conditions involved with 309 abfractions.
J Clin Periodontol, 30 (2003), pp. 828-832
[77-]
L.C. Levitch, J.D. Bader, Shugars Da, H.O. Heymann.
Noncarious cervical lesions.
J Dent, 22 (1994), pp. 195-207
[78-]
W. Radentz, G.P. Barnes, D.E. Cutright.
A survey of factors possibly associated with cervical abrasion of tooth surfaces.
J Periodontol, 47 (1976), pp. 148-154
[79-]
J.S. Rees.
The effect of variation in occlusal loading on the development of abfraction lesions: a finite element study.
J Oral Rehabil, 29 (2002), pp. 188-193
[80-]
J.O. Grippo, J.V. Masi.
Role of biodental engineering factors (BEF) in the etiology of root cáries.
J Esthet Dent, 3 (1991), pp. 71-76
[81-]
J.G. Iglesias, J.J.G. Pérez, J.G. Pérez.
La odontoestomatogia en la cirugia del siglo XVI.
Geceta dental, 193 (2008), pp. 50-67
[82-]
T.J. O’Leary.
Indices for measurement of tooth mobility in clinical studies.
J Periodont Res, 9 (1974), pp. 94-1005
[83-]
American Academy of Periodontology Parameters of care.
J Periodontol, 71 (2000), pp. 873-875
[84-]
I.F. Ross, E.D. D’Onofrio, J.S. Roman.
Occlusal contacts and tooth mobility. Females, aged 18–30.
J Periodontol, 43 (1972), pp. 760-764
[85-]
F.A. Carranza Jr., M.G. Newman.
Clinical Periodontology.
8th edn., WB Saunders, (1996),
[86-]
N.H. Stoller, K.W. Laudenbach.
Clinical standardization of horizontal tooth mobility.
J Clin Periodontol, 7 (1980), pp. 242-250
[87-]
R. Persson, A. Svensson.
Assessment of tooth mobility using small loads. I. Technical devices and calculations of tooth mobility in periodontal health and disease.
J Clin Periodontol, 7 (1980), pp. 259-275
[88-]
C. Aparício.
The use of the Periotest value as the initial success criteria of an implant: 8-year report.
Int J Periodontics Restorative Dent, 17 (1997), pp. 150-161
[89-]
C. Galler, H. Selipsky, C. Phillips, W.F. Ammons Jr..
The effect of splinting on tooth mobility. (2) After osseous surgery.
J Clin Periodontol, 6 (1979), pp. 317-333
[90-]
B.R. Gillepsie, A.I. Chasens, C.N. Brownstein, M.C. Alfano.
The relationship between the mobility of human teeth and their supracrestal fiber support.
J Periodontol, 50 (1979), pp. 120-124
[91-]
W. Kegel, H. Selipsky, C. Phillips.
The effect of splinting on tooth mobility. I. During initial therapy.
J Clin Periodontol, 6 (1979), pp. 45-48
[92-]
G.J. Kerry, E.C. Morrison, S.P. Ramfjord, R.W. Hill, R.G. Caffese, R.R. Nissle, E.A. Appleberry.
The effect of periodontal treatment on tooth mobility.
J Periodontol, 53 (1982), pp. 635-638
[93-]
C.R. Anderegg, D.G. Metzler.
Tooth mobility revisited.
J Periodontol, 72 (2001), pp. 963-967
[94-]
S.R. Nyman, N.P. Lang.
Tooth mobility and the biological rational for splinting teeth.
Periodontol, 4 (1994), pp. 15-22
[95-]
M.K. McGuire, M.E. Nunn.
Prognosis versus actual outcome. II. The effectiveness of commonly taught clinical parameters in developing an accurate prognosis.
J Periodontol, 67 (1996), pp. 658-665
[96-]
M. Giargia, I. Ericsson, J. Lindhe, T. Berglungdh, A_M. Neideurd.
Tooth mobility and resolution of experimental periodontitis. An experimental study in the dog.
J Clin Periodontol, 21 (1994), pp. 457-464
[97-]
K.H. Rateitschak.
Tooth mobility changes in preagnancy.
J Periodont Res, 2 (1967), pp. 199-206
[98-]
W. Kegel, H. Selipsky, C. Phillips.
The effect of splinting on tooth mobility. I. During inicial therapy.
J Clin Periodontol, 6 (1979), pp. 45-58
[99-]
C. Galler, H. Selipsky, C. Phillips, W.F. Ammons.
The effect of splinting on tooth mobility (2) After osseous surgery.
J CLin Periodontol, 6 (1979), pp. 317-333
[100-]
R. Persson.
Assessment of tooth mobility using small loads. II. Effect of oral hygiene procedures.
J Clin Periodontol, 7 (1980), pp. 506-515
[101-]
R. Persson.
Assessment of tooth mobility using small loads. III. Effect of periodontal treatment including a gingivectomy procedure.
J Clin Periodontol, 8 (1981), pp. 4-11
[102-]
R. Persson.
Assessment of tooth mobility using small loads. IV. The effect of periodontal treatment including gingivectomy and flap procedures.
J Clin Periodontol, 8 (1981), pp. 88-97
[103-]
S.K. Harrel.
Oclusal forces as a risk factor for periodontal disease.
Periodontol, 32 (2003), pp. 111-117
[104-]
M.B. Moozeh, S.R. Suit, N.F. Bissada.
Tooth mobility measurements following two methods of eliminating nonworking side occlusal interferences., 8 (1981), pp. 424-430
[105-]
G. Nogueira-Filho, E.B. Neto, M. Casati, S.R. Reis, R.S. Tunes, U.R. Tunes, E.A. Sallum, F.H. Nociti Jr., A.W. Sallum.
Nicotine effects on alveolar bone changes induced by occlusal trauma: A histometric study in rats.
J Periodontol, 75 (2004), pp. 348-352
[106-]
A.M. Polson.
Interrelationship of inflammation and tooth mobility (trauma) in pathogenesis of periodontal disease.
J CLin Periodontol, 7 (1980), pp. 351-360
(Santiago E, Pinto M, Pinho JC. A Patologia Oclusal no Plano de Tratamento Periodontal - Uma Revisão da Literatura. Rev Port Estomatol Med Dent Cir Maxilofac 2010;51:103–112)
Copyright © 2010. Sociedade Portuguesa de Estomatologia e Medicina Dentária