Occlusal trauma: a case in perspective
Article Abstract:
Occlusal therapy can be integrated into the treatment of serious periodontal disease. Occlusal trauma refers to the excessive forces of the jaw causing injury or strain on teeth and surrounding tissue. If the upper and lower jaws are not aligned, bone loss and loose or extruding teeth can occur. The case of a 39-year-old male patient with a problematic maxillary left lateral incisor and with a family history of periodontitis is discussed. His tooth was quite mobile, protruded 2 millimeters (mm), and had a deep pocket close to 8 mm. Occlusal trauma was diagnosed based on these observations and the level of bone loss. To reduce the risk of tooth loss, periodontal treatment began and included antibiotic therapy. After controlling the inflammation, the edge of the protruding tooth was modified twice and prosthodontic treatment (partial denture) was used to distribute the occlusal forces more evenly. Tooth mobility, pocket depth, and apparent bone loss had improved dramatically one year later.
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 1995
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Correcting generalized gingival recession
Article Abstract:
Different surgical techniques have been developed to treat gingival recession. Gingival recession is a retraction of the gums caused by gingivitis, which is an inflammation of the gums. A root coverage technique was used to treat a 28-year-old woman with severe gingival recession for six front teeth. This technique involved surgery to anchor the flap on either side of a tooth to immovable tissue. The root surface of each of the teeth was initially planed to remove all of the affected cementum, or the connective tissue covering the root of a tooth. The patient was prescribed a non-steroidal anti-inflammatory drug and a chlorhexidine mouthrinse after surgery. She was instructed on proper flossing and brushing to prevent the recurrence of gingival recession. Six months after surgery, only two teeth had a minimal amount of recession.
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 1993
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The endodontic-periodontal continuum revisited: new insights into etiology, diagnosis and treatment
Article Abstract:
New insights into the relationship between gum and tooth disease may improve understanding and offer more effective methods of treatment. The mechanisms by which diseases of the gum tissue and the tooth pulp can affect each other are not fully understood, although recent research has been illuminating. Traditional approaches that address tooth health first may adversely affect the subsequent improvement of soft tissues. Optimal therapy should focus on achieving the best result. Advances including laser irradiation, new composites and bone grafting should further reduce tooth loss.
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 1997
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