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Trauma From Occlusion.pptx

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Dr. B.V.Parvathy
Dr. B.V.Parvathy

This document provides an overview of trauma from occlusion including: - Definitions from various dental organizations - Etiology and types of occlusal forces that can cause trauma - Historical perspectives on the study of occlusion and trauma - Terminologies used to describe occlusal trauma - Stages of tissue response to excessive occlusal forces - Signs and symptoms of trauma from occlusion - Classification systems for trauma from occlusion - Examination and diagnosis techniques - Radiographic signs of trauma - Debate around reversibility of traumatic occlusion - Considerations for trauma around dental implants - Treatment approaches including occlusal adjustments and splinting

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DR. BEENA VIJAYAN PARVATHY II nd YEAR PG
CONTENTS DEFINITION ETIOLOGY HISTORICAL PRESPECTIVE TERMINOLOGIES WHICH HAVE BEEN USED TO DESCRIBE OCCLSAL TRAUMA REVIEW OF LITERATURE OCCLUSAL FORCES DURING JAW MOVEMENTS CLASSIFICATION STAGES OF TISSUE RESPONSE TO EXCESSIVE OCCLUSAL FORCES EXAMINATION AND DIAGNOSIS
RADIOGRAPHIC SIGNS IS TRAUMATIC OCCLUSION REVERSIBLE? TRAUMA FROM OCCLUSION ARROUND IMPLANTS OUR PRESENT UNDERSTANDING TREATMENT
DEFINITION WHO, 1978 GPT, 2001 Jan De Boever, 2004 Carranza, 2006
ETIOLOGY Precipitating factors (Primary etiology) Destructive occlusal forces Magnitude of force Direction of force Frequency of force Duration of force Predisposing factors Development of TFO indirectly Intrinsic factors Extrinsic factors
Types of Occlusal Forces Normal physiological forces Impact forces Continuous forces Jiggling forces
HISTORICAL PRESPECTIVE Karolyi, 1901 Boxs Study, 1935 Stones Study, 1938 Bhaskar & Orban, 1955
TERMINOLOGIES WHICH HAVE BEEN USED TO DESCRIBE OCCLUSAL TRAUMA Stillman 1917 Box 1930 Ramfjord & Ash 1972 Muhlemann 1956 Traumatogenic occlusal situation Orban 1958 & Pichard 1965 Periodontal traumatism Glickman 1974 Trauma from Occlusion Traumatic occlusion
REVIEWOF LITERATURE Stillmann 1917 AUTOPSY STUDIES: Weinman et al Glickmans Concept:- Glickman & Smulow (1962,1969) Glickman (1963,1965) Theory of Co-destruction
Trauma From Occlusion.pptx
Waerhaugs Concept ANIMAL STUDY: Rochester Group (Polson & Co-workers) Gothenburg Group (Lindhe & Co-workers) HUMAN TRIALS: Burgett et al 1992 Shefter GJ & Philstrom BL McGuire MK & Nunn ME
OCCLUSAL FORCES DURING JAW MOVEMENTS Svanberg GK, King GJ & Gibbs CH
CLASSIFICATION Acute Trauma From Occlusion Chronic Trauma From Occlusion Primary Trauma From Occlusion GPT, AAP 1992 Polson AM, 1976 Secondary Trauma From Occlusion GPT, AAP 1992
STAGES OF TISSUE RESPONSE TO EXCESSIVE OCCLUSAL FORCES Carranza (1967, 1970) I. Stage I, Injury Slightly excessive forces Zaki AE,1963 Greater than slightly excessive force Rygh P,1972- 1974) Severly high forces Stallard,1964 & Stahl SS,1975) II. Stage II, Repair Buttressing Bone Formation Glickman & Smulov, 1965 Lipping - Glickman & Smulov, 1962
III. Stage III, Adaptive Remodelling of the Periodontium Lindhe & Ericsson, 1984 Carranza & Dotto, 1966
Trauma From Occlusion.pptx
EXAMINATION AND DIAGNOSIS Signs of Trauma From Occlusion Tooth Mobility Tooth Migration Wear Patterns Abfraction, especially in premolars V-Shaped or Angled Gingival Recession Fremitus Test Ingervall B, 1972
Symptoms of Trauma From Occlusion Persistent Discomfort on Eating Thermal Sensitivity Muscle Hypertonicity
RADIOGRAPHIC SIGNS
IS TRAUMATIC OCCLUSION REVERSIBLE?
TRAUMA FROM OCCLUSION ARROUND IMPLANTS
TREATMENT Occlusal adjustments Management of parafunctional habits Splinting of teeth Orthodontic tooth movement Occlusal reconstruction Extraction of selected teeth Perio 2000, 2017
OUR PRESENT UNDERSTANDING
REFERENCE Role Of Occlusion In The Etiology And Treatment, Of Periodontal Disease, IRVING GLICKMAN, Tufts University School Of Dental Medicine, Boston, Massachusetts 02111, USA. Radiographs In Periodontics, Niklaus P. Langi And Roger W. HILLS, Journal Of Clinical Periodontology: 1977: 4: 16-28. The Infrabony Pocket And Its Relationship To Trauma From Occlusion And Subgingival Plaque By Jens Waerhaug. Role Of Occlusion In Periodontal Disease, Euloir Passanezi, Adriana Campos Passanezi Sant'ana. Association Of Trauma From Occlusion With Localized Gingival Recession In Mandibular Anterior Teeth Pratibha Panduranga Kundapur, Khandige Mahalinga Bhat, And Giliyar Subraya Bhat, Dent Res J (Isfahan). 2009 Autumn; 6(2): 7174. Occlusal Trauma And Excessive Occlusal Forces: Narrative Review, Case De鍖nitions, And Diagnostic Considerations Jingyuan Fan Jack G. Caton. Clinical Diagnosis Of Trauma From Occlusion And Its Relation With Severity Of Periodontitis L. J. Jtn And C. F. Cao.
Trauma From Occlusion.pptx

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Trauma From Occlusion.pptx

  • 1. DR. BEENA VIJAYAN PARVATHY II nd YEAR PG
  • 2. CONTENTS DEFINITION ETIOLOGY HISTORICAL PRESPECTIVE TERMINOLOGIES WHICH HAVE BEEN USED TO DESCRIBE OCCLSAL TRAUMA REVIEW OF LITERATURE OCCLUSAL FORCES DURING JAW MOVEMENTS CLASSIFICATION STAGES OF TISSUE RESPONSE TO EXCESSIVE OCCLUSAL FORCES EXAMINATION AND DIAGNOSIS
  • 3. RADIOGRAPHIC SIGNS IS TRAUMATIC OCCLUSION REVERSIBLE? TRAUMA FROM OCCLUSION ARROUND IMPLANTS OUR PRESENT UNDERSTANDING TREATMENT
  • 4. DEFINITION WHO, 1978 GPT, 2001 Jan De Boever, 2004 Carranza, 2006
  • 5. ETIOLOGY Precipitating factors (Primary etiology) Destructive occlusal forces Magnitude of force Direction of force Frequency of force Duration of force Predisposing factors Development of TFO indirectly Intrinsic factors Extrinsic factors
  • 6. Types of Occlusal Forces Normal physiological forces Impact forces Continuous forces Jiggling forces
  • 7. HISTORICAL PRESPECTIVE Karolyi, 1901 Boxs Study, 1935 Stones Study, 1938 Bhaskar & Orban, 1955
  • 8. TERMINOLOGIES WHICH HAVE BEEN USED TO DESCRIBE OCCLUSAL TRAUMA Stillman 1917 Box 1930 Ramfjord & Ash 1972 Muhlemann 1956 Traumatogenic occlusal situation Orban 1958 & Pichard 1965 Periodontal traumatism Glickman 1974 Trauma from Occlusion Traumatic occlusion
  • 9. REVIEWOF LITERATURE Stillmann 1917 AUTOPSY STUDIES: Weinman et al Glickmans Concept:- Glickman & Smulow (1962,1969) Glickman (1963,1965) Theory of Co-destruction
  • 11. Waerhaugs Concept ANIMAL STUDY: Rochester Group (Polson & Co-workers) Gothenburg Group (Lindhe & Co-workers) HUMAN TRIALS: Burgett et al 1992 Shefter GJ & Philstrom BL McGuire MK & Nunn ME
  • 12. OCCLUSAL FORCES DURING JAW MOVEMENTS Svanberg GK, King GJ & Gibbs CH
  • 13. CLASSIFICATION Acute Trauma From Occlusion Chronic Trauma From Occlusion Primary Trauma From Occlusion GPT, AAP 1992 Polson AM, 1976 Secondary Trauma From Occlusion GPT, AAP 1992
  • 14. STAGES OF TISSUE RESPONSE TO EXCESSIVE OCCLUSAL FORCES Carranza (1967, 1970) I. Stage I, Injury Slightly excessive forces Zaki AE,1963 Greater than slightly excessive force Rygh P,1972- 1974) Severly high forces Stallard,1964 & Stahl SS,1975) II. Stage II, Repair Buttressing Bone Formation Glickman & Smulov, 1965 Lipping - Glickman & Smulov, 1962
  • 15. III. Stage III, Adaptive Remodelling of the Periodontium Lindhe & Ericsson, 1984 Carranza & Dotto, 1966
  • 17. EXAMINATION AND DIAGNOSIS Signs of Trauma From Occlusion Tooth Mobility Tooth Migration Wear Patterns Abfraction, especially in premolars V-Shaped or Angled Gingival Recession Fremitus Test Ingervall B, 1972
  • 18. Symptoms of Trauma From Occlusion Persistent Discomfort on Eating Thermal Sensitivity Muscle Hypertonicity
  • 22. TREATMENT Occlusal adjustments Management of parafunctional habits Splinting of teeth Orthodontic tooth movement Occlusal reconstruction Extraction of selected teeth Perio 2000, 2017
  • 24. REFERENCE Role Of Occlusion In The Etiology And Treatment, Of Periodontal Disease, IRVING GLICKMAN, Tufts University School Of Dental Medicine, Boston, Massachusetts 02111, USA. Radiographs In Periodontics, Niklaus P. Langi And Roger W. HILLS, Journal Of Clinical Periodontology: 1977: 4: 16-28. The Infrabony Pocket And Its Relationship To Trauma From Occlusion And Subgingival Plaque By Jens Waerhaug. Role Of Occlusion In Periodontal Disease, Euloir Passanezi, Adriana Campos Passanezi Sant'ana. Association Of Trauma From Occlusion With Localized Gingival Recession In Mandibular Anterior Teeth Pratibha Panduranga Kundapur, Khandige Mahalinga Bhat, And Giliyar Subraya Bhat, Dent Res J (Isfahan). 2009 Autumn; 6(2): 7174. Occlusal Trauma And Excessive Occlusal Forces: Narrative Review, Case De鍖nitions, And Diagnostic Considerations Jingyuan Fan Jack G. Caton. Clinical Diagnosis Of Trauma From Occlusion And Its Relation With Severity Of Periodontitis L. J. Jtn And C. F. Cao.