What are signs of occlusal trauma?

The signs and symptoms experienced by patients with occlusal trauma are mobility of teeth, temperomandibular joint pain, pain on mastication and periodontal disease. Early diagnosis, proper treatment plan and correction of malocclusion can lead to a successful outcome.

What is the most common manifestation of occlusal trauma?

The most common clinical feature of secondary occlusal trauma is significant tooth mobility. Other common findings (in addition to those noted with primary occlusal trauma) include drifting and tipping of the teeth.

Can occlusal trauma cause periodontitis?

Conclusions: Occlusal trauma does not initiate periodontitis, and there is weak evidence that it alters the progression of the disease. There is no credible evidence to support the existence of abfraction or implicate it as a cause of gingival recession.

How is occlusal trauma diagnosed?

Clinical diagnosis that occlusal trauma has occurred or is occurring may include progressive tooth mobility, fremitus, occlusal discrepancies/disharmonies, wear facets (caused by tooth grinding), tooth migration, tooth fracture, thermal sensitivity, root resorption, cemental tear, and widening of the periodontal …

How is primary occlusal trauma treated?

For a bruxer, the treatment of the patient’s primary occlusal trauma could involve selective grinding of certain interarch tooth contacts or using a nightguard to protect the teeth from normal occlusal forces.

Does occlusal trauma cause bone loss?

35 Based on the findings of these studies, it was concluded that without plaque-induced inflammation, occlusal trauma does not cause irreversible bone loss or loss of connective tissue attachment. Therefore, occlusal trauma is not a causative agent of periodontitis.

How do you know if you have apical periodontitis?

When a root-filled tooth causes swelling and/or pain it is usually a sign of infection. In combination with the presence of a periapical bone lesion visible in an intraoral radiograph the diagnosis of apical periodontitis is usually quite straightforward.

How is occlusal trauma treated?

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. By doing so the pressure on individual teeth is lessened, thereby making them less susceptible to becoming weak or contaminated.

How is apical periodontitis treated?

How Do You Treat Apical Periodontitis?

Root canal. In some cases, a root canal can minimize the inflammation of your gums by removing the bacteria and infected tissue from the tooth’s pulp.
Apicoectomy. If the infection develops or continues after the root canal, you might require an apicoectomy.

What changes in the periodontal ligament are produced by occlusal trauma?

These changes may include widening/compression of PDL, bone remodeling (resorption/repair), hyalinization, necrosis, increased cellularity, vascular dilatation/permeability, thrombosis, root resorption, and cemental tears.

What are the signs and symptoms of acute apical periodontitis?

Signs and symptoms of acute apical periodontitis The affected tooth is often having a large decay area, a filling or may be discolored due to a dead pulp in the tooth. The gum over the root of the affected tooth is red and sore. May be associated with swelling of the face for infection can penetrate the overlying bone or soft tissues.

What is periapical periodontitis?

Periradicular, periapical or apical periodontitis can be defined as inflammation of all the supporting structures of the teeth in the area surrounding the apex of the tooth. Periapical inflammation is usually due to tooth infection which characteristically causes pain of tooth in its socket.

What are the signs and symptoms of chronic apical abscess?

It appears as an apical radiolucency and does not present clinical symptoms (no pain on percussion or palpation). Chronic Apical Abscessis an inlammatory reaction to pulpal infection and necrosis characterized by gradual onset, little or no discomfort and an intermittent discharge of pus through an associated sinus tract.

Does occlusal trauma cause attachment loss in periodontitis?

Occlusal trauma by itself will not cause attachment loss; however, with preexisting periodontitis, it may exacerbate attachment loss. 130. Define primary and secondary occlusal trauma.