engleski

Combined endo-paro lesion as a result of secondary occlusal trauma – a case report

Aim: The relationship between occlusal trauma and periodontal health has been a subject of considerable debate and investigation. The incorrect distribution of occlusal forces over the teeth may cause changes in the periodontal ligament, alveolar bone, cementum and dental pulp. Material and Methods: Patient aged 38 years was sent to our clinic for periodontal treatment. Radiographic image showed incomplete upper dental arch, generalized horizontal bone loss due to periodontal disease and extensive localized vertical bone loss around tooth 45. Clinical examination revealed occlusal interference between teeth 14 and 45. Vitality test for tooth 45 was negative and grade II mobility was observed. After completion of occlusal adjustment, periodontal therapy and endodontic treatment of tooth 45, regenerative surgical procedure (Bio-Oss, Bio- Gide) was made. Control radiographs after 3 and 6 months showed significant amount of newly formed bone tissue and reduction of mobility of tooth 45. Results: Excessive occlusal forces (traumatic occlusion) can increase damage to periodontal structures and also cause damage to other elements of the stomatognathic system such as pulpal tissues. Common signs and symptoms include bone loss, loss of connective tissue insertion, mobility, increased periodontal space, thickening of the lamina dura, pulp symptoms and pain. Conclusion: Understanding the relationship between dental occlusion and periodontal status is necessary for correct diagnosis and for the establishment of restorative treatment in patients with periodontal disease.

occlusal trauma ; periodontal health ; case report

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