The Relationship of Trauma Due to Occlusion with the Severity of Periodontitis in Patients in the Periodonsia RSGM FKG USU Installation

Oct 13, 2025 by wbrum.org 98 views

The Relationship of Trauma Due to Occlusion with the Severity of Periodontitis in Patients in the Periodonsia RSGM FKG USU Installation

Introduction

Trauma due to occlusion and periodontitis are two significant factors that can cause damage to the periodontium tissue. For over a century, the relationship between occlusion and periodontitis trauma has been a widely studied topic and continues to be a subject of debate among experts. This study aims to explore the relationship between trauma due to occlusion with the severity of periodontitis, both in quality and quantity.

Background

Periodontitis is a chronic bacterial infection that affects the periodontium, leading to inflammation and destruction of the supporting structures of the teeth. Trauma due to occlusion can exacerbate periodontitis conditions, making it essential to understand the relationship between the two. Occlusion trauma occurs when there is an imbalance in the masticatory pressure, resulting in excessive pressure on the teeth and surrounding tissue. This can cause damage to the periodontal tissue and worsen existing periodontitis conditions.

Research Methodology

This study employed a descriptive analytic approach with a cross-sectional design. The location of the study was the periodonia installation of the Dental and Oral Hospital, Faculty of Dentistry, University of North Sumatra (USU). The research subjects consisted of 8 patients with 52 teeth experiencing periodontitis conditions accompanied by occlusion trauma and 53 teeth from periodontitis patients with balanced contact. The selection of subjects was carried out through accidental sampling with tight inclusion and exclusion criteria.

To assess periodontal tissue damage, articulation paper was used to determine the trauma of occlusion. Furthermore, the measurement of pocket depth and loss of clinical attachment was carried out for both groups. The measurement results were then analyzed to obtain a quantitative picture of periodontal tissue damage and to examine the quality of the relationship between occlusion trauma and periodontitis severity.

Results

The results of the study showed that the average depth of pocket in teeth that experienced higher occlusion trauma compared to teeth with balanced contact was 4.3 ± 1.8 mm and 3.7 ± 1.98 mm, respectively. Additionally, the average loss of clinical attachment also showed a significant difference, which was 7.33 ± 2.75 mm for occlusion trauma and 5.5 ± 2.44 mm for balanced contact. The teeth in the two groups were then categorized based on the severity of periodontitis (mild, medium, and severe) based on loss of clinical attachment. The results of the analysis showed a significant relationship between trauma due to occlusion and severity of periodontitis (p = 0.001).

Discussion

The relationship between occlusion and periodontitis trauma highlights the importance of attention to the factors that can worsen periodontal conditions. Occlusion trauma is often produced from an imbalance in masticatory pressure that can result in excessive pressure on the teeth and surrounding tissue. This not only causes damage to periodontal tissue but also worsens existing periodontitis conditions.

The importance of the right diagnosis and initial treatment of occlusion problems is the key in maintaining periodontal health. By knowing that trauma due to occlusion can worsen the severity of periodontitis, preventive steps can be taken, such as the use of occlusal splint or orthodontic treatment to improve occlusion imbalances.

Conclusion

This study provides valuable insights for practitioners in the field of dentistry, especially in the management of periodontitis cases. Awareness of the importance of handling occlusion trauma not only helps in the management of periodontal disease but also improves the quality of care for patients. Thus, a better understanding of the relationship between occlusion and periodontitis trauma will contribute to more effective clinical practices and better dental health results.

Recommendations

Based on the findings of this study, the following recommendations are made:

Practitioners should be aware of the importance of handling occlusion trauma in the management of periodontitis cases.
The use of occlusal splint or orthodontic treatment should be considered to improve occlusion imbalances.
Further studies should be conducted to explore the relationship between occlusion and periodontitis trauma in different populations.
The development of guidelines for the management of occlusion trauma in periodontitis cases should be considered.

Limitations

This study had several limitations, including:

The small sample size of the study.
The use of accidental sampling method.
The lack of control group.

Future Directions

Future studies should aim to explore the relationship between occlusion and periodontitis trauma in different populations. Additionally, the development of guidelines for the management of occlusion trauma in periodontitis cases should be considered.
Frequently Asked Questions (FAQs) about the Relationship between Trauma Due to Occlusion and Periodontitis

Q: What is the relationship between trauma due to occlusion and periodontitis?

A: Trauma due to occlusion can exacerbate periodontitis conditions, making it essential to understand the relationship between the two. Occlusion trauma occurs when there is an imbalance in the masticatory pressure, resulting in excessive pressure on the teeth and surrounding tissue.

Q: What are the symptoms of occlusion trauma?

A: The symptoms of occlusion trauma can include:

Pain or discomfort in the teeth or jaw
Clicking or popping sounds when biting or chewing
Difficulty biting or chewing
Sensitivity to temperature changes
Swelling or redness in the gums

Q: How is occlusion trauma diagnosed?

A: Occlusion trauma can be diagnosed through a combination of clinical examination, medical history, and diagnostic tests such as:

Articulation paper to determine the trauma of occlusion
Measurement of pocket depth and loss of clinical attachment
Radiographic examination to assess the extent of periodontal damage

Q: What are the treatment options for occlusion trauma?

A: The treatment options for occlusion trauma depend on the severity of the condition and may include:

Occlusal splint to redistribute the masticatory pressure
Orthodontic treatment to improve occlusion imbalances
Periodontal therapy to treat periodontitis
Restorative dentistry to repair or replace damaged teeth

Q: Can occlusion trauma be prevented?

A: Yes, occlusion trauma can be prevented by:

Maintaining good oral hygiene habits
Avoiding excessive masticatory pressure
Wearing a mouthguard during sports or other activities that may cause trauma to the teeth
Regular dental check-ups to detect and treat occlusion trauma early

Q: What is the prognosis for patients with occlusion trauma?

A: The prognosis for patients with occlusion trauma depends on the severity of the condition and the effectiveness of treatment. With proper treatment, patients can experience significant improvement in their symptoms and quality of life.

Q: Can occlusion trauma affect other health conditions?

A: Yes, occlusion trauma can affect other health conditions such as:

Temporomandibular joint (TMJ) disorders
Headaches and migraines
Sleep disorders
Digestive problems

Q: How can patients manage occlusion trauma at home?

A: Patients can manage occlusion trauma at home by:

Maintaining good oral hygiene habits
Avoiding excessive masticatory pressure
Using a mouthguard during sports or other activities that may cause trauma to the teeth
Applying heat or cold packs to the affected area to reduce pain and inflammation

Q: What is the role of the dentist in managing occlusion trauma?

A: The dentist plays a crucial role in managing occlusion trauma by:

Diagnosing and treating occlusion trauma
Providing guidance on oral hygiene habits and masticatory pressure
Recommending treatment options such as occlusal splint or orthodontic treatment
Monitoring the patient's progress and adjusting treatment as needed.