Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
권호 표지

A Literature Review on Trauma from Occlusion

교합성 외상에 관한 논쟁의 고찰

  • Park, Go-Woon (Department of Prosthodontics and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Kim, Dae-Gon (Department of Prosthodontics and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Park, Chan-Jin (Department of Prosthodontics and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Cho, Lee-Ra (Department of Prosthodontics and Research Institute of Oral Science, Gangneung-Wonju National University)
  • 박고운 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 김대곤 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 박찬진 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 조리라 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소)
  • Received : 2011.10.10
  • Accepted : 2011.12.25
  • Published : 2011.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Trauma from occlusion (TFO) is a pathologic alterations which develop in the periodontium as a result of undue masticatory force. The purpose of this article is to review the controversies about TFO. There are evidences that TFO is a risk factor in the progression of periodontitis. Tooth mobility should be reduced by selective occlusal adjustment. TFO can be developed dependent on the masticatory pattern, occlusion and anterior overbite in sound periodontal conditions. Secondary TFO may aggravate unstable occlusion. If "loss of posterior support" was occur, the problems were worsen. Extrusion, migration, rotation and pathologic deviation can be resulted. Opposite contention is the "shortened dental arch" concept. However, these two concepts persue the occlusal stability together. To treat TFO adequately, exact diagnosis and multi-disciplinary treatment should be needed.

교합성 외상은 과도하거나 비정상적인 교합력으로 인한 치아의 주위에 발생하는 병적 변화를 말한다. 교합성 외상과 치주질환과의 관계에 대한 다양한 논쟁이 있었지만 위험요소임은 확실하기 때문에 교합조정을 하는 것이 치주치료의 결과를 개선시킬 수 있다. 정상적인 치주조직을 가진사람이라도 저작양태와 교합양상 및 전치피개의 양상에 따라 교합외상이 발생할 가능성이 있다. 치주질환으로 인해 이차적인 교합외상이 있으면 다양한 문제점을 유발할 가능성이 있는데 특히 구치가 상실되면 교합의 안정을 위협받게 된다. 상실된 구치를 수복하지 않아도 된다는 개념부터 반드시 회복시켜야 한다는 극단적인 주장이 있지만 양쪽의 주장 모두 교합의 안정성을 최우선의 목표로 한다는 점에서는 일치한다. 또한 구치가 상실되면 대합치의 변위나 정출 뿐 아니라 전치의 변위까지도 유발할 수 있기 때문에 교합성 외상을 제거하고 교합의 안정성을 확보하기 위한 치료가 필수적이다.

Keywords

References

  1. Harrel SK. Occlusal forces as a risk factor for periodontal disease. Periodontol 2000 2003;32:111-7. https://doi.org/10.1046/j.0906-6713.2002.03209.x
  2. Hallmon WW. Occlusal analysis, diagnosis and management in the practice of periodontics. Periodontol 2000 2004;34:151-64. https://doi.org/10.1046/j.0906-6713.2003.003430.x
  3. Karolyi M. Beobachtungen uber Pyorrhoea alveolaris. Ost-Unit Vjschr Zahnheilk 1901;17:279.
  4. Stillman PR, The management of pyorrhea. Dental Cosmos 1917;59:405-14.
  5. Orban B, Weinman J. Signs of traumatic occlusion in average human jaws. J Dent Res 1933;13:216.
  6. Gilkman I, Smulow JB. Alterations in the pathway of gingival inflammation into the underlying tissues induced by excessive occlusal forces. J Periodontol 1962;33:7-13.
  7. Waerhaug J. The infrabony pocket and its relationship to trauma from occlusion and subgingival plaque. J Periodontol 1979;50:355-65. https://doi.org/10.1902/jop.1979.50.7.355
  8. Polson AM, Zander HA. The effect of periodontal trauma upon infrabony pockets. J Periodontol 1983; 54:586-92. https://doi.org/10.1902/jop.1983.54.10.586
  9. Lindhe J, Ericsson I. Influence of trauma from occlusion on reduced but healthy periodontal tissued in dogs. J Clin Periodontol 1976;3:110-22. https://doi.org/10.1111/j.1600-051X.1976.tb01857.x
  10. Nyman S, Lindhe J, Ericsson I. The effect of progressive tooth mobility on destructive periodontitis in dog. J Clin Periodontol 1978;5:213-25. https://doi.org/10.1111/j.1600-051X.1978.tb02282.x
  11. Bhola M, Cabanilla L, Kolhatkar S.Dental occlusion and periodontal disease: what is the real relationship? J Calif Dent Assoc 2008;36:924-30.
  12. Harrel SK, Nunn ME. The effect of occlusal discrepancies on periodontitis. II. Relationship of occlusal treatment to the progression of periodontal disease. J Periodontol 2001;72:495-505. https://doi.org/10.1902/jop.2001.72.4.495
  13. Takeuchi N, Ekuni D, Yamamoto T, Morita M. Relationship between the prognosis of periodontitis and occlusal force during the maintenance phase-a cohort study. J Periodontal Res 2010;45:612-7. https://doi.org/10.1111/j.1600-0765.2010.01273.x
  14. Ishigaki S, Kurozumi T, Morishige E, Yatani H. Occlusal interference during mastication can cause pathological tooth mobility. J Periodontal Res 2006; 41:189-92. https://doi.org/10.1111/j.1600-0765.2005.00856.x
  15. Crespo Vázquez E, Crespo Abelleira A, Suárez Quintanilla JM, Rodriguez Cobos MA.Correlation between occlusal contact and root resorption in teeth with periodontal disease. J Periodont Res 2011;46: 82-8. https://doi.org/10.1111/j.1600-0765.2010.01315.x
  16. Harrel SK, Nunn ME.The association of occlusal contacts with the presence of increased periodontal probing depth.J Clin Periodontol 2009;36:1035-42. https://doi.org/10.1111/j.1600-051X.2009.01486.x
  17. Weston P, Yaziz YA, Moles DR, Needleman I. Occlusal interventions for periodontitis in adults. Cochrane Database Syst Rev 2008;16:CD004968.
  18. 野田隆夫 저, 이종엽, 최미환 역. 교합성외상의 조기진단과 치료법. 지성출판사. 2006. P.75-82, 128-132.
  19. Schwartz H. Occlusal variations for reconstructing the natural dentition. J Prosthet Dent 1986;55:101-5. https://doi.org/10.1016/0022-3913(86)90084-3
  20. McAdam DB. Tooth loading and cuspal guidance in canine and group-function occlusions. J Prosthet Dent 1976;35:283-90. https://doi.org/10.1016/0022-3913(76)90252-3
  21. Al-Nimri KS, Bataineh AB, Abo-Farha S. Functional occlusal patterns and their relationship to static occlusion. Angle Orthod 2010;80:65-71. https://doi.org/10.2319/021209-98.1
  22. Shifman A, Laufer BZ, Chweidan H. Posterior bite collapse - revisited. J Oral Rehabil 1998;25:376-85. https://doi.org/10.1046/j.1365-2842.1998.00243.x
  23. Craddock HL, Youngson CC, Manogue M, Blance A.Occlusal changes following posterior tooth loss in adults. Part 1: A study of clinical parameters associated with the extent and type of supraeruption in unopposed posterior teeth. J Prosthodont 2007;16:485-94. https://doi.org/10.1111/j.1532-849X.2007.00212.x
  24. Craddock HL, Youngson CC, Manogue M, Blance A.Occlusal changes following posterior tooth loss in adults. Part 2: Clinical parameters associated with movement of teeth adjacent to the site of posterior tooth loss. J Prosthodont 2007;16:495-501. https://doi.org/10.1111/j.1532-849X.2007.00223.x
  25. Craddock HL.Occlusal changes following posterior tooth loss in adults. Part 3: A study of clinical parameters associated with the presence of occlusal interferences following posterior tooth loss. J Prosthodont 2008;17:25-30.
  26. World Health Organization. Recent advances in oral health. WHO Technical Report Series No. 826. WHO, Geneva; 1992. p.16-17
  27. Armellini D, von Fraunhofer JA. The shortened dental arch: a review of the literature. J Prosthet Dent 2004;92:531-5. https://doi.org/10.1016/j.prosdent.2004.08.013
  28. Walter MH, Weber A, Marré B, Gitt I, Gerss J, Hannak W, Hartmann S, Heydecke G, Huppertz J, Jahn F, Ludwig A, Mundt T, Kern M, Klein V, Pospiech P, Stumbaum M, Wolfart S, Wostmann B, Busche E, Boning K, Luthardt RG. The randomized shortened dental arch study: tooth loss. J Dent Res 2010;89:818-22. https://doi.org/10.1177/0022034510366817
  29. Wolfart S, Heydecke G, Luthardt RG, Marre B, Freesmeyer WB, Stark H, Wostmann B, Mundt T, Pospiech P, Jahn F, Gitt I, Schadler M, Aggstaller H, Talebpur F, Busche E, Bell M. Effects of prosthetic treatment for shortened dental arches on oral health-related quality of life, self-reports of pain and jaw disability: results from the pilot-phase of a randomized multicentre trial. J Oral Rehabil 2005 ;32:815-22. https://doi.org/10.1111/j.1365-2842.2005.01522.x
  30. Witter DJ, van Elteren P, Käyser AF, van Rossum MJ. The effect of removable partial dentures on the oral function in shortened dental arches. J Oral Rehabil 1989;16:27-33. https://doi.org/10.1111/j.1365-2842.1989.tb01314.x
  31. Witter DJ, De Haan AF, Käyser AF, Van Rossum GM. A six-year follow-up study of oral function in shortened dental arches. Part I: Occlusal stability. J Oral Rehabil 1994;21:113-25. https://doi.org/10.1111/j.1365-2842.1994.tb01131.x
  32. Witter DJ, Creugers NH, Kreulen CM, de Haan AF. Occlusal stability in shortened dental arches. J Dent Res 2001;80:432-43. https://doi.org/10.1177/00220345010800020601
  33. Southard TE, Behrents RG, Tolley EA. The anterior component of occlusal force. Part 1. Measurement and distribution. Am J Orthod Dentofacial Orthop 1989;96:493-500. https://doi.org/10.1016/0889-5406(89)90116-9
  34. Ramfjord SP, Ash MM Jr. Significance of occlusion in the etiology and treatment of early, moderate, and advanced periodontitis. J Periodontol 1981;52:511-7. https://doi.org/10.1902/jop.1981.52.9.511
  35. Amsterdam M, Weisgold AS. Periodontal prosthesis: a 50-year perspective. Alpha Omegan 2000;93:23-30.
  36. Stern N, Brayer L. Collapse of the occlusion-- aetiology, symptomatology and treatment. J Oral Rehabil 1975;2:1-19. https://doi.org/10.1111/j.1365-2842.1975.tb00907.x
  37. Reshad M, Jivraj S. The influence of posterior occlusion when restoring anterior teeth. J Calif Dent Assoc 2008;36:567-74.
  38. Greenstein G, Cavallaro J, Scharf D, Tarnow D. Differential diagnosis and management of flared maxillary anterior teeth. J Am Dent Assoc 2008; 139:715-23. https://doi.org/10.14219/jada.archive.2008.0253
  39. Gaumet PE, Brunsvold MI. McMahan CA. Spontaneous repositioning of pathologically migrated teeth. J Periodontol 1999;70:1177-84. https://doi.org/10.1902/jop.1999.70.10.1177
  40. Carlsson GE, Hedegard B, Koivumaa KK. Studies in partial dental prosthesis, IV. Final results of a four-year longitudinal investigation of dentogingivally supported partial dentures. Acta Odontol Scand 1965;23:443-72. https://doi.org/10.3109/00016356509021764
  41. Aquilino SA, Shugars DA, Bader JD, White BA. Ten-year survival rates of teeth adjacent to treated and untreated posterior bounded edentulous spaces. J Prosthet Dent 2001;85:455-60. https://doi.org/10.1067/mpr.2001.115248
  42. Ellegaard B, Baelum V, Karring T. Implant therapy in periodontally compromised patients. Clin Oral Implants Res 1997;8:180-8. https://doi.org/10.1034/j.1600-0501.1997.080304.x
  43. Karoussis IK, Salvi GE, Heitz-Mayfield LJ, Bragger U, Hammerle CH, Lang NP. Long-term implant prognosis in patients with andwithout a history of chronic periodontitis: A 10-year prospective cohort study of the ITI dental implant system. Clin Oral Implants Res 2003;14:329-39. https://doi.org/10.1034/j.1600-0501.000.00934.x
  44. Levin L, Ofec R, Grossmann Y, Anner R. Periodontal disease as a risk for dental implant failure over time: a long-term historical cohort study. J Clin Periodontol 2011;38:732-7. https://doi.org/10.1111/j.1600-051X.2011.01745.x
  45. Simonis P, Dufour T, Tenenbaum H. Long-term implant survival and success: a 10-16-year follow-up of non-submerged dental implants. Clin Oral Implants Res 2010;21:772-7. https://doi.org/10.1111/j.1600-0501.2010.01912.x