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Clinical Evaluation of Passive Eruption Using Occlusal Reduction on Periodontium  

Kim, Yoo-Jin (Department of Periodontology, School of Dentistry, Pusan National University)
Kim, Sung-Jo (Department of Periodontology, School of Dentistry, Pusan National University)
Choi, Jeom-Il (Department of Periodontology, School of Dentistry, Pusan National University)
Lee, Ju-Youn (Department of Periodontology, School of Dentistry, Pusan National University)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.28, no.1, 2012 , pp. 15-25 More about this Journal
Abstract
The relationship between occlusion and periodontal health has been extensively studied. However, reports on the effects of passive eruption using occlusal reduction has not been sufficient. The purpose of the present randomized clinical trial was to assess the influence of passive eruption using occlusal reduction on the clinical periodontal parameters consisting of attachment level, pocket depth, tooth mobility, width of keratinized gingiva and osseous defect. The study was performed on 40 teeth of 16 subjects who have been treated for the moderate periodontitis at the Department of Periodontology, Pusan National University Hospital. At the baseline examination, after hygienic-phase and after 6 month from passive eruption using occlusal reduction, clinical parameters were monitored and radiographs were taken. The 20 teeth in the test group received passive eruption using occlusal reduction while the 20 control teeth did not receive any occlusal reduction. The results were as follows; 1) Degree of inflammation of periodontium was improved by initial therapy 2) Teeth received passive eruption using occlusal reduction demonstrated significantly greater reduction in pocket depth, tooth mobility and amount of bone loss, and increase in the width of keratinized gingiva, but no significant changes in the attachment level compared to the control teeth 3) There was significantly greater reduction in pocket depth, mobility, amount of bone loss and attachment level in the test teeth after initial hygienic phase when compared with baseline data. Taken together, these results suggest that the passive eruption using occlusal reduction would be helpful to improve periodontal health.
Keywords
periodontitis; initial phase treatment; occlusal adjustment; passive eruption;
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1 Kajiyama K, Murakami T, Yokota S. Gingival reactions after experimentally induced extrusion of the upper incisors in monkeys. Am J Orthod Dentofacial Orthop 1993;104(1):36-47.   DOI
2 Laster L, Laudenbach KW, Stoller NH. An evaluation of clinical tooth mobility measurements. J Periodontol 1975;46(10):603-607.   DOI
3 Perlitsh MJ. A systematic approach to the interpretation of tooth mobility and its clinical implications. Dent Clin North Am 1980;24(2):177-193.
4 Polson AM, Adams RA, Zander HA. Osseous repair in the presence of active tooth hypermobility. J Clin Periodontol 1983;10(4):370-379.   DOI
5 Ingber JS. Forced eruption: Part I. A method of treating isolated one and two wall infrabony osseous defects. Rationale and case report. J Periodontol 1974;45:199-206.   DOI
6 Steedle JR, Proffit WR. The pattern and control of eruptive tooth movements. Am J Orthod 1985;87(1):56-66.   DOI
7 Frank CA, Pearson BS, Booker BW. Orthodontic eruption of furca-involved molars. Compend Contin Educ Dent 1995;16(7):664,666, 668 passim; quiz 682.
8 Silness J, Loe H. Periodontal disease in pregnancy. ii. correlation between oral hygiene and periodontal condtion. Acta Odontol Scand 1964;22:121-135.   DOI
9 Loe H. The gingival index, the plaque index and the retention index systems. J Periodontol 1967;38(6):Suppl:610-6.   DOI
10 Hill RW, Ramfjord SP, Morrison EC, et al. Four types of periodontal treatment compared over two years. J Periodontol 1981;52(11):655-662.   DOI
11 Kaldahl WB, Kalkwarf KL, Patil KD, et al. Evaluation of four modalities of periodontal therapy. Mean probing depth, probing attachment level and recession changes. J Periodontol 1988;59(12):783-793.   DOI
12 Pihlstrom BL, Ortiz-Campos C, McHugh RB. A randomized four-years study of periodontal therapy. J Periodontol 1981;52(5):227-242.   DOI
13 Kantor M, Polson AM, Zander HA. Alveolar bone regeneration after removal of inflammatory and traumatic factors. J Periodontol 1976;47(12):687-695.   DOI
14 Schulte W. The periotest-periodontal status. Zahnarztl Mitt 1986;76(12):1409-10, 1412-4.
15 Nunn ME, Harrel SK. The effect of occlusal discrepancies on periodontitis. I. relationship of initial occlusal discrepancies to initial clinical parameters. J Periodontol. 2001;72(4):485-494.   DOI
16 Schulte W, Lukas D. The periotest method. Int Dent J 1992;42(6):433-440.
17 Egloff ET, Hochman M. The assessment of periodontal disease activity. Compend Suppl. 1988;12:S424-7.
18 Schulte W, Lukas D, Ernst E. Periotest values and mobility of periodontally diseased teeth-comparative study. Quintessenz 1991;42(8):1255-1263.
19 Neiderud AM, Ericsson I, Lindhe J. Probing pocket depth at mobile/nonmobile teeth. J Clin Periodontol 1992;19(10):754-759.   DOI
20 Burgett FG, Ramfjord SP, Nissle RR, et al. A randomized trial of occlusal adjustment in the treatment of periodontitis patients. J Clin Periodontol 1992;19(6):381-387.   DOI
21 Serio FG, Hawley CE. Periodontal trauma and mobility. diagnosis and treatment planning. Dent Clin North Am 1999;43(1):37-44.
22 Svanberg G. Influence of trauma from occlusion on the periodontium of dogs with normal or inflamed gingivae. Odontol Revy 1974;25(2):165-178.
23 Lindhe J, Svanberg G. Influence of trauma from occlusion on progression of experimental periodontitis in the beagle dog. J Clin Periodontol 1974;1(1):3-14.   DOI
24 Lindhe J, Ericsson I. The influence of trauma from occlusion on reduced but healthy periodontal tissues in dogs. J Clin Periodontol 1976;3(2):110-122.   DOI
25 Ericsson I, Lindhe J. Lack of significance of increased tooth mobility in experimental periodontitis. J Periodontol 1984;55(8):447-452.   DOI
26 Harrel SK, Nunn ME. Longitudinal comparison of the periodontal status of patients with moderate to severe periodontal disease receiving no treatment, nonsurgical treatment, and surgical treatment utilizing individual sites for analysis. J Periodontol 2001;72(11):1509-1519.   DOI
27 Meitner S. Co-destructive factors of marginal periodontitis and repetitive mechanical injury. J Dent Res 1975;54 Spec no C:C78-85.   DOI
28 Polson AM, Meitner SW, Zander HA. Trauma and progression of marginal periodontitis in squirrel monkeys. IV reversibility of bone loss due to trauma alone and trauma superimposed upon periodontitis. J Periodontal Res 1976;11(5):290-298.   DOI
29 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(4):495-505.   DOI
30 Orban B, Weinmann J. Signs of traumatic occlusion in average human jaws. J Dent Res 1993;13:216 (Abstract).
31 Ferris RT. Quantitative evaluation of tooth mobility following initial periodontal therapy. J Periodontol 1966;37(3):190-197.   DOI