The effect of occlusal discrepancies on periodontitis. II. Relationship of occlusal treatment to the progression of periodontal disease

Journal of Periodontology
Stephen K Harrel, Martha E Nunn

Abstract

A causal relationship between occlusal discrepancies and periodontal disease has been postulated in the past. However, minimal data are available concerning the effect of treatment of occlusal discrepancies on periodontitis. The records from a private practice limited to periodontics were reviewed to find patients who had complete periodontal examination records, including occlusal analysis, that were recorded at least 1 year apart. Patients who fit these criteria were divided into a group that had none of the recommended treatment (untreated n = 30), those who had only non-surgical treatment (partially treated n = 18), and a control group that had completed all recommended treatment (surgically treated n = 41). The data for each tooth of each patient, including occlusal status, were placed in a database and analyzed using the generalized estimating equations method. Worsening in overall clinical condition, as measured by worsening in prognosis, indicated that teeth with no initial occlusal discrepancies and teeth with treated initial occlusal discrepancies were only about 60% as likely to worsen in overall clinical condition over time compared to teeth with untreated occlusal discrepancies. Teeth with untreated occlusal discre...Continue Reading

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Citations

Nov 18, 2010·Journal of Orofacial Orthopedics = Fortschritte Der Kieferorthopädie : Organ/official Journal Deutsche Gesellschaft Für Kieferorthopädie·Marjan NokhbehsaimJames Deschner
Jan 13, 2011·Clinical Oral Investigations·Marjan NokhbehsaimJames Deschner
Feb 14, 2013·Clinical Oral Investigations·Andressa Vilas Boas NogueiraJames Deschner
Jan 29, 2002·Journal of Periodontology·UNKNOWN Research, Science and Therapy Committee of the American Academy of Periodontology
Mar 18, 2004·Journal of Periodontology·Stephen K Harrel, Martha E Nunn
Apr 26, 2011·Journal of Periodontology·Marjan NokhbehsaimJames Deschner
Feb 9, 2012·Journal of Periodontology·Claudia K de Oliveira DinizEnilson A Sallum
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Aug 3, 2005·The Journal of the American Dental Association·Steve K Harrel

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