Do Mobility and Occlusal Trauma Impact Periodontal Longevity?

Richard A Reinhardt; Amy C Killeen

doi:10.1016/j.cden.2015.06.003

Do Mobility and Occlusal Trauma Impact Periodontal Longevity?

Dent Clin North Am. 2015 Oct;59(4):873-83. doi: 10.1016/j.cden.2015.06.003. Epub 2015 Aug 6.

Authors

Richard A Reinhardt¹, Amy C Killeen²

Affiliations

¹ Department of Surgical Specialties, University of Nebraska Medical Center College of Dentistry, 4000 East Campus Loop South, Lincoln, NE 68583-0740, USA. Electronic address: rareinha@unmc.edu.
² Department of Surgical Specialties, University of Nebraska Medical Center College of Dentistry, 4000 East Campus Loop South, Lincoln, NE 68583-0740, USA.

PMID: 26427572
DOI: 10.1016/j.cden.2015.06.003

Abstract

The impact of tooth mobility and occlusal trauma (OT) on periodontal bone loss and need for therapy has been debated for many years. This paper summarizes the relevant literature reported in three Dental Clinics of North America articles in the late 1990s, and adds newer information from the 2000s. Principle findings indicate that strong evidence of mobility and OT impacting tooth longevity is lacking, but reducing inflammation in the surrounding periodontium remains a critical treatment. Occlusal therapy when mobility is increasing, comfort or function are compromised, or periodontal regeneration procedures are planned should be considered.

Keywords: Occlusal trauma; Periodontal bone loss; Periodontal inflammation; Periodontal maintenance therapy; Periodontitis; Tooth mobility.

Publication types

Review

MeSH terms

Alveolar Bone Loss*
Dental Occlusion, Traumatic*
Humans
Oral Health*
Periodontitis*
Tooth Mobility*