Chronic Periodontitis, Occlusal Trauma
Conditions
Keywords
hyper-occlusion, hypoxia, occlusal trauma, periodontitis, subgingival microbiota
Brief summary
Present study suggests that excessive occlusal forces did not cause a significant change in hypoxia and vascular markers, however a slight alteration in subgingival microbiota was observed.
Detailed description
Occlusal trauma is defined as tissue destruction and/or injury resulting in tissue changes in the periodontium as a consequence of excessive occlusal forces or hyper-occlusion. Previous studies suggested accelerated periodontal destruction around teeth with occlusal trauma and increased mobility, however, the evidence is lacking. Recent animal studies found that occlusal trauma increased osteoclastic activity and alveolar bone loss. One possible mechanism suggested for the progression of periodontal destruction with occlusal trauma is that tooth mobility creates a subgingival environment conducive to overgrowth by periodontal pathogens. However, the association of occlusal trauma and subgingival microbiota was not evaluated in previous studies. Therefore, present study aimed to evaluate subgingival dental plaque components and compare with healthy individuals and periodontitis patients without occlusal trauma.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Systemical health * No drug use * No pregnancy or lactation For group 3 and 4; * Bruxism at least for 2 years * Occlusal trauma * Existence of at least 20 functioning teeth
Exclusion criteria
* Smoking * Pregnancy/lactation * Systemical disease * Drug use * Absence of at least 20 functioning teeth
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Determination of certain bacterial species in subgingival dental plaque | A day after initial examination | Subgingival dental plaque samples were collected from each participant and evaluated via polymerase-chain reaction. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| hypoxic changes in gingiva and serum | One day after initial examination | Determination of the hypoxia inducible factor-alpha and vascular endothelial growth factor via ELISA |
Countries
Turkey (Türkiye)