Traumatic occlusal forces lead to occlusal trauma of teeth with intact or reduced periodontium. Traumatic occlusion can be classified according to the type of traumatic forces (acute and chronic) and according to the capacity of the periodontal tissues (primary and secondary). The main clinical sign of occlusal trauma is the increased tooth mobility due to the destruction of the periodontal fibers and enlargement of the periodontal ligament space. Other signs are also fremitus, tooth drifting, tooth abrasion, occlusal discrepancies, tooth fracture, root resorption. Occlusal trauma is reversible. Тhe tissues of the periodontium are restored when the excessive occlusal forces are eliminated.
American Academy of Periodontology. Glossary of periodontal terms. 2001.
Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, et al. Periodontal manifestations of systemic diseases and developmental and acquired conditions: consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89(Suppl 1):S237–48. doi: 10.1002/JPER.17-0733.
Glickman I, Roeber F, Brion M, Pameijer JH. Photoelastic analysis of internal stresses in the periodontium created by occlusal forces. J Periodontol. 1970;41(1):30-5. doi: 10.1902/jop.1970.41.1.30.
Glickman I, Smulow J. Alterations in the pathway of gingival inflammation into the underlying tissues induced by excessive occlusal forces. J Periodontol. 1962;33:7–13.
Jin LJ, Cao CF. Clinical diagnosis of trauma from occlusion and its relation with severity of periodontitis. J Clin Periodontol. 1992;19(2):92–7. doi: 10.1111/j.1600-051x.1992.tb00446.x.
Comar MD, Kollar JA, Gargiulo AW. Local irritation and occlusal trauma as co‐factors in the periodontal disease process. J Periodontol. 1969;40(4):193-200. doi: 10.1902/jop.1969.40.4.193.
Vasileva R. Bruxism - description, epidemiology, etiology, classification. J Med Dent Pract. 2019;6(1):937-41
Grippo JO. Abfractions: a new classification of hard tissue lesions of teeth. J Esthet Dent. 1991;3(1):14–9. doi: 10.1111/j.1708-8240.1991.tb00799.x.
Pecie R, Krejci I, Garcia‐Godoy F, Bortolotto T. Noncarious cervical lesions – A clinical concept based on the literature review. Part 1: prevention. Am J Dent. 2011;24(1):49–56. PMID: 21469407.
Fan J, Caton JG. Occlusal trauma and excessive occlusal forces: Narrative review, case definitions, and diagnostic considerations. J Periodontol. 2018;89(Suppl 1):S214–22. doi: 10.1002/JPER.16-0581.
Goldman H. Gingival vascular supply in induced occlusal traumatism. Oral Surg Oral Med Oral Pathol. 1956; 9(9):939-41. doi: 10.1016/0030-4220(56)90295-x.
Kobayashi K, Kobayashi K, Soeda W, Watanabe T. Gingival crevicular pH in experimental gingivitis and occlusal trauma in man. J Periodontol. 1998;69(9):1036-43. doi: 10.1902/jop.1998.69.9.1036.
McCall JO. Traumatic occlusion. J Am Dent Assoc. 1939;26:519–26.
Rygh P. Ultrastructural changes in pressure zones of human periodontium incident to orthodontic tooth movement. Acta Odontol Scand. 1973;31(2):109-22. doi: 10.3109/00016357309004617.
Stillman PR. What is traumatic occlusion and how can it be diagnosed and corrected. J Am Dent Assoc. 1925;12:1330–8.
Itoiz ME, Carranza FA Jr, Cabrini RL. Histologic and histometric study of experimental occlusal trauma in rats. J Periodontol. 1963; 34:305-14.
Polson AM, Meitner SW, Zander HA. Trauma and progression of marginal periodontitis in squirrel monkeys. III Adaption of interproximal alveolar bone to repetitive injury. J Periodontal Res. 1976;11(5):279-89. doi: 10.1111/j.1600-0765.1976.tb00082.x.
Ramfjord SP, Kohler CA. Periodontal reaction to functional occlusal stress. J Periodontol. 1959; 30:95-112.
Lindhe J, Svanberg G. Influence of trauma from occlusion on progression of experimental periodontitis in beagle dogs. J Clin Periodontol. 1974;1(1):3-14. doi: 10.1111/j.1600-051x.1974.tb01234.x.
Kantor M, Polson AN, Zander HA. Alveolar bone regeneration after removal of inflammatory and traumatic factors. J Periodontol. 1976; 47(12):687-95. doi: 10.1902/jop.1976.47.12.687.
Waerhaug J. The angular bone defect and its relationship to trauma from occlusion and downgrowth of subgingival plaque. J Clin Periodontol. 1979;6(2):61–82 doi: 10.1111/j.1600-051x.1979.tb02185.x.
Glickman I. Occlusion and the Periodontium. J Dent Res. 1967;46(1):53-9. doi:10.1177/00220345670460014101
Reinhardt RA, Pao YC, Krejci RF. Periodontal ligament stresses in the initiation of occlusal traumatism. J Periodontal Res. 1984;19(3):238-46. doi: 10.1111/j.1600-0765.1984.tb00815.x.
Boyd RL, Leggott PJ, Quinn RS, Eakle WS, Chambers D. Periodontal implications of orthodontic treatment in adults with reduced or normal periodontal tissues versus those of adolescents. Am J Orthod Dentofacial Orthop. 1989;96(3):191-8. doi: 10.1016/0889-5406(89)90455-1..
Eliasson LA, Hugoson A, Kurol J, Siwe H. The effects of orthodontic treatment on periodontal tissues in patients with reduced periodontal support. Eur J Orthod. 1982;4(1):1-9. doi: 10.1093/ejo/4.1.1.
Stenvik A, Mjör IA. Pulp and dentine reactions to experimental tooth intrusion. A histologic study of the initial changes. Am J Orthod. 1970;57(4):370-85. doi: 10.1016/s0002-9416(70)90219-8..
Wennström JL, Lindhe J, Sinclair F, Thilander B. Some periodontal tissue reactions to orthodontic tooth movement in monkeys. J Clin Periodontol. 1987;14(3):121-9. doi: 10.1111/j.1600-051x.1987.tb00954.x.
Polson AM, Subtelny JD, Meitner SW, Polson AP, Sommers EW, Iker HP, Reed BE. Long-term periodontal status after orthodontic treatment. Am J Orthod Dentofacial Orthop. 1988;93(1):51-8. doi: 10.1016/0889-5406(88)90193-x..
Saravanan R, Babu PJ, Rajakumar P. Trauma from occlusion - An orthodontist's perspective. J Indian Soc Periodontol. 2010;14(2):144-5. doi:10.4103/0972-124X.70838
Renkema AM, Fudalej PS, Renkema AAP, Abbas F, Bronkhorst E, Katsaros C. Gingival labial recessions in orthodontically treated and untreated individuals – a pilot case-control study. J Clin Periodontol. 2013;40:631–7.
Georgieva I. Etiology of gingival recessions – a literature review. Scr Sci Med Dent. 2019;5(2):7-12. doi: 10.14748/ssmd.v5i2.5970.
Ommerborn MA, Schneider C, Giraki M, Schafer R, Singh P, Franz M, et al. In vivo evaluation of noncarious cervical lesions in sleep bruxism subjects. J Prosthet Dent. 2007;98(2):150-8. doi: 10.1016/S0022-3913(07)60048-1.
McGuire MK, Nunn ME. Prognosis versus actual outcome. II. The effectiveness of clinical parameters in developing an accurate prognosis. J Periodontol. 1996;67(7):658-65. doi: 10.1902/jop.1996.67.7.658..
McGuire MK, Nunn ME. Prognosis versus actual outcome. III. The effectiveness of clinical parameters in accurately predicting tooth survival. J Periodontol. 1996;67(7):666-74. doi: 10.1902/jop.1996.67.7.666.