OCCLUSAL TRAUMA IN PATIENTS WITH PERIODONTITIS
1. Secondary occlusal trauma injuries occlusive forces applied to the tooth or teeth that have experienced loss of investment and/or loss of bone mass.
2. In this type of occlusal trauma periodontal was unhealthy to extreme occlusive forces (box 17-10).
3. Rapid loss of bone mass and pocket education may result in excessive occlusive forces act on a tooth that had previously been the attachment loss and/or loss of bone mass.
Clinical indicators of occlusal trauma may include one or more of the following:
Tooth mobility (progressive)
Fremitis (vibration felt when you are feeling a tooth, as the patient cranes teeth together).
Tooth migration crack in the tooth
Temperature sensitivity on chewing or shock
X-ray indicators may include one or more of the following:
Expanded periodontal ligament space
Loss of bone resorption root..