KMID : 1004520110270040423
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Journal of Dental Rehabilitation and Applied Science 2011 Volume.27 No. 4 p.423 ~ p.436
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A Literature Review on Trauma from Occlusion
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Park Go-Woon
Kim Dae-Gon Park Chan-Jin Cho Lee-Ra
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Abstract
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Trauma from occlusion (TFO) is a pathologic alterations which develop in the periodontium as a result of undue masticatory force. The purpose of this article is to review the controversies about TFO. There are evidences that TFO is a risk factor in the progression of periodontitis. Tooth mobility should be reduced by selective occlusal adjustment. TFO can be developed dependent on the masticatory pattern, occlusion and anterior overbite in sound periodontal conditions. Secondary TFO may aggravate unstable occlusion. If "loss of posterior support" was occur, the problems were worsen. Extrusion, migration, rotation and pathologic deviation can be resulted. Opposite contention is the "shortened dental arch" concept. However, these two concepts persue the occlusal stability together. To treat TFO adequately, exact diagnosis and multi-disciplinary treatment should be needed.
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KEYWORD
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trauma from occlusion, shortened dental arch, loss of posterior support, occlusion, flaring
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