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. 2021 Dec;92(12):1788-1794.
doi: 10.1002/JPER.20-0598. Epub 2021 Mar 27.

Occlusal trauma is associated with periodontitis: A retrospective case-control study

Cristian Camilo Ríos  1 , Jorge Iván Campiño  1 , Adriana Posada-López  1 , Carolina Rodríguez-Medina  1 , Javier Enrique Botero  1
Affiliations

Occlusal trauma is associated with periodontitis: A retrospective case-control study

Cristian Camilo Ríos et al. J Periodontol. 2021 Dec.

Abstract

Background: Excessive occlusal forces and occlusal trauma have been implicated as co-destructive factors for periodontitis in animal models. The objective of this study was to assess the association between occlusal trauma and periodontitis.

Methods: A total of 167 cases and 205 controls were included for analysis. Occlusal trauma was the exposures of interest and was registered for cases and controls. Additional clinical co-variables were registered as well for further analysis. The association of the exposure and periodontitis was determined by the odds ratio and logistic regression analysis adjusted for confounders.

Results: Amalgam restorations, pathogenic occlusion and occlusal trauma were more frequent in cases as compared to controls (P ≤ 0.05). The distribution of pathogenic occlusion and occlusal trauma was similar according to the stage and class of periodontitis. Logistic regression analysis showed a significant association for cigarette smoking, systemic conditions, amalgam restorations, pathogenic occlusion, and occlusal trauma with periodontitis (P ≤ 0.05). After adjusting for confounding variables in the model, amalgam restorations and occlusal trauma remained strongly associated with periodontitis (P ≤ 0.05).

Conclusions: Occlusal trauma is strongly associated with periodontitis. Additional long-term prospective studies are necessary to further understand the impact of the occlusal condition and periodontitis.

Keywords: case-control; occlusal trauma; pathogenic occlusion; periodontitis.

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References

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