J Periodontal Implant Sci.  2014 Feb;44(1):20-24. 10.5051/jpis.2014.44.1.20.

Intentional passive eruption combined with scaling and root planing of teeth with moderate chronic periodontitis and traumatic occlusion

• Joo JY
• Kwon EY
• Lee JY

• KMID: 1845876
• DOI: http://doi.org/10.5051/jpis.2014.44.1.20

Abstract

PURPOSE
The aim of this clinical trial was to explore the impact of intentional passive eruption (IPE) using occlusal reduction on the periodontal parameters of teeth with moderate chronic periodontitis and traumatic occlusion.
METHODS
This study was performed on 40 teeth from 16 subjects. At baseline, 4 weeks after initial periodontal treatment, and 6 months after IPE, clinical and radiographic examinations were performed. The 20 teeth in the test group underwent IPE using occlusal reduction, whereas the 20 control teeth did not undergone occlusal reduction.
RESULTS
All the periodontal parameters were improved by the initial periodontal treatment. The teeth in the test group showed a significantly greater decrease in pocket depth, tooth mobility, and marginal bone loss than did the control group (P<0.05), but there were no significant changes in the attachment level. Significantly greater improvements in all the parameters were observed in the test group after 6 months of IPE compared to 4 weeks after the initial periodontal treatment (P<0.05).
CONCLUSIONS
Within the limits of this study, performing initial periodontal therapy combined with IPE using occlusal reduction was shown to be very simple and effective. Moreover, IPE would be helpful in improving periodontal parameters.

Keyword

Occlusal adjustment; Orthodontic extrusion; Periodontitis

MeSH Terms

Chronic Periodontitis*
Occlusal Adjustment
Orthodontic Extrusion
Periodontitis
Root Planing*
Tooth Mobility
Tooth*

Figure

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  Figure 1 Periapical radiograph of a left mandibular second premolar. (A) A radiograph at baseline showing severe periodontal attachment loss, an intrabony defect, and a widened periodontal ligament space. (B) A radiograph after 6 months of intentional passive eruption showing decreased periodontal ligament space and resolution of the intrabony defect. Note the flatness of the cuspal inclination and the change of the position of the root apex due to intentional passive eruption.

Reference

1. Hallmon WW. Occlusal trauma: effect and impact on the periodontium. Ann Periodontol. 1999; 4:102–108.

2. Svanberg G. Influence of trauma from occlusion on the periodontium of dogs with normal or inflamed gingivae. Odontol Revy. 1974; 25:165–178.

3. 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; 11:279–289.

4. Lindhe J, Ericsson I. The influence of trauma from occlusion on reduced but healthy periodontal tissues in dogs. J Clin Periodontol. 1976; 3:110–122.

5. Ericsson I, Lindhe J. Lack of significance of increased tooth mobility in experimental periodontitis. J Periodontol. 1984; 55:447–452.

6. Ramfjord SP, Ash MM Jr. Significance of occlusion in the etiology and treatment of early, moderate, and advanced periodontitis. J Periodontol. 1981; 52:511–517.

7. Salama H, Salama M. The role of orthodontic extrusive remodeling in the enhancement of soft and hard tissue profiles prior to implant placement: a systematic approach to the management of extraction site defects. Int J Periodontics Restorative Dent. 1993; 13:312–333.

8. Ingber JS. Forced eruption. I. A method of treating isolated one and two wall infrabony osseous defects-rationale and case report. J Periodontol. 1974; 45:199–206.

9. Steedle JR, Proffit WR. The pattern and control of eruptive tooth movements. Am J Orthod. 1985; 87:56–66.

10. Frank CA, Pearson BS, Booker BW. Orthodontic eruption of furca-involved molars. Compend Contin Educ Dent. 1995; 16:664. 666. 668. passim.

11. Silness J, Loe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condtion. Acta Odontol Scand. 1964; 22:121–135.

12. Löe H. The gingival index, the plaque index and the retention index systems. J Periodontol. 1967; 38:610–616.

13. Kerry GJ, Morrison EC, Ramfjord SP, Hill RW, Caffesse RG, Nissle RR, et al. Effect of periodontal treatment on tooth mobility. J Periodontol. 1982; 53:635–638.

14. Pihlstrom BL, McHugh RB, Oliphant TH, Ortiz-Campos C. Comparison of surgical and nonsurgical treatment of periodontal disease: a review of current studies and additional results after 61/2 years. J Clin Periodontol. 1983; 10:524–541.

15. Suvan JE. Effectiveness of mechanical nonsurgical pocket therapy. Periodontol 2000. 2005; 37:48–71.

16. Ramfjord S, Ash M. Occlusion. Philadelphia: WB Saunders;1983.

17. Kantor M, Polson AM, Zander HA. Alveolar bone regeneration after removal of inflammatory and traumatic factors. J Periodontol. 1976; 47:687–695.

18. Everett FG, Baer PN. A preliminary report on the treatment of the osseous defect in periodontosis. J Periodontol. 1964; 35:429–435.

19. Demirel K, Gur H, Meric H, Sevuk C. Damping characteristics of teeth with periodontal breakdown: correlation of mobility meter values with bone and attachment loss. J Periodontol. 1997; 68:166–171.

20. Kajiyama K, Murakami T, Yokota S. Gingival reactions after experimentally induced extrusion of the upper incisors in monkeys. Am J Orthod Dentofacial Orthop. 1993; 104:36–47.

21. Mankoo T, Frost L. Rehabilitation of esthetics in advanced periodontal cases using orthodontics for vertical hard and soft tissue regeneration prior to implants: a report of 2 challenging cases treated with an interdisciplinary approach. Eur J Esthet Dent. 2011; 6:376–404.

22. Lin CD, Chang SS, Liou CS, Dong DR, Fu E. Management of interdental papillae loss with forced eruption, immediate implantation, and root-form pontic. J Periodontol. 2006; 77:135–141.

23. Graber TM, Adams PE. Current orthodontic concepts and techniques. Philadelphia: Saunders;1969.