GENERALIZED PERIODONTITIS AND THE FACTOR OF TRAUMATIC OCCLUSION

Abstrak

Objective: This study aimed to determine the role of occlusal factors in the development of localized periodontitis (LPT) and emphasize the necessity for functionally justified restorations of the chewing surfaces of teeth. Method: The study involved 80 patients (12 men, 68 women, aged 22-63 years) diagnosed with localized periodontitis. Clinical examination, laser Doppler flowmetry (LDF), and radiographic analysis were used for diagnosis. Participants were divided into two groups and received professional oral hygiene, endodontic treatments, and medicamentous treatments, including the use of temporary splints and crowns. Results: The main group showed rapid wound healing and reduced inflammation symptoms after treatment, with a shorter healing time compared to the comparison group. The main group also exhibited better long-term outcomes, with a 23.5% reduction in the periodontal pocket depth, whereas the comparison group showed a 15.6% reduction. The microcirculation indicator significantly improved in the main group, highlighting better recovery. Novelty: The study introduces the effectiveness of orthopedic methods in treating periodontitis, particularly the use of temporary prostheses to eliminate traumatic occlusion, which significantly enhances healing and reduces inflammation compared to traditional methods. This approach provides a new perspective on treating localized periodontitis linked to occlusal disturbances.

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