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Abstract
Introduction: Periodontal disease (PD) is a condition whose etiopathogenesis is oral bacterial biofilm associated with an immunoinflammatory response and causes destruction of periodontal tissues, which may be associated with occlusal trauma. Objective: This report aims to present a case of periodontal disease with occlusal trauma as a risk factor. Case Report: Female patient, 38 years old, non-smoker, without systemic involvement and without previous allergic condition, attended the specialization clinic of a periodontics course with the main complaint of compromised aesthetics by large anterior teeth, she says she feels become “tooth”. During clinical examination, presence of fixed appliance, protrusion and diastema of teeth in the anterior region, presence of dental and lingual biofilm, supra and subgingival calculus, bleeding on probing, mobility, loss of clinical attachment and average probing depth (PS) were verified. of 4mm on teeth 12, 11, 21 and 22. During the occlusal evaluation, premature contact was observed precisely on teeth 12, 11, 21 and 22, which characterizes as occlusal trauma that would be aggravating the mobility of the aforementioned teeth. Imaging exams indicated severe interproximal bone loss in the midline, the patient was diagnosed with chronic periodontal disease (PD), stage II, slow and generalized progression, the region of teeth 11, 21 (midline) stage III, progression slow and localized, configuring an area of greater severity of PD, and in teeth 12, 11, 21 and 22, PD is associated with occlusal trauma. The treatment plan indicated non-surgical scaling and root planing (RAR) sessions and 1 surgical RAR session, oral hygiene instructions and supportive periodontal therapy, as the patient does not have the clinical and economic conditions to carry out rehabilitation with implants. Conclusion: It is concluded from this report that a broad diagnosis is needed to identify coadjuvant factors in the progression of periodontal disease in order to achieve greater treatment efficacy and further studies are needed associating occlusal trauma with PD.
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Copyright (c) 2023 Kézia Thayná Martins de Moraes Siqueira, Camilla Pinto Leal de Oliveira, Ana Clara Portela de Almeida, Ana Cláudia Braga Amoras Alves, Ivam Freire da Silva Júnior, Carlos Eduardo Vieira da Silva Gomes, Ricardo Roberto de Souza Fonseca