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The effect of occlusal discrepancies on gingival width
Stephen K Harrel1, Martha E Nunn
1Baylor College of Dentistry, Dallas, TX, USA. skh1@airmail.net
Journal of Periodontology
|March 18, 2004
Summary
This study found no significant link between occlusal discrepancies and gingival recession. Treatment for occlusal issues also did not affect changes in gingival width, suggesting occlusal forces may not cause gum recession.
Area of Science:
- Periodontology
- Dental Occlusion
Background:
- A potential link between occlusal forces and gingival recession has been theorized.
- However, empirical evidence supporting a causal relationship is limited.
Purpose of the Study:
- To investigate the relationship between occlusal discrepancies and gingival width.
- To determine if occlusal treatment influences changes in gingival width over time.
Main Methods:
- Retrospective review of periodontal records from a private practice.
- Inclusion of patients with complete occlusal analysis and gingival width measurements at least one year apart.
- Categorization of patients into untreated, partially treated, and completely treated groups based on occlusal interventions.
Main Results:
- No statistically significant relationship was found between occlusal discrepancies and the initial width of gingival tissue (P = 0.414).
- Occlusal treatment status did not show a statistically significant association with changes in gingival width (P = 0.481).
Conclusions:
- The study suggests no apparent relationship between occlusal discrepancies and the development or progression of gingival recession.
- Findings indicate that occlusal factors may not be a primary driver of gingival recession in the studied population.