Evaluation of occlusal pattern in periodontitis patients using T-scan analysis

Area of Science:

• Dentistry
• Periodontology
• Biomechanical Engineering

Background:

• Occlusal analysis is crucial for identifying disharmonies in dental occlusion.
• The relationship between occlusal problems and periodontal disease is complex and requires further investigation.
• The T-scan system offers a valuable tool for assessing occlusal patterns in clinical settings.

Purpose of the Study:

• To evaluate the occlusal patterns of periodontitis patients using the T-scan system.
• To determine the significance of occlusal forces during various mandibular movements in periodontitis.
• To assess the T-scan's utility in diagnosing occlusal issues in patients with periodontal disease.

Main Methods:

• Thirty periodontitis patients (35-55 years old, 15 males, 15 females) were analyzed using the T-scan system.
• Parameters studied included plaque index, gingival index, attachment loss, probing depth, centric occlusion (CO), protrusion, and lateral movements.
• Statistical analysis was performed to determine the significance of occlusal forces during different movements.

Main Results:

• Significant differences in occlusal forces were observed during left and right lateral movements (P < 0.05).
• No significant differences were found in centric occlusion or protrusion forces between genders.
• The T-scan demonstrated adequate specificity and sensitivity for intraoral occlusal analysis.

Conclusions:

• The T-scan system is a valuable diagnostic tool for evaluating occlusal contacts and patterns in periodontitis patients.
• Occlusal adjustments may be necessary to manage abnormal occlusal forces in periodontitis.
• Further research is warranted to clarify the necessity of occlusal adjustment in periodontal treatment protocols.