Occlusal trauma and excessive occlusal forces: Narrative review, case definitions, and diagnostic considerations
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Objectives: This narrative review determines the effects of occlusal trauma and excessive occlusal forces on the periodontium, including the initiation and progression of periodontitis, abfraction, and gingival recession. Case definitions, diagnostic considerations, and the effects of occlusal therapy are also reviewed and discussed. Importance: The role of occlusal trauma in the initiation and progression of periodontitis remains a controversial subject in periodontology. Because occlusal trauma can only be confirmed histologically, its clinical diagnosis depends on clinical and radiographic surrogate indicators which make clinical trials difficult. Findings: Investigations have generally agreed that occlusal trauma and excessive occlusal forces do not initiate periodontitis or loss of connective tissue attachment. When plaque‐induced periodontitis and occlusal trauma are present at the same time, there is weak evidence that the occlusal trauma may increase the rate of connective tissue loss. Occlusal therapy is indicated as part of periodontal therapy to reduce mobility and increase patient comfort and masticatory function. Existing data do not support the existence of abfraction as a cause for gingival recession. Conclusions: Occlusal trauma does not initiate periodontitis, and there is weak evidence that it alters the progression of the disease. There is no credible evidence to support the existence of abfraction or implicate it as a cause of gingival recession. Reduction of tooth mobility may enhance the effect of periodontal therapy.
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There is a lack of evidence from human studies implicating occlusal trauma in the progression of attachment loss in periodontitis.
“There is lack of evidence from human studies implicating occlusal trauma in the progression of attachment loss in periodontitis (Table 4).24”
From A new classification scheme for periodontal and peri‐implant diseases and conditions – Introduction and key changes from the 1999 classification (2018) · cites this paper as [24]
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Cites
Abfractions: A New Classification of Hard Tissue Lesions of Teeth
Grippo, J. O. (1991) · Journal of Esthetic and Restorative Dentistry · doi:10.1111/j.1708-8240.1991.tb00799.x · Cited by 455 · see citing works
Possible role of tensile stress in the etiology of cervical erosive lesions of teeth
Lee, W. C., & Eakle, W. S. (1984) · Journal of Prosthetic Dentistry · doi:10.1016/0022-3913(84)90448-7 · Cited by 435 · see citing works
McGuire, M. K., & Nunn, M. E. (1996) · Journal of Periodontology · doi:10.1902/jop.1996.67.7.666 · Cited by 412 · see citing works
Some periodontal tissue reactions to orthodontic tooth movement in monkeys
Wennström, J. L., Lindhe, J., Sinclair, F., & Thilander, B. (1987) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1987.tb00954.x · Cited by 396 · see citing works
The Effects of Orthodontic Therapy on Periodontal Health
Bollen, A.-M., Cunha-Cruz, J., Bakko, D. W., Huang, G. J., & Hujoel, P. P. (2008) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2008.0184 · Cited by 310 · see citing works
McGuire, M. K., & Nunn, M. E. (1996) · Journal of Periodontology · doi:10.1902/jop.1996.67.7.658 · Cited by 310 · see citing works
Influence of trauma from occlusion on progression of experimental periodontitis in the beagle dog
Lindhe, J., & Svanberg, G. K. (1974) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1974.tb01234.x · Cited by 282 · see citing works
Boyd, R. L., Leggott, P. J., Quinn, R. S., Eakle, W. S., & Chambers, D. W. (1989) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/0889-5406(89)90455-1 · Cited by 261 · see citing works
Pulp and dentine reactions to experimental tooth intrusion
Stenvik, A., & Mjo¨r, I. A. (1970) · American Journal of Orthodontics · doi:10.1016/s0002-9416(70)90219-8 · Cited by 242 · see citing works
Ismail, A. I., Morrison, E. C., Burt, B. A., Caffesse, R. G., & Kavanagh, M. (1990) · Journal of Dental Research · doi:10.1177/00220345900690020201 · Cited by 238 · see citing works
Stress-induced cervical lesions: Review of advances in the past 10 years
Lee, W. C., & Eakle, W. S. (1996) · Journal of Prosthetic Dentistry · doi:10.1016/s0022-3913(96)90451-5 · Cited by 216 · see citing works
Longitudinal study of periodontal condition associated with orthodontic treatment in adolescents
Alstad, S., & Zachrisson, B. U. (1979) · American Journal of Orthodontics · doi:10.1016/0002-9416(79)90024-1 · Cited by 205 · see citing works
Wang, H., Burgett, F. G., Shyr, Y., et al. (1994) · Journal of Periodontology · doi:10.1902/jop.1994.65.1.25 · Cited by 192 · see citing works
Cortellini, P., Tonetti, M. S., Lang, N. P., et al. (2001) · Journal of Periodontology · doi:10.1902/jop.2001.72.12.1702 · Cited by 191 · see citing works
Growth of the nasopharynx and adenoid development from one to eighteeen years.
Handelman, C. S., & Osborne, G. E. (1976) · PubMed · doi:10.1043/0003-3219(1976)046 · Cited by 191 · see citing works
Long-term effects of orthodontic treatment on periodontal health
Sadowsky, C., & BeGole, E. A. (1981) · American Journal of Orthodontics · doi:10.1016/0002-9416(81)90216-5 · Cited by 168 · see citing works
Piotrowski, B. T., Gillette, W. B., & Hancock, E. B. (2001) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2001.0122 · Cited by 161 · see citing works
Rees, J. S. (2002) · Journal of Oral Rehabilitation · doi:10.1046/j.1365-2842.2002.00836.x · Cited by 153 · see citing works
Tooth mobility and periodontal therapy
Fleszar, T. J., Knowles, J. W., Morrison, E. C., Burgett, F. G., Nissle, R. R., & Ramfjord, S. P. (1980) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1980.tb02156.x · Cited by 147 · see citing works
Trauma and progression of marginal periodontitis in squirrel monkeys
Polson, A. M., Meitner, S. W., & Zander, H. (1976) · Journal of Periodontal Research · doi:10.1111/j.1600-0765.1976.tb00082.x · Cited by 146 · see citing works
The influence of trauma from occlusion on reduced but healthy periodontal tissues in dogs
Lindhe, J., & Ericsson, I. (1976) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1976.tb01857.x · Cited by 143 · see citing works
Effect of longstanding jiggling on experimental marginal periodontitis in the beagle dog
Ericsson, I., & Lindhe, J. (1982) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1982.tb02111.x · Cited by 142 · see citing works
The Infrabony Pocket and its Relationship to Trauma from Occlusion and Subgingival Plaque
Wærhaug, J. (1979) · Journal of Periodontology · doi:10.1902/jop.1979.50.7.355 · Cited by 142 · see citing works
A randomized trial of occlusal adjustment in the treatment of periodontitis patients
Burgett, F. G., Ramfjord, S. P., Nissle, R. R., et al. (1992) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1992.tb00666.x · Cited by 137 · see citing works
Eliasson, L., Hugoson, A., Kurol, J., & Siwe, H. (1982) · European Journal of Orthodontics · doi:10.1093/ejo/4.1.1 · Cited by 136 · see citing works
Clinical diagnosis of trauma from occlusion and its relation with severity of periodontitis
Jin, L., & Cao, C. (1992) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1992.tb00446.x · Cited by 135 · see citing works
Stresses at the cervical lesion of maxillary premolar—a finite element investigation
Lee, H.-T., Lin, C. L., Wang, C.-Y., et al. (2002) · Journal of Dentistry · doi:10.1016/s0300-5712(02)00020-9 · Cited by 130 · see citing works
Experimental Occlusal Trauma Imitating Cuspal Interferences
Wentz, F. M., Jarabak, J. R., & Orban, B. (1958) · Journal of Periodontology · doi:10.1902/jop.1958.29.2.117 · Cited by 126 · see citing works
McCauley, L. K., & Nohutçu, R. M. (2002) · Journal of Periodontology · doi:10.1902/jop.2002.73.11.1377 · Cited by 122 · see citing works
Strain patterns in cervical enamel of teeth subjected to occlusal loading
Palamara, D., Palamara, J. E. A., Tyas, M. J., et al. (2000) · Dental Materials · doi:10.1016/s0109-5641(00)00036-1 · Cited by 122 · see citing works
Noncarious Cervical Lesions: The Decision To Ignore or Restore
Grippo, J. O. (1992) · Journal of Esthetic and Restorative Dentistry · doi:10.1111/j.1708-8240.1992.tb00721.x · Cited by 118 · see citing works
Association between Signs of Trauma from Occlusion and Periodontitis
Pihlstrom, B. L., Anderson, K. A., Aeppli, D. M., et al. (1986) · Journal of Periodontology · doi:10.1902/jop.1986.57.1.1 · Cited by 117 · see citing works
Wærhaug, J. (1979) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1979.tb02185.x · Cited by 116 · see citing works
Abfraction lesion formation in maxillary incisors, canines and premolars: A finite element study
Rees, J. S., Hammadeh, M., & Jagger, D. C. (2003) · European Journal Of Oral Sciences · doi:10.1034/j.1600-0722.2003.00018.x · Cited by 116 · see citing works
Harrel, S. K., & Nunn, M. E. (2001) · Journal of Periodontology · doi:10.1902/jop.2001.72.4.495 · Cited by 116 · see citing works
Trauma and progression of marginal periodontitis in squirrel monkeys
Polson, A. M., Meitner, S. W., & Zander, H. (1976) · Journal of Periodontal Research · doi:10.1111/j.1600-0765.1976.tb00083.x · Cited by 109 · see citing works
Long-term periodontal status after orthodontic treatment
Polson, A. M., Subtelny, J. D., Meitner, S. W., Poison, A. P., Sommers, E. W., Iker, H. P., & Reed, B. E. (1988) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/0889-5406(88)90193-x · Cited by 108 · see citing works
Orthodontic Treatment and Periodontal Status
Trossello, V. K., & Gianelly, A. A. (1979) · Journal of Periodontology · doi:10.1902/jop.1979.50.12.665 · Cited by 108 · see citing works
Nunn, M. E., & Harrel, S. K. (2001) · Journal of Periodontology · doi:10.1902/jop.2001.72.4.485 · Cited by 104 · see citing works
The role of cuspal flexure in the development of abfraction lesions, a finite element study
Rees, J. S. (1998) · European Journal Of Oral Sciences · doi:10.1046/j.0909-8836.1998.eos106608.x · Cited by 98 · see citing works
Progress of Gingival Inflammation into the Supporting Structures of the Teeth
Weinmann, J. P. (1941) · Journal of Periodontology · doi:10.1902/jop.1941.12.2.71 · Cited by 98 · see citing works
3D finite element model and cervical lesion formation in normal occlusion and in malocclusion
Borčić, J., Anić, I., Smojver, I., et al. (2005) · Journal of Oral Rehabilitation · doi:10.1111/j.1365-2842.2005.01455.x · Cited by 97 · see citing works
Analysis of etiologic factors and periodontal conditions involved with 309 abfractions
Miller, N. A., Penaud, J., Ambrosini, P., et al. (2003) · Journal Of Clinical Periodontology · doi:10.1034/j.1600-051x.2003.00378.x · Cited by 94 · see citing works
Tsiggos, N., Tortopidis, D., Hatzikyriakos, A., et al. (2008) · Journal of Prosthetic Dentistry · doi:10.1016/s0022-3913(08)60135-3 · Cited by 93 · see citing works
Ramfjord, S. P., & Ash, M. M. (1981) · Journal of Periodontology · doi:10.1902/jop.1981.52.9.511 · Cited by 90 · see citing works
The etiology of gingival erosion.
McCoy, G. (1982) · PubMed · Cited by 89 · see citing works
Occlusal Trauma: Effect and Impact on the Periodontium
Hallmon, W. W. (1999) · Annals of Periodontology · doi:10.1902/annals.1999.4.1.102 · Cited by 86 · see citing works
Investigation into the genesis of angular lesions at the cervical region of teeth.
Spranger, H. (1995) · PubMed · Cited by 85 · see citing works
Gingival recession and tooth mobility
Bernimoulin, J., & Curilović, Z. (1977) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1977.tb01890.x · Cited by 84 · see citing works
In vivo evaluation of noncarious cervical lesions in sleep bruxism subjects
Ommerborn, M. A., Schneider, C. B., Giraki, M., et al. (2007) · Journal of Prosthetic Dentistry · doi:10.1016/s0022-3913(07)60048-1 · Cited by 82 · see citing works
Noncarious cervical lesions in adults
Pegoraro, L. F., PEGORARO, L. F., Scolaro, J. M., et al. (2005) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2005.0113 · Cited by 81 · see citing works
In vivo correlation of noncarious cervical lesions and occlusal wear
Estafan, A., Furnari, P., Goldstein, G., et al. (2005) · Journal of Prosthetic Dentistry · doi:10.1016/j.prosdent.2004.12.012 · Cited by 78 · see citing works
Scanning microscopy of cervical erosion
Brady, J. M., & Woody, R. D. (1977) · The Journal of the American Dental Association · doi:10.14219/jada.archive.1977.0345 · Cited by 76 · see citing works
The Influence of Injury to the Periodontal Membrane on the Spread of Gingival Inflammation
Macapanpan, L. C., & Weinmann, J. P. (1954) · Journal of Dental Research · doi:10.1177/00220345540330021301 · Cited by 76 · see citing works
Effect of Periodontal Trauma Upon Intrabony Pockets
Polson, A. M., & Zander, H. (1983) · Journal of Periodontology · doi:10.1902/jop.1983.54.10.586 · Cited by 76 · see citing works
Kaku, M., Uoshima, K., Yamashita, Y., et al. (2004) · Journal of Periodontal Research · doi:10.1111/j.1600-0765.2004.00773.x · Cited by 74 · see citing works
Effects of occlusal load on cervical lesions
Litonjua, L. A., Bush, P. J., Andreana, S., et al. (2004) · Journal of Oral Rehabilitation · doi:10.1046/j.0305-182x.2003.01226.x · Cited by 73 · see citing works
Effect of Lateral Excursive Movements on the Progression of Abfraction Lesions
Wood, I. D., Kassir, A., & Brunton, P. A. (2009) · Operative Dentistry · doi:10.2341/08-100 · Cited by 70 · see citing works
Trauma and progression of marginal periodontitis in squirrel monkeys
Polson, A. M. (1974) · Journal of Periodontal Research · doi:10.1111/j.1600-0765.1974.tb00661.x · Cited by 69 · see citing works
The Effect of Elimination of Jiggling Forces on Periodontally Exposed Teeth in the Dog
Lindhe, J., & Ericsson, I. (1982) · Journal of Periodontology · doi:10.1902/jop.1982.53.9.562 · Cited by 68 · see citing works
Sawlani, K., Lawson, N. C., Burgess, J. O., et al. (2016) · Journal of Prosthetic Dentistry · doi:10.1016/j.prosdent.2015.10.021 · Cited by 68 · see citing works
Local Irritation and Occlusal Trauma as Co‐factors in the Periodontal Disease Process
Comar, M. D., Kollar, J., & Gargiulo, A. W. (1969) · Journal of Periodontology-Periodontics · doi:10.1902/jop.1969.40.4.193 · Cited by 65 · see citing works
Occlusal trauma accelerates attachment loss at the onset of experimental periodontitis in rats
Nakatsu, S., Yoshinaga, Y., Kuramoto, A., Nagano, F., Ichimura, I., Oshino, K., Yoshimura, A., Yano, Y., & Hara, Y. (2013) · Journal of Periodontal Research · doi:10.1111/jre.12109 · Cited by 64 · see citing works
Yoshinaga, Y., Ukai, T., Abe, Y., & Hara, Y. (2007) · Journal of Periodontal Research · doi:10.1111/j.1600-0765.2007.00960.x · Cited by 62 · see citing works
Long‐Term Effect of Orthodontic Treatment on Crestal Alveolar Bone Levels
Polson, A. M., & Reed, B. E. (1984) · Journal of Periodontology · doi:10.1902/jop.1984.55.1.28 · Cited by 62 · see citing works
Tooth morphology and characteristics of non-carious cervical lesions
Palamara, J. E. A., Palamara, D., Messer, H., et al. (2005) · Journal of Dentistry · doi:10.1016/j.jdent.2005.05.005 · Cited by 61 · see citing works
Subgingival Plaque and Loss of Attachment in Periodontosis as Observed in Autopsy Material
Wærhaug, J. (1976) · Journal of Periodontology · doi:10.1902/jop.1976.47.11.636 · Cited by 60 · see citing works
Occlusal Relations and Periodontal Status in Human Adults
Shefter, G. J., & McFall, W. T. (1984) · Journal of Periodontology · doi:10.1902/jop.1984.55.6.368 · Cited by 59 · see citing works
Incidence of Noncarious Cervical Lesions and Their Relation to the Presence of Wear Facets
Telles, D. D. M., Pegoraro, L. F., & Pereira, J. C. (2006) · Journal of Esthetic and Restorative Dentistry · doi:10.1111/j.1708-8240.2006.00015.x · Cited by 58 · see citing works
The association of occlusal contacts with the presence of increased periodontal probing depth
Harrel, S. K., & Nunn, M. E. (2009) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.2009.01486.x · Cited by 51 · see citing works
Buccal Alveolar Exostoses: Prevalence, Characteristics, and Evidence for Buttressing Bone Formation
Horning, G. M., Cohen, M. E., & Neils, T. A. (2000) · Journal of Periodontology · doi:10.1902/jop.2000.71.6.1032 · Cited by 51 · see citing works
The Effect of Occlusal Discrepancies on Gingival Width
Harrel, S. K., & Nunn, M. E. (2004) · Journal of Periodontology · doi:10.1902/jop.2004.75.1.98 · Cited by 50 · see citing works
Hakkarainen, K., Uitto, V., & Ainamo, J. (1988) · Journal of Periodontal Research · doi:10.1111/j.1600-0765.1988.tb01359.x · Cited by 47 · see citing works
The Experimental Basis for the “Bone Factor” Concept in Periodontal Disease
Glickman, I. (1949) · Journal of Periodontology · doi:10.1902/jop.1949.20.1.7 · Cited by 47 · see citing works
Bernhardt, O., Gesch, D., Look, J., Hodges, J., Schwahn, C., Mack, F., & Kocher, T. (2006) · The Journal of Periodontology · doi:10.1902/jop.2006.050167 · Cited by 44 · see citing works
The combined effects of inflammation and trauma from occlusion in periodontitis.
Glickman, I., & Smulow, J. B. (1969) · PubMed · Cited by 44 · see citing works
Periodontal ligament stresses in the initiation of occlusal traumatism
Reinhardt, R. A., Pao, Y. C., & Krejci, R. F. (1984) · Journal of Periodontal Research · doi:10.1111/j.1600-0765.1984.tb00815.x · Cited by 38 · see citing works
The prevalence and possible role of nonworking contacts in periodontal disease.
Ra, Y., & Wv, M. (1965) · PubMed · Cited by 37 · see citing works
Trauma and progression of marginal periodontitis in squirrel monkeys
Polson, A. M., Kennedy, J. E., & Zander, H. (1974) · Journal of Periodontal Research · doi:10.1111/j.1600-0765.1974.tb00660.x · Cited by 33 · see citing works
Nicotine Effects on Alveolar Bone Changes Induced by Occlusal Trauma: A Histometric Study in Rats
Filho, G. D. R. N., Neto, E. B. F., Casati, M. Z., et al. (2004) · Journal of Periodontology · doi:10.1902/jop.2004.75.3.348 · Cited by 30 · see citing works
The effect of oestrogen deficiency on the alveolar bone resorption caused by traumatic occlusion
Kawamoto, S., & Nagaoka, E. (2000) · Journal of Oral Rehabilitation · doi:10.1046/j.1365-2842.2000.00542.x · Cited by 30 · see citing works
What is Traumatic Occlusion and How Can it be Diagnosed and Corrected?
Stillman, P. R. (1925) · The Journal of the American Dental Association (1922) · doi:10.14219/jada.archive.1925.0304 · Cited by 26 · see citing works
Diabetes Mellitus May Increase Bone Loss After Occlusal Trauma and Experimental Periodontitis
Diniz, C. K. D. O., Corrêa, M. G., Casati, M. Z., et al. (2012) · Journal of Periodontology · doi:10.1902/jop.2012.110514 · Cited by 25 · see citing works
Relative Influence of Scaling and Root Planing and Occlusal Adjustment on Sulcular Fluid Flow
Hakkarainen, K. (1986) · Journal of Periodontology · doi:10.1902/jop.1986.57.11.681 · Cited by 23 · see citing works
Stahl, S. S. (1968) · PubMed · Cited by 23 · see citing works
Stillman, P. R. (n.d.) · University of Michigan Library Repository · Cited by 21 · see citing works
[Clinical research on the etiopathology of gingival recession].
Rodier, P. (1990) · PubMed · Cited by 14 · see citing works
McCall, J. O. (1939) · The Journal of the American Dental Association · doi:10.14219/jada.archive.1939.0131 · Cited by 6 · see citing works
Flagged first, then by citations
Research works printed but not linked: 6
- Karolyi M. Beobachtungen über pyorrhea alveolaris. Osterreichisch-Ungarische Viertel Jahresschr Für Zahnheilkd. 1901;17:279.
- Glickman I, Smulow J. Alterations in the pathway of gingival inflammation into the underlying tissues induced by excessive occlusal forces. J Periodontol. 1962;33:7-13.
- Box HK. Experimental traumatogenic occlusion in sheep. Oral Health. 1935;25:9-15.
- Stones HH. An experimental investigation into the association of traumatic occlusion with parodontal disease: (Section of odontol- ogy). Proc R Soc Med. 1938;31:479-495.
- Orban B, Weinmann J. Signs of traumatic occlusion in average human jaws. J Dent Res. 1933;13:216.
- Geiger AM, Wasserman BH. Relationship of occlusion and peri- odontal disease: part IX -Incisor inclination and periodontal status. Angle Orthod. 1976;46:99-110.
Cited by
Sorted by citations
Caton, J. G., Armitage, G., Berglundh, T., Chapple, I. L. C., Jepsen, S., Kornman, K. S., Mealey, B. L., Papapanou, P. N., Sanz, M., & Tonetti, M. S. (2018) · Journal of Periodontology · doi:10.1002/jper.18-0157 · Cited by 1,845 · see citing works
Self-citationJepsen, S., Caton, J. G., Albandar, J. M., Bissada, N. F., Bouchard, P., Cortellini, P., Demirel, K., de Sanctis, M., Ercoli, C., Fan, J., et al. (2018) · Journal of Periodontology · doi:10.1002/jper.17-0733 · Cited by 602 · see citing works
Self-citation
- Authors
- Fan, J., & Caton, J. G.
- Affiliations
- University of Rochester Medicine (US)
- Corresponding author
- Fan, Jingyuan
- Venue
- Journal of Periodontology
- Publisher
- Wiley
- Published
- 2018-06
- Volume
- 89
- Issue
- S1
- Pages
- S214-S222
- ISSN
- 0022-3492 (ISSN-L)
- 1943-3670
- OpenAlex
- W2901965988
- Cited by
- 146
- References
- 88
- Citations by year
- 2026: 6 · 2025: 20 · 2024: 17 · 2023: 30 · 2022: 24 · 2021: 24 · 2020: 14 · 2019: 7 · 2018: 4
- FWCI
- 1.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Periodontology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Rochester
- Medical Center, University of Rochester
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Medicine › Urology › Periodontal Regeneration and Treatments
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Keywords
- occlusal trauma, periodontitis, abfraction, gingival recession, occlusal therapy, tooth mobility, case definition, diagnostic biomarkers
- MeSH terms
- Bite Force, Dental Occlusion, Traumatic, Humans, Periodontitis, Periodontium, Tooth Mobility
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