World Journal of Dentistry

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VOLUME 14 , ISSUE 4 ( April, 2023 ) > List of Articles

ORIGINAL RESEARCH

Comparing Clinical Parameters with Occlusion in Health and Periodontal Disease Using T-Scan III Software: A Cross-sectional Study

Iram R Pawane, Sankari Malaiappan

Keywords : Occlusion, Periodontitis, Trauma from occlusion, T-scan

Citation Information : Pawane IR, Malaiappan S. Comparing Clinical Parameters with Occlusion in Health and Periodontal Disease Using T-Scan III Software: A Cross-sectional Study. World J Dent 2023; 14 (4):308-312.

DOI: 10.5005/jp-journals-10015-2220

License: CC BY-NC 4.0

Published Online: 02-06-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: The aim of this study was to compare clinical and occlusal patterns in patients with and without periodontitis using the T-scan software. Materials and methods: A total of 30 healthy subjects and 30 subjects with periodontal disease were recruited for this study. A T-scan analysis was done for all these patients before any intervention, and the force distribution on each side, first contact, maximum biting force, forces at maximum intercuspation, and time taken for occlusion and disocclusion were recorded for all patients. Clinical parameters, such as pocket depth, clinical attachment level, and gingival index, were also recorded. Results: Chi-squared tests reveal no significant relationship between occlusal stresses and pocket depth or clinical attachment levels (p > 0.05). The relationship between occlusal force and tooth type was statistically significant (p = 0.04). The maxillary posteriors had the highest occlusal forces, followed by the mandibular posteriors. There was no significant difference between right and left force distribution between healthy and periodontitis groups (p > 0.05); however, a significant difference was observed in occlusion and disocclusion time (p = 0.042 and 0.000, respectively). Conclusion: T-scan system is useful in the diagnosis, progression, and severity of periodontal disease, the distribution of deleterious eccentric forces that lead to periodontal destruction. The correlation of these forces to the location and type of tooth was seen to be of clinical significance. Clinical significance: The physiologically occurring repair and remodeling of forces directed onto the masticatory system components is critical, as disruptions in the physiological functioning of the masticatory system can cause periodontitis, which can lead to tooth loss. T-Scan is a software that analyzes occlusion in various aspects such as bite forces, force distribution, and time is taken for disocclusion; these readings can be taken in centric, protrusive, and laterotrusive contact in real-time, aiding the clinician in analyzing eccentric deleterious forces and treatment planning.


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  1. Takeuchi N, Yamamoto T. Correlation between periodontal status and biting force in patients with chronic periodontitis during the maintenance phase of therapy. J Clin Periodontol 2008;35(3):215–220. DOI: 10.1111/j.1600-051X.2007.01186.x
  2. Trpevska V, Kovacevska G, Benedeti A, et al. T-scan III system diagnostic tool for digital occlusal analysis in orthodontics – a modern approach. Pril (Makedon Akad Nauk Umet Odd Med Nauki) 2014;35(2):155–160. DOI: 10.2478/prilozi-2014-0020
  3. Harrel SK, Nunn ME. The association of occlusal contacts with the presence of increased periodontal probing depth. J Clin Periodontol 2009;36(12):1035–1042. DOI: 10.1111/j.1600-051X.2009.01486.x
  4. Jin LJ, Cao CF. Clinical diagnosis of trauma from occlusion and its relation with severity of periodontitis. J Clin Periodontol 1992;19(2):92–97. DOI: 10.1111/j.1600-051x.1992.tb00446.x
  5. Maness WL, Podoloff R. Distribution of occlusal contacts in maximum intercuspation. J Prosthet Dent 1989;62(2):238–242.
  6. Zhou SY, Mahmood H, Cao CF, et al. Teeth under high occlusal force may reflect occlusal trauma-associated periodontal conditions in subjects with untreated chronic periodontitis. Chin J Dent Res 2017;20(1):19–26. DOI: 10.3290/j.cjdr.a37738
  7. Stillman PR. What is traumatic occlusion and how can it be diagnosed and corrected? J Am Dent Assoc (1922) 1925;12(11):1330–1338. DOI: 10.14219/jada.archive.1925.0304
  8. Stillman PR. The varied reactions to injury resulting from traumatic occlusion. J Am Dent Assoc (1922) 1924;11(7):585–596. DOI: 10.14219/jada.archive.1924.0040
  9. Glickman I. Inflammation and trauma from occlusion, co-destructive factors in chronic periodontal disease. J Periodontol 1963;34(1):5–10. DOI: 10.1902/jop.1963.34.1.5
  10. Glickman I, Weiss LA. Role of trauma from occlusion in initiation of periodontal pocket formation in experimental animals. J Periodontol 1955;26(1):14–20. DOI: 10.1902/jop.1955.26.1.14
  11. Lindhe J, Hamp SE, Loe H. Plaque induced periodontal disease in beagle dogs. J Periodontal Res 1975;10(5):243–255. DOI: 10.1111/j.1600-0765.1975.tb00031.x
  12. Lindhe J, Ericsson I. The influence of trauma from occlusion on reduced but healthy periodontal tissues in dogs. J Clin Periodonto 1976;3(2):110–122. DOI: 10.1111/j.1600-051x.1976.tb01857.x
  13. Lindhe J, Svanberg G. Influence of trauma from occlusion on progression of experimental periodontitis in the beagle dog. J Clin Periodontol 1974;1(1):3–14. DOI: 10.1111/j.1600-051x.1974.tb01234.x
  14. Biancu S, Ericsson I, Lindhe. Periodontal ligament tissue reactions to trauma and gingival inflammation. An experimental study in the beagle dog. J Clin Periodontol 1995;22(10):772–779. DOI: 10.1111/j.1600-051x.1995.tb00260.x
  15. Ericsson I, Lindhe J. Effect of longstanding jiggling on experimental marginal periodontitis in the beagle dog. J Clin Periodontol 1982;9(6):497–503. DOI: 10.1111/j.1600-051x.1982.tb02111.x
  16. Nyman S, Ericsson I, Runstad L, et al. The significance of alveolar bone in periodontal disease. J Periodontal Res 1984;19(5):520–525. DOI: 10.1111/j.1600-0765.1984.tb01307.x
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