Treatment of localized initial periodontal lesions with an emphasis on trauma factors

Abstract

In the treatment and prevention of periodontal disease, appropriate and mutually coordinated approach based on the vision shared by the dentist and dental hygienist can influence the management and improvement of the progression of the disease. The onset and progression of periodontal disease should be dealt with as early as possible by making a diagnosis based on an accurate examination. Periodontal disease is a multifactorial disease, but in its treatment, the emphasis is placed on bacterial factors and the control of plaque is prioritized. However, in the event of localized periodontal tissue abnormalities, my clinical experience suggests that cases affected by trauma factors as local modifiers are not necessarily rare. Therefore, in some cases removal of aggressive trauma factors need be prioritized. With this proactive intervention, the initial lesions of localized periodontal tissue can be expected to improve early. In this report, discussed are two cases of localized periodontal tissue abnormalities judged as caused mainly by trauma factors (traumatic occlusion), where removal of trauma factors was prioritized in cooperation with dentists.