Abstract
Traumatic occlusion arises from bruxism and premature contact in the course of periodontitis progression. In this paper, we report a case of localized chronic periodontitis, in which periodontal treatment was successfully undertaken considering traumatic occlusion, stability and regulation of occlusion from the early stage of periodontal treatment. A 30-year-old woman presented to our dental hospital with hemorrhage from the gingiva at the time of brushing. On examination, some reddening of the marginal gingiva and gingival recession were observed. Periodontal examination revealed a plaque control record (PCR) of 33.7%, bleeding on probing (BOP) of 18.6%, with periodontal pocket depths of greater than 4 mm, tooth mobility of greater than class I in the molars. On occlusal examination, occlusal trauma was observed. We started the treatment for traumatic occlusion at the same time as that for plaque control. Education on periodontitis and training on the autosuggestion method were provided by a dental hygienist, and occlusal adjustment was provided by a dentist during the periodontal therapy. Thereafter, the patient was maintained on supportive periodontal therapy (SPT). In this case report, we wish to emphasize that treatment for traumatic occlusion at the early stage is important to obtain good results of periodontal treatment. Nihon Shishubyo Gakkai Kaishi (J Jpn Soc Periodontol) 56(2)：203-208, 2014.
