{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:49:44Z","timestamp":1785325784264,"version":"3.55.0"},"reference-count":129,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,3,20]],"date-time":"2019-03-20T00:00:00Z","timestamp":1553040000000},"content-version":"vor","delay-in-days":47,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Periodontology 2000"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This article deals with establishing a new link between trauma from occlusion and periodontal pockets based on the know\u2010how and background gradually developed. To provide a better understanding to the reader, a historical perspective is firstly presented. The main features on the controversy of the role played by trauma from occlusion on the physiologic behavior of the periodontal structures are shown, together with how deviations from the normal characteristics of this relationship itself affect the integrity of the periodontal tissues when or associated with dental biofilm in the presence or not of periodontal pockets have arisen. The literature provides evidence showing that the very first publication to establish a strong correlation between trauma from occlusion and periodontal pockets in humans was of Latin\u2010American origin. However, subsequently, trauma from occlusion was mostly evaluated by an American group, followed by a Scandinavian group, yet with some contributions from the Latin\u2010American group. Basically trauma from occlusion has been correlated with periodontal pockets in view of the fact that these would render the periodontal supporting tissues more amenable to the spread of inflammation of biofilm\u2010related periodontal pockets. This would facilitate the fast deepening of periodontal pockets, influencing the generation of infrabony periodontal pockets or suprabony periodontal pockets that are deeper than in areas without trauma from occlusion. The factors related to these different behaviors are discussed. Several clinical cases are presented showing evidence that corroborates the possibility of an actual interrelationship between trauma from occlusion and periodontitis. Theoretical evaluations based on recent advances of the mechanisms involving molecular modulation in physiological and altered occlusal functions, as well as on research data, and evaluations from data of clinical cases, support the assumption that trauma from occlusion and periodontitis may embrace the unique pathologic condition of the associated lesion trauma from occlusion plus periodontitis or act independently even if both co\u2010exist simultaneously in a particular case. The link between both conditions that was emphasized as definitively necessary in order for an associated lesion to develop is that both lesions, namely trauma from occlusion and periodontitis, occur in their destructive stage at exactly the same time. This involvement would explain why so many different data are presented in the literature and hopefully will shed some light for development of new methodologies of research. Clinical cases were selected to present a treatment philosophy on the subject.<\/jats:p>","DOI":"10.1111\/prd.12251","type":"journal-article","created":{"date-parts":[[2019,3,20]],"date-time":"2019-03-20T10:23:10Z","timestamp":1553077390000},"page":"129-150","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":70,"title":["Role of occlusion in periodontal disease"],"prefix":"10.1111","volume":"79","author":[{"given":"Euloir","family":"Passanezi","sequence":"first","affiliation":[{"name":"Division of Periodontics School of Dentistry at Bauru University of S\u00e3o Paulo  Bauru Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana Campos Passanezi","family":"Sant'Ana","sequence":"additional","affiliation":[{"name":"Division of Periodontics School of Dentistry at Bauru University of S\u00e3o Paulo  Bauru Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,20]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"KarolyiM.Beobachtungen \u00fcber Pyorrhea alveolaris: \u00d6sterr\u2010Ung Vierteljahrschr Zahnheik.1901;17:279\u2010283."},{"key":"e_1_2_9_3_1","first-page":"143","article-title":"Un enfoque racional del problema etiol\u00f3gico de la paradentosis","volume":"45","author":"Carranza F","year":"1957","journal-title":"Rev Asoc Odontol Argent"},{"key":"e_1_2_9_4_1","first-page":"485","article-title":"Primeros hallazgos paradentosicos","volume":"27","author":"Erausquin R","year":"1939","journal-title":"Rev Odontol"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1986.tb01427.x"},{"key":"e_1_2_9_6_1","first-page":"275","volume-title":"Glickman's Clinical Periodontology","author":"Glickman I","year":"1979"},{"issue":"3","key":"e_1_2_9_7_1","first-page":"393","article-title":"The combined effects of inflammation and trauma from occlusion in periodontitis","volume":"19","author":"Glickman I","year":"1969","journal-title":"Int Dent J"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1965.0261"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1978.tb02282.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0765.1976.tb00082.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1986.tb01428.x"},{"key":"e_1_2_9_12_1","first-page":"157","article-title":"The importance of diagnosis and muldisciplinary treatment of periodontal trauma from occlusion","volume":"95","author":"Albertini G","year":"2007","journal-title":"Rev Asoc Odontol Argent"},{"issue":"46","key":"e_1_2_9_13_1","first-page":"330","article-title":"The relation between occlusal trauma and periodontal disease","volume":"8","author":"Alves RV","year":"2004","journal-title":"J Bras Clin Odontol Int"},{"key":"e_1_2_9_14_1","first-page":"19","article-title":"Occlusal trauma. 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