[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-209217-en":3,"doc-seo-209217-105":31,"detail-sidebar-cat-0-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":14,"update_tm":29,"read_time":30},209217,549758252649,"Ivy","https://ap-avatar.wpscdn.com/avatar/8000253669c5317157?_k=1778319167496531819",7,"Healthcare","Treatment of Periodontal Abscess Caused by Occlusal Trauma - A Case Report","The case report describes an 8-year-old girl with an intraoral swelling that developed 2 days before presentation, diagnosed as a periodontal abscess caused by occlusal trauma. Occlusal trauma was associated with mobility of the involved tooth, pain on mastication, and periodontal involvement. Treatment planning included draining the abscess and using orthodontic appliances to eliminate chronic trauma, followed by regular clinical and radiographic monitoring. After 36 months, radiographs confirmed apex closure and improved root and periodontal health.","Treatment of periodontal abscess caused by occlusal trauma: A case report  \nZeynepYegın, Zehra Ilerı, Gul Tosun, Yagmur Sener  \nDepartment of Pedodontics, Selcuk University, Faculty of Dentistry, Konya, Turkey  \nABSTRACT  \nOrthodontic treatment has a big role in prevention and treatment of dental malposition. The signs and symptoms experienced by patients with occlusal trauma are mobility of teeth, pain on mastication, and periodontal disease. In this case report, an 8-year-old girl who was noticed to have intraoral swelling by her parents 2 days ago is reported. It was diagnosed as a periodontal abscess caused by occlusal trauma. As a treatment planning, it was decided that abscess be drained and orthodontic appliances be used to eliminate chronic trauma. Root developing and healthy periodontal status were observed following the treatment as a result of 36 months follow-up.  \nKeywords: Occlusal Adjustment, Orthodontic Appliances, Periodontal Abscess, Permanent Dentition  \n\n| Access this article online |\n| --- |\n| Website:\u003Cbr>[www.jpediatrdent.org](www.jpediatrdent.org) |\n| DOI:\u003Cbr>10.4103/WKMP-0028.117447 |\n| Quick Response Code:\u003Cbr>|\n\nINTRODUCTION  \nOcclusal trauma is defined as an injury to any  \ncomponent of the masticatory system as a result of an alteration in the occlusion that could generate an inflammatory process in periodontal ligament and dental pulp. [1] Excessive occlusal loading can result in dystrophic changes in the periodontal ligament, alveolar bone, cementum and pulp, as well as periapical inflammation and root resorption.[2] A traumatic occlusion is often provoked by an abnormal contact of the teeth, a masticatory system dysfunction, and prosthetic or orthodontic treatments that create occlusal interferences.[3]  \nThis case report presents treatment of patient with periodontal abscess caused by occlusal trauma.  \nCASE REPORT  \nAn 8-year-old girl was referred to the pediatric dentistry clinic for swelling that occurred 2 days ago before arriving clinic [Figure 1]. The patient’s medical history was noncontributory. Extraoral examination revealed no sign of any pathological conditions.  \nA reddish purple colored swelling (one cm diameter) was observed on labial cervical gingiva on tooth 21 region by intraoral examination. Also anterior cross-bite was observed between teeth 21 and 41 [Figure 2] . Because tooth 41 inclined to the labial direction, there was agingival recession on this tooth, which included only crown of tooth. Also, posterior occlusal relationships were generally within normal limits.  \nAccording to the history taken from patient and her parent, the incisors (21, 41) were asymptomatic and had not been traumatized. There was no sensitivity to percussion or palpation. The mobility of tooth 21 was classified as grade I. The periodontal tissue was healthy with normal probing depths except labial surface of tooth 21 (7 mm gingival pocket depth) . Radiological examination showed slightly widening of the lamina dura and incomplete root development on tooth 21. There were no signs of periapical pathosis [Figure 3].  \nA periodontal abscess was diagnosed for tooth 21 caused by occlusal trauma. Abscess was drained by gingival pocket in the same session. Three days later gingival swelling and discoloration disappeared and pocket depth was seen to approach normal limits. Following the observation of recovery, dental cast was obtained  \nAddress for correspondence  \nDr. Zeynep Yegın, Selçuk Üniversitesi, Diş Hekimliği Fakültesi, Pedodonti Anabilim Dalı, Kampüs, Konya, 42079 Turkey.  \nE-mail: [zeynepygn@gmail.com](zeynepygn@gmail.com)  \n50  \nJournal of Pediatric Dentistry / May-Aug 2013 / Vol 1 | Issue 2  \nYegın, et al.: A periodontal abscess caused by occlusal trauma  \nFigure 1: Intraoral photograph of the patient in pretreatment  \nFigure 3: Pretreatment periapical radiograph of left maxillary permanent central incisor with incomplete root development  \nFigure 5: Periapical radiograph of a completed root deve","cbCaimPNkBHtapba","https://ap.wps.com/l/cbCaimPNkBHtapba","pdf",1476953,2,1,3,"English","en",105,"# ABSTRACT\n# INTRODUCTION\n# CASE REPORT\n## Diagnosis and initial findings\n## Treatment and follow-up\n# DISCUSSION","[{\"question\":\"What condition was diagnosed in the case report?\",\"answer\":\"The patient was diagnosed with a periodontal abscess caused by occlusal trauma in tooth 21.\"},{\"question\":\"How was the abscess managed and what orthodontic approach was used?\",\"answer\":\"The abscess was drained during the same session, and removable orthodontic appliances were used to eliminate chronic occlusal trauma and correct the anterior cross-bite.\"},{\"question\":\"What were the follow-up outcomes after treatment?\",\"answer\":\"Over follow-up visits, gingival swelling resolved and probing depths approached normal limits; after 36 months, radiographs showed closure of the apex and thickening of the root wall with satisfactory esthetics and function.\"}]","Treatment of Periodontal Abscess Caused by Occlusal Trauma - A Case Report | PDF",1788610877,8,{"code":4,"msg":32,"data":33},"ok",{"site_id":25,"language":24,"slug":34,"title":13,"keywords":35,"description":14,"schema_data":36,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":29},"treatment-of-periodontal-abscess-caused-by-occlusal-trauma-a-case-report","",{"@graph":37,"@context":85},[38,53,68],{"@type":39,"itemListElement":40},"BreadcrumbList",[41,45,48,50],{"item":42,"name":43,"@type":44,"position":21},"https://docshare.wps.com","Home","ListItem",{"item":46,"name":47,"@type":44,"position":20},"https://docshare.wps.com/document/","Document",{"item":49,"name":12,"@type":44,"position":22},"https://docshare.wps.com/document/healthcare/",{"item":51,"name":13,"@type":44,"position":52},"https://docshare.wps.com/document/treatment-of-periodontal-abscess-caused-by-occlusal-trauma-a-case-report/209217/",4,{"url":51,"name":13,"@type":54,"author":55,"headline":13,"publisher":57,"fileFormat":60,"inLanguage":24,"description":14,"dateModified":61,"datePublished":62,"encodingFormat":60,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":42,"name":58,"@type":59},"DocShare","Organization","application/pdf","2026-09-11","2026-09-05",true,{"@type":65,"interactionType":66,"userInteractionCount":20},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"What condition was diagnosed in the case report?","Question",{"text":75,"@type":76},"The patient was diagnosed with a periodontal abscess caused by occlusal trauma in tooth 21.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"How was the abscess managed and what orthodontic approach was used?",{"text":80,"@type":76},"The abscess was drained during the same session, and removable orthodontic appliances were used to eliminate chronic occlusal trauma and correct the anterior cross-bite.",{"name":82,"@type":73,"acceptedAnswer":83},"What were the follow-up outcomes after treatment?",{"text":84,"@type":76},"Over follow-up visits, gingival swelling resolved and probing depths approached normal limits; 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