Can Occlusion Cause Perio? – What Do We Know? – PDP047

Periodontology has some good studies and evidence base - but what is the current thinking in the role of occlusion/parafunction in the aetiology and progress of periodontal diseases? I am joined by Specialist Periodontist, London-based Dr Richard Horwitz to discuss exactly the correlation and link between occlusion and periodontitis. https://youtu.be/QhZfDxR4SoY Are those with Anterior Open Bites more likely get to get Perio? Full video episode out soon. Need to Read it? Check out the Full Episode Transcript below! This episode's Protrusive Dental Pearl I picked up from Dr Dipesh Parmar on his fantastic Composite course Mini Smile Makeover - it is to use a sectional posterior matrix band (like the B100 from Garrison or Tor VM) in a vertical fashion to create perfect mesial and distal contours for your anterior composite restorations such as Class IVs. Maestro Dipesh Parmar teaching Composites I also revealed that the team at Doctify are offering all listeners to this podcast 50% off for the first 4 months - you just need to tell them you listen to Protrusive Dental Podcast. https://youtu.be/bpBSFyCFrN0 Full video episode with Richard's cases - only on the website and on Dentinal Tubules I had a really fun chat with Richard which included so much: When and why would you consider occlusal adjustment/equilibration in a periodontally compromised patient, perhaps to reduce occlusal trauma?Can Periodontal splinting help in these parafunctional patients?How can you check for fremitus?What role can appliances have in the stabilised periodontal patient?Listen to how I ruined Richard's canine guidance! If you enjoyed this episode, you will like my episode with Endodontist Kreena Patel on Cracked Teeth! Click below for full episode transcript: Opening Snippet: I'm checking the occlusion as part of your periodontal examination is a must, is something which is often left. And it is really important and valid. Just because I don't feel it's the primary cause of periodontitis doesn't mean to say I find it any less important in the progression of periodontitis and it has to be addressed, especially when I show you those cases where they were in part exacerbated by a trauma from occlusion. If you don't treat the trauma from occlusion, when it's exacerbated a periodontal problem, it's never going to be treated. So it's really important... Jaz's Introduction: I am getting very nervous and very anxious. Why? Because it's been so many episodes, since I talked about something occlusion related. So when this happens, I get very nervous. So let's focus back in, let's pull it back into occlusion. Can we? Today is all about perio and occlusion. I'm joined by my good friend, specialist, periodontist, Richard Horwitz, and we're gonna sort of do some myth busting or perhaps some changing of perceptions, can occlusion cause perio? I'm about to say can perio cause occlusion? That would be stupid. Can occlusion? And what I mean by occlusion is Can someone with a dodgy bite, are they more susceptible to perio? Is that a thing like you know, occlusal trauma, we know that occlusal trauma exists. But what role does occlusion actually play in periodontal bone loss? So that's the kind of stuff we're covering today. So welcome, everyone to Episode 47 of the Protrusive Dental podcast. Now another massive thank you is due for everyone. around about a month ago now something pretty awesome happened. We crossed and I say we because you know, you guys are like family to me now. A lot of you on the Protrusive Dental community Facebook group. And I love seeing you guys there. We crossed 50,000 downloads, right. And this is pretty big, right? A lot of podcasts that get created. It's like businesses like nine out of 10 new businesses will fail in the next five years or something like that, it's a famous quote, right? So a lot of podcasts started and they never reach 50,000 downloads. And so I am so,