OCCLUSAL DISEASE

What is Occlusal Disease?

Occlusal disease is the destructive process that results from a bite in which the teeth are not properly aligned. There can be many causes of occlusal disease, but often can be traced to an unbalanced bite, crooked teeth, or involuntary teeth grinding/clenching. In a balanced bite the muscles, jaw joint ,and teeth function in harmony. The front and back teeth have protective functions that allow for healthy functioning of teeth. If the bite is not balanced destructive forces are applied to the teeth, muscles, and joint resulting in repetitive stresses. These bite discrepancies can translate into symptoms in the teeth, muscles, joint, or a combination of all three.

Occlusal disease is an often overlooked and “silent” oral disease dismissed by dentists and patients. Early signs of occlusal disease are often classified as “natural aging, normal wear and tear”. Studies have shown that occlusal disease is the most undiagnosed oral disease, but also the most common and potentially the most destructive and difficult to treat if not discovered early. Occlusal disease, just as is the case with cavities and gum disease, can be treated effectively, less invasively, and less costly when diagnosed early.

What are the signs and symptoms of occlusal disease?

- Abnormal wear and fractures of natural teeth: worn, chipped, thinned, flattened or cracked teeth.
- Fractured or broken previous dental work (fillings/crowns)
- Tooth sensitivity to hot and/or cold
- Tooth Mobility (loosening of teeth)
- Shifting of teeth
- Gum Recession
- Grooves/indentations on exposed root surfaces of teeth
- Jaw joint pain, clicking, popping, and/or locking during eating and other jaw movements
- Head and neck muscle pain
- Unexplained headaches: tension headaches
- Clinching/grinding of teeth or other habits in which teeth come into contact during the day or night
- Severe localized bone loss around teeth

How is Occlusal disease discovered?

Occlusal disease can easily be diagnosed during a comprehensive dental examination and interview. A basic occlusal (bite), TMJ (jaw joint), and head and neck muscle exam can screen for signs and symptoms of occlusal disease. A brief dental history interview often can reveal the presents of occlusal disease. The key to preventing occlusal disease from becoming complex begins with a thorough interview and exam.