Morphological changes of gums in occlusal trauma

Vol. 59 No. 3, 2018


Traian Mihail Comanescu, Iancu Emil Plesea, Lucian Paul Dragomir, Mihai Raul Popescu, Razvan Mihail Plesea, Constantin Daniel Uscatu, Mircea-Sebastian Serbanescu, Mihaela-Cezarina Hincu, Marian Caramizaru

Aim: Occlusal trauma causes major modifications of the coverage periodontium, which in turn reflect on the dental unit. The aim of the present study is to evaluate some of the morphological modifications occurred in the marginal periodontium surrounding teeth affected by occlusal trauma. Materials and Methods: Fragments of marginal periodontium coming from 51 patients with occlusal trauma were processed using classical histological techniques (formalin fixation and paraffin embedment) and stained with Hematoxylin-Eosin (HE), Masson s trichrome and anti-CD34 antibody immunostaining, in order to highlight the epithelial and connective tissue changes of gingival mucosa. A set of epithelial and connective tissue morphological parameters were assessed individually and based on three topographical criteria concerning the affected tooth. Results: The epithelium and especially its superficial compartment presented changes depending on the tooth type and the dental arch. Epithelial thickness had the tendency to decrease as the fibrosis in both corium compartments and vascular density in the deep corium compartment were increasing. Leukoplakia present around the affected teeth but not always was related with the tooth type and was more obvious as the superficial compartment of the epithelium was thicker and as fibrosis was more reduced in the papillary compartment of the corium. Vascular density reduced when fibrosis process increased in the corium. Conclusions: Lesions determined by occlusal trauma and their topography can and are influencing locally the different structures of the surrounding periodontium.

Corresponding author: Lucian Paul Dragomir, Lecturer, DMD, PhD; e-mail:

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