THE EFFECT OF TOOTH

LOSS ON PERIODONTAL
TISSUE
Drg. Ade Ismail A. K., MDSc., Sp. Perio
 Arch Form

Humans have an elliptical-shaped arch with significantly more curvature

displayed in the anterior region. The molars have a straighter arch
alignment within each quadrant, especially the mandibular molars.
Maxillary Arch Form
Maxillary arch form
dominates or influences the
mandibular arch form
because of the following:

>larger than in the mandible

>is wider (i.e. longer from
anterior to posterior) from
right to left sides
>esthetics are embedded in
the maxillary arch more than
the mandible (smile line is
evident)
 Proximal Contact Areas

• Proximal contact areas

• Allow for the maintenance of
proper arch form
• They prevent the accumulation
of food debris and impaction
between teeth
• Occlusal view of proximal
contacts display convex
contacts with adjacent teeth
 Proximal Contact Areas
Occlusal Perspective of Mandibular Posterior Teeth

Location of Proximal Contacts:

>All Mandibular Posterior Teeth: Contacts are slightly facial to
the line that divides the tooth in half, from a faciolingual
perspective. The distal contact on the mandibular first molar
is comprised completely of the distal cusp on the first molar.
Mandibular molar contact area locations are slightly more
facial than their maxillary counterparts.
Orto Prosto
 Reduced Effeciency Mastication

• Allowing the bolus of food to slip into the

edentulous
Undesirable Tooth Movement
 Improved distribution of
occlusal load

• The loss of a large number of teeth puts an increasing

functional burder on the remainder. destruction
of periodontal attachment tooth mobility
drifted labially
 Case Report
• A 35-year-old female patient presented to our
Hospital with a chief complaint of a painless
swelling in the right mandibular back region of
the gums since 1-year. She did not have a
history of receiving any medications, including
antiepileptic, antihypertensive or immuno
suppressive medications, which could be
contributory to gingival enlargement.
• On clinical examination, the lesion was well-
circumscribed, polypoid, and nodular size was
about 2.5 cm × 1.5 cm pink in color, it was
present underneath a flat panel displays placed
on 45, 46, 47;
Clinical Sign and Radiograph
Probing
The Excision
Summary Of Damage That May Result
From Wearing A Partial Denture