Practice abstract


British Dental Journal 200, 557 - 561 (2006)
Published online: 27 May 2006 | doi:10.1038/sj.bdj.4813587

Verifiable CPD Paper: 
Periodontal lesions associated with deep traumatic overbite

H A Nasry1 & S C Barclay2

  • Deep traumatic overbite may be associated with lateral periodontal lesions.
  • Physical impaction of debris or plaque into the periodontal pocket aggravated by deep traumatic overbite may lead to formation of bony defects.
  • Treatment of these lesions should address the deep traumatic overbite as well as the periodontal element.
  • Deep traumatic overbite is detailed in Akerly's classification.


Certain aspects of malocclusion, particularly deep overbite, can be related to periodontal pathology, especially in the presence of poor oral hygiene. The authors have noted an association between deep overbite and unusual periodontal lesions. These lesions often appear on radiographs as circumscribed radiolucencies, remote from the alveolar crest and sometimes close to the apex. Gingival surface injury and food impaction may be important aetiological factors. This is illustrated in this article by a number of case studies.

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  1. Specialist Registrar in Restorative Dentistry, Newcastle Dental Hospital, Richardson Road, Newcastle Upon Tyne, NE2 4AZ
  2. Consultant in Restorative Dentistry, Newcastle Dental Hospital, Richardson Road, Newcastle Upon Tyne, NE 4AZ

Correspondence to: H A Nasry1 e-mail: hani.nasry@nuth.nhs.uk


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