Introduction: Periodontitis is an inflammatory disease leading to the destruction of the periodontal ligament and alveolar bone, while trauma from occlusion occurs when occlusal forces exceed the periodontium’s adaptive capacity. Trauma from occlusion is a co destructive factor in periodontitis, yet its prevalence and role remain underexplored. This study aimed to determine the prevalence of trauma from occlusion in patients with periodontitis in mandibular anterior teeth. Methods: A descriptive cross-sectional study was conducted among patients visiting the Department of Periodontology and Oral Implantology, Kantipur Dental College Teaching Hospital and Research Center, Kathmandu, from January 2025 to June 2025. Ethical approval was obtained from the Institutional Review Committee (Reference number: 30/024). Convenience sampling was done. The patients with localized periodontitis in mandibular anterior teeth who presented to the department during the study period were included. TFO was assessed through the fremitus test. Tooth wear, deep bite were measured, and teeth grinding was assessed using the Standardised Tool for Assessment of Bruxism. Point estimate and 95% Confidence Interval were calculated. Results: Among the 353 patients, 217 (61.47%) had trauma from occlusion. The highest prevalence of trauma from occlusion was observed in the 20-40 years age group, accounting for 121 (55.76%) cases, and its highest distribution was observed in the severe periodontitis group, with 64 out of 87 patients (73.56%). Conclusions: TFO is prevalent in patients with periodontitis, particularly in those with severe disease. Integrating occlusal management into periodontal treatment protocols is crucial to improving patient outcomes, especially for mandibular anterior teeth.
Karn et al. (Sat,) studied this question.