The Effect of Occlusal Adjustment on Periodontal Treatment Outcomes in Patients with Chronic Periodontitis and Occlusal Trauma

Objective: To investigate the effect of occlusal intervention combined with basic periodontal treatment on patients with chronic periodontitis complicated by occlusal abnormalities, and to provide evidence-based support for clinical practice. Methods: Sixty patients with chronic periodontitis accompanied by occlusal dysfunction who visited our hospital from January to December 2023 were selected as study samples and randomly divided into an experimental group (n=30) and a control group (n=30). The control group received standard periodontal basic treatment (including supragingival cleaning, subgingival scaling, and root planing), while the experimental group received additional occlusal function correction (involving early contact point modification, elimination of occlusal interference, and reconstruction of occlusal stability) based on the standard treatment. The periodontal status indicators (including probing depth PD, attachment level AL, and gingival bleeding index GBI) and overall treatment efficacy were evaluated in both groups before and after 3 months of treatment. Results: Before treatment, there were no significant differences in the detection data of periodontal probing depth (PD), attachment loss (AL), and gingival bleeding index (GBI) between the two groups (P>0.05). After 3 months of treatment, the experimental group showed significantly better results in terms of PD, AL, and GBI compared to the control group, with statistically significant differences (P<0.05). Additionally, the overall treatment efficacy rate in the experimental group was significantly higher than that in the control group (P<0.05). Conclusion: For patients with chronic periodontitis complicated by occlusal trauma, occlusal adjustment intervention supplemented with standard periodontal treatment can effectively improve the health status of periodontal tissues and significantly enhance clinical efficacy. It is worth promoting and applying in clinical practice.