FOOD IMPACTION

Food impaction in dentistry is defined as the forceful wedging of food into the periodontium. It can be caused by various factors such as inadequate interproximal restoration, prosthetic issues, and implant-related issues. Anatomical factors like diastema, tooth movement, and occlusion discrepancies can also contribute to food impaction. Symptoms may include discomfort, bad taste, and halitosis. Diagnosis involves a thorough examination and investigation which may include visual inspection, radiographs, and patient history. Proper management is crucial to alleviate symptoms and prevent further complications.

• Food Impaction
• Dentistry
• Symptoms
• Diagnosis
• Management

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Uploaded on Feb 21, 2025 | 0 Views

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Presentation Transcript

1. FOOD IMPACTION It is defined as forceful wedging of food into the periodontium.

2. ETIOLOGY Anatomy related Inadequate Interproximal restoration Prosthetic related Implant related

3. ANATOMIC RELATED Diastema Tooth movement Occlusion discrepancy Inerdental papilla support/recession

4. INADEQUATE INTERPROXIMAL RESTORATION Inappropriate design of marginal ridge&contact area

5. PROSHTHETIC RELATED Proximal filling related Fractured restoration Inadequate prosthetic crown Faulty design impression/laboratory procedure fabrication Fractured of prosthesis at proximal contact

6. IMPLANT RELATED Excessive distance between implant/implant &adjacent tooth Inappropriate distance between contact point &alveolar bone crest(3mm for adjacent implant&3-5mm for adjacent tooth -implant)

7. POSSIBLE ETIOLOGY OF PAIN Pressure on periodontal tissue(propriorecepter in PDL) Pulapal irritation through exposed dentinal tubules

8. SIGNS Proximal contact may be open Interdental papilla flattened/absent Plunger cusp apparent in opposing tooth In compatible marginal ridges of prosthetic crown of adjacent tooth Food accumulation in proximal region

9. SYMPTOMES Discomfort Bad taste&Halitosis Pain

10. INVESTIGATION Inquire about the nature of pain History of food impaction Visual inspection/oral examination Radiograph (IOPA&Bite wings)

11. DIAGNOSIS Pts description of the problem&pain history Clinical examination Exclusion of pulpal involvement

12. D/D Pulpitis (Acute) Acute periodontitis

13. TREATMENT Acute phase treatment Creating proper proximal contact area Special wedging techniques for direct restoration

14. ACUTE PHASE TREATMENT Debride with/without local anesthesia Motivate pts to clean the interdental area using any appropriate methods

15. CREATING PROPER PROXIMAL CONTACT AREA Reproduce the anatomic proximal contact area and contours Always creating a possible tight contact

16. SPECIAL WEDGING TECHNIQUES Piggy back wedging Double wedging Wedge wedging

17. MCQ-1 Which is the following a possible anatomic factor responsible for food impaction? (a)fractured restoration (b)proximal restoration (c)faulty design crown (d)occlusion discrepancy

18. MCQ-2 How much distance between implant and adjacent tooth is ideal for fabrication of crown to prevent food impaction? (a)1-2mm (b)3-4mm (c)4-5mm (d)5-6mm

19. MCQ -3 Which is best radiological methods to diagnose interproximal carious lesion? (a)intra oral peri apical (b)panaromic (c)occlussal (d)bitewing

20. MCQ-4 Which is the following a sign of food impaction in proximal area? (a)plunger cusp (b)discomfort (c)halitosis (d)pain

21. MCQ-5 Which is the following a symptoms of food impaction in proximal area? (a)plunger cusp (b)food accumulation (c)bad taste (d)open proximal contact