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Food Impaction

Food impaction occurs when food becomes forcefully wedged between teeth or in the gums. It can be caused by anatomical factors like gaps between teeth or issues with tooth alignment and bite. Inadequate fillings, crowns, or dental work that leaves spaces can also cause impaction. Symptoms include discomfort, bad taste, and pain, which are investigated through patient history, examination, and x-rays. Treatment involves removing lodged food, ensuring proper contact between teeth, and techniques to dislodge food like wedging instruments.

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Karina Sabriati
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2K views21 pages

Food Impaction

Food impaction occurs when food becomes forcefully wedged between teeth or in the gums. It can be caused by anatomical factors like gaps between teeth or issues with tooth alignment and bite. Inadequate fillings, crowns, or dental work that leaves spaces can also cause impaction. Symptoms include discomfort, bad taste, and pain, which are investigated through patient history, examination, and x-rays. Treatment involves removing lodged food, ensuring proper contact between teeth, and techniques to dislodge food like wedging instruments.

Uploaded by

Karina Sabriati
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

FOOD IMPACTION

It is defined as forceful wedging of


food into the periodontium.
ETIOLOGY
• Anatomy related

• Inadequate Interproximal restoration

• Prosthetic related

• Implant related
ANATOMIC RELATED
• Diastema

• Tooth movement

• Occlusion discrepancy

• Inerdental papilla support/recession


INADEQUATE INTERPROXIMAL
RESTORATION

• Inappropriate design of marginal


ridge&contact area
PROSHTHETIC RELATED
• Proximal filling related
• Fractured restoration
• Inadequate prosthetic crown
• Faulty design impression/laboratory
procedure fabrication
• Fractured of prosthesis at proximal contact
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)
POSSIBLE ETIOLOGY OF PAIN
• Pressure on periodontal
tissue(propriorecepter in PDL)

• Pulapal irritation through exposed dentinal


tubules
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
SYMPTOMES
• Discomfort

• Bad taste&Halitosis

• Pain
INVESTIGATION
• Inquire about the nature of pain

• History of food impaction

• Visual inspection/oral examination

• Radiograph (IOPA&Bite wings)


DIAGNOSIS
• Pts description of the problem&pain history

• Clinical examination

• Exclusion of pulpal involvement


D/D
• Pulpitis (Acute)

• Acute periodontitis
TREATMENT
• Acute phase treatment

• Creating proper proximal contact area

• Special wedging techniques for direct


restoration
ACUTE PHASE TREATMENT
• Debride with/without local anesthesia

• Motivate pts to clean the interdental area


using any appropriate methods
CREATING PROPER PROXIMAL
CONTACT AREA

• Reproduce the anatomic proximal contact


area and contours

• Always creating a possible tight contact


SPECIAL WEDGING TECHNIQUES

• Piggy back wedging

• Double wedging

• Wedge wedging
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
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
MCQ -3
• Which is best radiological methods to
diagnose interproximal carious lesion?
(a)intra oral peri apical
(b)panaromic
(c)occlussal
(d)bitewing
MCQ-4
• Which is the following a sign of food
impaction in proximal area?
(a)plunger cusp
(b)discomfort
(c)halitosis
(d)pain
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

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