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