Occlusal forces are unevenly distributed among teeth during mastication, potentially predisposing certain teeth to higher functional loads. Teeth subjected to increased occlusal loading may be at greater risk of periodontal breakdown, especially in patients with pre-existing periodontal disease.

Technological advances, such as mandibular movement recording systems, allow for precise assessment of occlusal contacts and load distribution. However, the relationship between occlusal loading patterns and periodontal status remains insufficiently investigated.

This study aims to evaluate whether teeth exposed to higher masticatory loads show an association with periodontal disease severity.

Inclusion Criteria:

• Adults (≥18 years).
• Presence of natural dentition, fixed prostheses, or implant-supported fixed prostheses.
• Ability to undergo radiological (OPT) and periodontal examinations.
• Signed informed consent.

Exclusion Criteria:

• Patients wearing removable prostheses.
• Severe systemic conditions contraindicating dental treatment.
• Inability to provide informed consent.

patients with diagnosed periodontitis