The Effect of Deep Bite on Periodontal Status of Anterior Teeth

  • Sulistiawati Sulistiawati Department of Periodontics, Dentistry Study Program, Faculty of Medicine, Sriwijaya University
  • Hema Awalia Department of Dental Public Health, Dentistry Study Program, Faculty of Medicine, Sriwijaya University
  • Akhyar Dyni Zakyah Department of Orthodontics, Dentistry Study Program, Faculty of Medicine, Sriwijaya University
  • Julia Anjani Putri Dentistry Study Program, Faculty of Medicine, Universitas Sriwijaya


Introduction: Deep bite is a malocclusion in which the vertical overlap of the mandibular incisor exceeds 4 mm when the teeth are positioned in centric occlusion. Traumatic deep bite, a condition in which deep bite has caused traumatic occlusion, can exert pressure that increases inflammation and damage to the periodontal tissue. The prolonged pressure produces injury to the gingival surface and periodontal tissues of the opposing teeth. Objective: To determine the effect of deep bite on the periodontal status of anterior teeth. Methods: A cross-sectional analytic study of 44 subjects who were divided into two groups of 22. Subjects gave informed consent and underwent an examination of periodontal status for gingival recession, probing depth, and clinical attachment loss. Dental impressions were taken for the measurement of deep bite. Data were then analyzed using univariate and multivariate analysis. Result: There were significant differences between the normal and deep bite group for the presence and severity of gingival recession, probing depth, and clinical attachment loss (p <0.05). Conclusion: There is an association between deep bite and periodontal status (gingival recession, probing depth, and clinical attachment loss) of anterior teeth.


Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza’s clinical periodontology. 12th ed. Philadelphia: W.B Saunders Co; 2012.
Daokar S, Agrawal G. Deep bite its etiology, diagnosis and management: A review. J Orthod Endod. 2016;1(1):8-25.
Meer Z, Sadatullah R, Wahab MA. Prevalence of malocclusion and its common traits in Saudi males of Aseer region. Arch Orofac Sci. 2016;2:3-9.
Danz JC, Greuter C, Sifakakis I. Stability and relapse after orthodontic treatment of deep bite cases — a long-term follow-up study. Eur J Orthod. 2014;36:522–30.
Daing A, Jafri Z, Bhardwaj A. Periodontal lesions associated with deep bite: Report of three cases. Int J Oral Health Dent. 2018;4(1):43-45.
Srivastava SC, Verma V, Panda S, Anita G. Perception of esthetics of different malocclusion traits by laypersons. J Indian Orthod Soc. 2013;47(4):474- 478.
Gupta ND, Maheshwari S, Prabhat KC, Goyal L. A critical review of the management of deep overbite complicated by periodontal diseases. Eur J Gen Dent. 2012;1(1):4-7.
Zimmer B, Shirvandeh NS. Changes in gingival recession related to orthodontic treatment of traumatic deep bites in adults. J Orofac Orthop. 2007;68:232-44.
Ustun K, Sari Z, Orucolgu H. Severe gingival recession caused by traumatic occlusion and mucogingival stress: A case report. Eur J Dent. 2008;2:127-133.
Siaili M, Chatzopoulou D, Gillam DG. An overview of periodontal regenerative procedures for the general dental practitioner. Saudi Dent J. 2018;30:26–37.
Abdullah G, Mohammed N, Adnan N. Prevalence and risk factors for clinical attachment loss in adult Yemenis: A community-based study in the City of Dhamar. Am J Health Res. 2016;4(3):56-61.
Lee JM, Kim JH, Kwon EY. Comperative study on the results of non-surgical periodontal treatment according to the location of the affected site. J Periodontal Implant Sci. 2011;41:92-97.
How to Cite
SULISTIAWATI, Sulistiawati et al. The Effect of Deep Bite on Periodontal Status of Anterior Teeth. Journal of Indonesian Dental Association, [S.l.], v. 3, n. 2, p. 71-75, oct. 2020. ISSN 2621-6175. Available at: <>. Date accessed: 01 mar. 2021. doi:
Research Article