Abstract： Food impaction with tight proximal contacts,also known as kinetic food impaction and food impaction without anatomical structure destruction,is mainly caused by a transient separation in contacts area during mastication.It's an intractable food impaction with high morbidity and low cure rate.There are two kinds of pathogenesis accepted:the shifting of anterior teeth incongruous with adjacent teeth or lack of anterior shifting;lack of food escape grooves.The preferred treatment is occlusal adjustment,but it's difficult to determine the area and extent of selective grinding,to quantify the occlusal adjustment,or to predict the prognosis.This review summarized the pathogenesis and treatment modality for kinetic food impaction in order to provide evidence for future researches and clinical application.