BRUXİSM (TEETH GRİNDİNG)
Parafunctional activities associated with some stomatognatic system include lip and cheek chewing, nail bitting and teeth clenching. Bruxism can be classified as awake or sleep bruxism. Patients with sleep bruxism are more likeli to experience jaw pain and limitation of movement than people who do not experience sleep bruxism.Recent studies suggest that a sleep bruxism is secondary to sleep related arouusals. The rhytmic muscle activity that occurs in sleep bruxism peaks in the minutes before rapid eye movement sleep.
CAUSES OF BRUXİM
Mental disordes ,anxiety,stress and adverse psychosocial factors are significanty related to tooth grinding during sleep and it has been found that nearly 70% of bruxism occurs as a result of stress or anxiety
SYMPTOMS OF BRUXİSM
Physical Symptoms: headache ,temporomandibular joint disconfort and muscle myalgia,ear ache,limitation of mouth opening and sleep disruption of the individual as well as the bed partner. Oral Symptoms: Abnormal tooth wear,fracture of the tooth ,inflamation or recession of the gums,excess tooth mobility and premature loss of teeth.
SLEEP BRUXİSM TREATMENT
Before sleeping the patient should stop drinking alchool cofee or smoking ,and ensure good bedroom condition(quiet and dark) Oclusal splints have been considered as the firs line strategy for preventing dental grinding noise and teeth wear in primary sleep bruxism.The device covers the whole maxilary or and mandibular dental arch, and it is well tolerated by patients.