Treatment of bruxism (gnashing of teeth)

What is bruxism?

Bruxism, or night gnashing of teeth, is the body's way of dealing with stress. There are two variants of bruxism - physiological and pathological.

Physiological bruxism (bruxism in children)
It happens in young children - this is the age from about 5 years until the beginning of the change of bite from primary to permanent. Bruxism contributes to the formation of the temporomandibular joint. When there is a strong clenching of the teeth and gnashing of them in a dream, the muscles strongly contract and force the head of the lower jaw to form a hole, and from the cartilage that is there, form a disk.

At the same time, children can strongly wear down their teeth, which makes parents worry and go to the dentist

It is important to control the dynamics, since the premature treatment of bruxism with a cap can stop the process of joint formation.

As a result, the child will get joint dysfunction in an unnecessary struggle for the preservation of the height of primary teeth due to abrasion.

Pathological bruxism (adult bruxism)

Over time, the child grows, his permanent teeth appear, and as an adult he can begin to gnash his teeth with increased stress factors.

In modern people, adrenaline is produced regularly every day: you stuck in traffic - you are nervous, you quarreled with your boss at work - you are nervous, you are late - you are nervous. There are a lot of such micro-stress moments and adrenaline accumulates without exit.

If a person is not engaged in any type of activity to compensate for this adrenaline, dance, sport or any physical activity, at night adrenaline is processed in our strongest chewing muscles (they withstand the load of 300-600 kg) and the person begins to gnash his teeth in a dream by wearing off the teeth.

What are the treatment options for bruxism?

    1. Make a special "splint", which will be erased instead of teeth. Such a protective version of cap for bruxism.
    2. Botulinum toxin injections into the chewing muscles. It reduces the activity of muscle fibers and bruxism temporarily disappears. The question is, who will make this easier: adrenaline must be recycled somewhere. If there is no way out for him, other problems may begin: “strikes” on different organs and tissues.
    3. Treatment with the bracket system - the disappearance of bruxism is associated with increased sensitivity of the receptors due to the mobility of the teeth being moved, it will be painful for the patient to gnash the teeth. However, after the end of such treatment, bruxism will return.
    4. The most correct option is a combined orthodontic treatment with a bracket system and a splint. Such treatment works not only on bruxism itself, but also on the cause of its occurrence, therefore, the result will be stable.

What are the risks of bruxism?

Orthopedic dentists often refer patients with bruxism before planning expensive prosthetics using ceramic restorations for orthodontic treatment. Bruxism is the cause of chipping on ceramics. In this case, it is important to have prosthetics in the right bite for the stability of the treatment results.

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