Teeth Clenching – Grinding (Bruxism)

Bruxism is defined as non-functional friction of the lower teeth against the upper teeth. It may occur in the form of teeth clenching or grinding. Although it is very common in our country, many people are not aware of the condition. Sometimes, the sound made during teeth grinding warns the person that he is clenching his teeth and causes him to go to the dentist; The patient's earache and migraine complaints may also cause the patient to be referred to the dentist. However, the diagnosis of bruxism is mostly made by dentists by observing the symptoms in the mouth.

 

What are the risk factors?

Stress

Some systemic diseases

Caffeine tobacco use

Genetic predisposition

Dental problems (malocclusion, high fillings, etc.)

People who do fine work (jewellers) or heavy sports (such as boxing)

As a result of clenching teeth;

Wear on teeth

Front Small fractures at the ends of the teeth (chipping)

Recession in the gums - bone loss around the teeth

Enamel defects in the collar area where the tooth meets the gum

Sensitivity in the teeth

Cracks and fractures in the teeth, broken fillings

Radiographic findings

Formation of lace-like indentations on the edges of the tongue

Joint problems

Pain in the chewing muscles

Angular appearance on the face due to hypertrophy of the chewing muscles

White fibrotic line formation may be seen on the inside of the cheek in the occlusal plane.

The severity of these varies depending on the severity of teeth clenching. While we use our teeth during cutting and chewing operations during the day, the forces come intermittently, but clenching the teeth means the presence of an uninterrupted force. Research has shown that the total teeth grinding time during the night can reach 160 minutes. To prevent the destructive effects of teeth grinding; Personal and situation-specific plates, which we call occlusal splints, and botox are used.

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