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Current Concepts of Bruxism
The International Journal of Prosthodontics
|August 15, 2017
Summary
Bruxism, a common condition, is increasingly linked to biologic, psychologic, and exogenous factors over physical ones. Management involves a multi-P approach and cautious prosthodontic care for adults.
Area of Science:
- Dentistry
- Psychology
- General Medicine
Background:
- Bruxism is a prevalent condition with complex etiologies.
- Emerging evidence highlights the significant role of biologic, psychologic, and exogenous factors.
- Morphologic factors are considered less influential in bruxism development.
Purpose of the Study:
- To review the current understanding of bruxism etiology and diagnosis.
- To explore the relationship between bruxism and pain, particularly temporomandibular pain.
- To propose management strategies for bruxism in children and adults.
Main Methods:
- Literature review on bruxism etiology, diagnosis, and management.
- Analysis of the proposed mechanisms linking bruxism, stress, and temporomandibular pain.
- Evaluation of diagnostic grading systems and treatment approaches.
Main Results:
- Biologic, psychologic, and exogenous factors are key to bruxism etiology.
- A grading system (possible, probable, definite) is recommended for diagnosis.
- In children, bruxism may signal psychologic disorders.
- Stress sensitivity and anxiety traits contribute to bruxism and temporomandibular pain, modulated by psychosocial factors.
Conclusions:
- A comprehensive "multiple-P" approach (plates, pep talk, psychology, pills) with reversible treatments is advised.
- Adult prosthodontic management requires a cautious, common-sense approach.
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