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Apical periodontitis after intense bruxism.
Madline P Gund1, Karl-Thomas Wrbas2,3, Matthias Hannig4
1Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, Saarland University Hospital, Saarland University, Kirrberger Str. 100, Building 73, 66421, Homburg, Saar, Germany. madline.gund@uks.eu.
BMC Oral Health
|March 25, 2022
Summary
Bruxism, or teeth grinding, can lead to apical periodontitis, an infection at the root tip. This case highlights the importance of considering bruxism in diagnosing unexplained tooth pain.
Area of Science:
- Dentistry
- Endodontics
- Oral Medicine
Background:
- Bruxism commonly causes masticatory muscle pain, TMJ issues, headaches, tooth wear, and dental complications.
- The link between bruxism and pulpal damage is primarily experimental, with limited clinical documentation.
- This study introduces the first reported clinical case of apical periodontitis directly linked to bruxism.
Observation:
- A 28-year-old male presented with apical periodontitis affecting teeth 36 and 46.
- The patient experienced an intense period of bruxism prior to symptom onset.
- Diagnosis was delayed due to the unclear etiology of the severe tooth pain.
Findings:
- Successful root canal treatment was performed on the affected teeth.
- The case demonstrates a direct clinical correlation between intense bruxism and the development of apical periodontitis.
- This finding expands the known pathological consequences of bruxism.
Implications:
- Clinicians must recognize that severe bruxism can cause apical periodontitis.
- Thorough patient history (anamnesis) is crucial for diagnosing unexplained dental pain.
- Considering bruxism in differential diagnosis can prevent delayed treatment and improve patient outcomes.
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