chewing system; bones, temporomandibular joint (jaw joint) It consists of ligaments, chewing muscles, teeth, and surrounding supporting tissues. This system has functional tasks such as chewing, swallowing and speaking. However, in addition to these activities in some individuals; lip biting, lip sucking, thumb sucking, pen biting, nail biting, abnormal positioning of the chin and BRUXISM (clenching and grinding of the teeth during sleep and/or wakefulness) Some activities, such as parafunction, have a destructive effect on the chewing system. The most destructive of these activities is bruxism. According to the current view, as the cause of bruxism; psychosocial factors such as stress, biological factors, genetics and external factors such as smoking (exogenous)factors are emphasized.
• Wear on teeth;
• Teeth, restorations (removable and/or fixed restorations, bridges, etc.)or fractures in implants
• Loss of teeth and/or implants.
• Pain in teeth and chewing muscles
• Difficulty in mouth opening
• Jaw ( temporomandibular)pain or tenderness in your joint;
• Losses in jaw bones and periodontal tissues
• Hypertrophy in chewing muscles (muscle volume increase)
• Displacement of temporomandibular joint disc (disc displacements)can lead to.
The problems created by bruxism result from the application of more force than the physiological structures can handle. In healthy individuals, teeth only come into contact during swallowing, chewing and pronouncing certain letters. In bruxism, the patient’s teeth are in intercuspidation. (teeth in closed position)squeezes and/or eccentric jaw (forward-backward and right-left)tooth contact occurs during movements.
Frequency of bruxism in society 8-31.4%as changes.
In clinical examinations of patients by specialist physicians; In the intraoral examination, hyperkeratosis areas on the oral mucosa on the cheeks, lace appearance showing the pressure of the teeth on the tongue and lips, tooth abrasions, tooth and implant fractures are examined; In extraoral examination, chewing muscles are usually examined. In some cases, complementary methods may be required for diagnosis.
The most widely used treatment method in the treatment of bruxism in the world OCLUSAL SPLINTSis (intraoral appliances) . This treatment; It is a reversible and non-invasive treatment option that temporarily changes the functional relationships of the masticatory system.
The purposes of using splints in the treatment of bruxism;
• To ensure the distribution of excessive forces by reducing bruxism and occlusal parafunctions.
• To prevent wear of teeth
• Treating muscle-related pain
• Changing occlusal forces
• Treating pain from TMJ
• Ensuring neuromuscular coordination
• Increasing the occlusal vertical dimension
• of the jaw joint (TME)can be listed as improving its function.
If you also think that you are clenching your teeth, consult a specialist physician in order to avoid the possible problems mentioned above.