Bruksizm: Etyoloji, Tanı, Protetik ve Multidisipliner Tedavi Stratejileri
Özet
Bruksizm, diş sıkma ve gıcırdatma ile karakterize edilen, multifaktöriyel etiyolojiye sahip parafonksiyonel bir alışkanlıktır. Uyku ve uyanık bruksizmi olarak ikiye ayrılan bu durum, bireyin oral ve sistemik sağlığını olumsuz etkileyebilir. Bruksizmin etiyolojisinde stres, anksiyete, uyku bozuklukları, nörolojik faktörler ve bazı ilaçların etkili olduğu düşünülmektedir. Tanı genellikle hasta anamnezi, klinik muayene ve polisomnografi gibi yöntemlerle konulmaktadır. Tedavi yaklaşımları arasında oklüzal splintler, fizyoterapi, davranışsal terapi ve farmakolojik ajanlar yer almaktadır. Ayrıca, implant destekli ve sabit protez uygulamalarında bruksizmin etkileri dikkate alınmalı, restorasyon planlamasında özel önlemler alınmalıdır. Bruksizmin yönetiminde multidisipliner yaklaşım önemlidir ve bireyselleştirilmiş tedavi planlarının uygulanması gerekmektedir. Bu bölümde, bruksizmin etiyolojisi, klinik belirtileri, tanı yöntemleri ve protetik yaklaşımlar değerlendirilmektedir.
Bruxism is a parafunctional habit characterized by teeth grinding and clenching, with a multifactorial etiology. It is classified into sleep and awake bruxism, both of which can negatively affect oral and systemic health. The etiology of bruxism includes stress, anxiety, sleep disorders, neurological factors, and certain medications. Diagnosis is commonly made through patient history, clinical examination, and polysomnography. Treatment approaches include occlusal splints, physiotherapy, behavioral therapy, and pharmacological agents. Additionally, the effects of bruxism should be considered in implant-supported and fixed prosthetic restorations, with special precautions taken in treatment planning. A multidisciplinary approach is essential in managing bruxism, emphasizing individualized treatment plans. This section discusses the etiology, clinical symptoms, diagnostic methods, and prosthetic management of bruxism.
Referanslar
Lobbezoo F, Ahlberg J, Glaros A, et al. Bruxism defined and graded: an international consensus. Journal of Oral Rehabilitation. 2013;40(1):2-4.
Mayer P, Heinzer R, Lavigne G. Sleep bruxism in respiratory medicine practice. Chest. 2016;149(1):262-71.
Lobbezoo F, Ahlberg J, Raphael K, Wetselaar P, Glaros A, Kato T, et al. International consensus on the assessment of bruxism: Report of a work in progress. Journal of Oral Rehabilitation. 2018;45(11):837-44.
Behr M, Hahnel S, Faltermeier A, et al. The two main theories on dental bruxism. Annals of Anatomy-Anatomischer Anzeiger. 2012;194(2):216-9.
de Souza Barbosa T, Miyakoda LS, de Liz Pocztaruk R, et al. Temporomandibular disorders and bruxism in childhood and adolescence: review of the literature. International Journal of Pediatric Otorhinolaryngology. 2008;72(3):299-314.
Vlăduțu D, Popescu SM, Mercuț R, et al. Associations between bruxism, stress, and manifestations of temporomandibular disorder in young students. International Journal of Environmental Research and Public Health. 2022;19(9):5415.
Dharmadhikari S, Romito LM, Dzemidzic M, et al. GABA and glutamate levels in occlusal splint-wearing males with possible bruxism. Archives of Oral Biology. 2015;60(7):1021-9.
da Costa Lopes AJ, Cunha TCA, Monteiro MCM, et al. Is there an association between sleep bruxism and obstructive sleep apnea syndrome? A systematic review. Sleep and Breathing. 2020;24:913-21.
Yap AU, Tan MWY, Tan SHX, et al. Sleep bruxism events: an epiphenomenon of severe obstructive sleep apnea? Clinical Oral Investigations. 2023;27(8):4633-42.
Saito M, Yamaguchi T, Mikami S, et al. Weak association between sleep bruxism and obstructive sleep apnea. A sleep laboratory study. Sleep and Breathing. 2016;20:703-9.
Michalek-Zrabkowska M, Wieckiewicz M, Macek P, et al. The relationship between simple snoring and sleep bruxism: a polysomnographic study. International Journal of Environmental Research and Public Health. 2020;17(23):8960.
Brooker EJ, Landry SA, Thomson LD, et al. Obstructive sleep apnea is a distinct physiological endotype in individuals with comorbid insomnia and sleep apnea. Annals of the American Thoracic Society. 2023;20(10):1508-15.
Commisso MS, Martínez-Reina J, Mayo J. A study of the temporomandibular joint during bruxism. International Journal of Oral Science. 2014;6(2):116-23.
Velayati A, Yu WH, Sidransky E. The role of glucocerebrosidase mutations in Parkinson disease and Lewy body disorders. Current Neurology and Neuroscience Reports. 2010;10:190-8.
Perju-Dumbrava L, Kempster P. Movement disorders in psychiatric patients. BMJ Neurology Open. 2020;2(2):e000057.
Rosenblatt A, Leroi I. Neuropsychiatry of Huntington’s disease and other basal ganglia disorders. Psychosomatics. 2000;41(1):24-30.
aeckle RS, Nasrallah HA. Major depression and carbon monoxide-induced parkinsonism: Diagnosis, computerized axial tomography, and response to L-dopa. The Journal of Nervous and Mental Disease. 1985;173(8):503-8.
Falisi G, Rastelli C, Panti F, et al. Psychotropic drugs and bruxism. Expert Opinion on Drug Safety. 2014;13(10):1319-26.
van Selms MK, Visscher CM, Naeije M, et al. Bruxism and associated factors among D utch adolescents. Community Dentistry and Oral Epidemiology. 2013;41(4):353-63.
Sousa HCS, Lima, Dantas Neta NB, Tobias RQ, et aş. Prevalence and associated factors to sleep bruxism in adolescents from Teresina, Piauí. Revista Brasileira de Epidemiologia. 2018;21:e180002.
Serra‐Negra JM, Ramos‐Jorge ML, Flores‐Mendoza CE, Paiva SM, Pordeus IA. Influence of psychosocial factors on the development of sleep bruxism among children. International Journal of Paediatric Dentistry. 2009;19(5):309-17.
Holmgren K, Sheikholeslam A, Riise C. Effect of a full-arch maxillary occlusal splint on parafunctional activity during sleep in patients with nocturnal bruxism and signs and symptoms of craniomandibular disorders. The Journal of Prosthetic Dentistry. 1993;69(3):293-7.
Winocur E, Hermesh H, Littner D, et al. Signs of bruxism and temporomandibular disorders among psychiatric patients. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2007;103(1):60-3.
Hamada T, Kotani H, Kawazoe Y, et al. Effect of occlusal splints on the EMG activity of masseter and temporal muscles in bruxism with clinical symptoms. Journal of Oral Rehabilitation. 1982;9(2):119-23.
Alvarez‐Arenal A, Junquera L, Fernandez J, et al. Effect of occlusal splint and transcutaneous electric nerve stimulation on the signs and symptoms of temporomandibular disorders in patients with bruxism. Journal of Oral Rehabilitation. 2002;29(9):858-63.
Yoshida Y, Suganuma T, Takaba M, et al. Association between patterns of jaw motor activity during sleep and clinical signs and symptoms of sleep bruxism. Journal of Sleep Research. 2017;26(4):415-21.
Castrillon EE, Exposto FG. Sleep bruxism and pain. Dental Clinics. 2018;62(4):657-63.
Shetty S, Pitti V, Satish Babu C, et al. Bruxism: a literature review. The Journal of Indian Prosthodontic Society. 2010;10:141-8.
Beddis H, Pemberton M, Davies S. Sleep bruxism: an overview for clinicians. British Dental Journal. 2018;225(6):497-501.
Lavigne G, Khoury S, Abe S, et al. Bruxism physiology and pathology: an overview for clinicians. Journal of Oral Rehabilitation. 2008;35(7):476-94.
Vlăduțu DE, Ionescu M, Noveri L, et al. Aspects of dental occlusion assessed with the T-Scan system among a group of Romanian dental students in a cross-sectional study. International Journal of Environmental Research and Public Health. 2023;20(6):4877.
Manfredini D, Poggio CE. Prosthodontic planning in patients with temporomandibular disorders and/or bruxism: A systematic review. The Journal of Prosthetic Dentistry. 2017;117(5):606-13.
Lei Q, Lin D, Liu Y, et al. Neuromuscular and occlusion analysis to evaluate the efficacy of three splints on patients with bruxism. BMC Oral Health. 2023;23(1):325.
Johansson A, Omar R, Carlsson GE. Bruxism and prosthetic treatment: a critical review. Journal of Prosthodontic Research. 2011;55(3):127-36.
Dylina TJ. A common-sense approach to splint therapy. The Journal of Prosthetic Dentistry. 2001;86(5):539-45.
Manfredini D, Winocur E, Guarda-Nardini L, et al. Epidemiology of bruxism in adults: a systematic review of the literature. Journal of Orofacial Pain. 2013;27(2):99-110.
Okeson JP, Ckeson JP. Management of temporomandibular disorders and occlusion: Elsevier/Mosby St. Louis, MO; 2013.
Manfredini D, Bucci MB, Sabattini VB, et al. Bruxism: overview of current knowledge and suggestions for dental implants planning. CRANIO®. 2011;29(4):304-12.
Manfredini D, Lobbezoo F. Sleep bruxism and temporomandibular disorders: A scoping review of the literature. Journal of Dentistry. 2021;111:103711.
Okeson JP. The effects of hard and soft occlusal splints on nocturnal bruxism. The Journal of the American Dental Association. 1987;114(6):788-91.
Nascimento LLd, Amorim CF, Giannasi LC, et al. Occlusal splint for sleep bruxism: an electromyographic associated to Helkimo Index evaluation. Sleep and Breathing. 2008;12:275-80.
Manns A, Miralles R, Santander H, et al. Influence of the vertical dimension in the treatment of myofascial pain-dysfunction syndrome. The Journal of Prosthetic Dentistry. 1983;50(5):700-9.
Ainoosah S, Farghal AE, Alzemei MS, et al. Comparative analysis of different types of occlusal splints for the management of sleep bruxism: a systematic review. BMC Oral Health. 2024;24(1):29.
Albagieh H, Alomran I, Binakresh A, et al. Occlusal splints-types and effectiveness in temporomandibular disorder management. The Saudi Dental Journal. 2023;35(1):70-9.
Yurttutan ME, Sancak KT, Tüzüner AM. Which treatment is effective for bruxism: occlusal splints or botulinum toxin? Journal of Oral and Maxillofacial Surgery. 2019;77(12):2431-8.
Chrcanovic BR, Kisch J, Larsson C. Retrospective evaluation of implant‐supported full‐arch fixed dental prostheses after a mean follow‐up of 10 years. Clinical Oral Implants Research. 2020;31(7):634-45.
Chochlidakis K, Einarsdottir E, Tsigarida A, et al. Survival rates and prosthetic complications of implant fixed complete dental prostheses: an up to 5-year retrospective study. The Journal of Prosthetic Dentistry. 2020;124(5):539-46.
Pidcock FS, Wise JM, Christensen JR. Treatment of severe post-traumatic bruxism with botulinum toxin-A: case report. Journal of Oral and Maxillofacial Surgery. 2002;60(1):115-7.
Takeuchi H, Ikeda T, Clark GT. A piezoelectric film-based intrasplint detection method for bruxism. The Journal of Prosthetic Dentistry. 2001;86(2):195-202.
Chrcanovic BR, Kisch J, Albrektsson T, et al. Bruxism and dental implant treatment complications: a retrospective comparative study of 98 bruxer patients and a matched group. Clinical Oral Implants Research. 2017;28(7):e1-e9.
Zhou Y, Gao J, Luo L, et al. Does bruxism contribute to dental implant failure? A systematic review and meta‐analysis. Clinical Implant Dentistry and Related Research. 2016;18(2):410-20.
Mungia R, Lobbezoo F, Funkhouser E, et al. Dental practitioner approaches to bruxism: Preliminary findings from the national dental practice-based research network. CRANIO®. 2023:1-9.
Schneider C, Goertz A, Franz M, et al. Maladaptive coping strategies in patients with bruxism compared to non-bruxing controls. International Journal of Behavioral Medicine. 2007;14:257-61.
Carra MC, Huynh N, Fleury B, et al. Overview on sleep bruxism for sleep medicine clinicians. Sleep Medicine Clinics. 2015;10(3):375-84.
Restrepo C, Alvarez E, Jaramillo C, et al. Effects of psychological techniques on bruxism in children with primary teeth. Journal of Oral Rehabilitation. 2001;28(4):354-60.
De Laat A, Meuleman H, Stevens A, et al. Correlation between cervical spine and temporomandibular disorders. Clinical Oral Investigations. 1998;2:54-7.
Asutay F, Atalay Y, Asutay H, et al. The evaluation of the clinical effects of botulinum toxin on nocturnal bruxism. Pain Research and Management. 2017;2017(1):6264146.
Ivanhoe CB, Lai JM, Francisco GE. Bruxism after brain injury: successful treatment with botulinum toxin-A. Archives of Physical Medicine and Rehabilitation. 1997;78(11):1272-3.
Ågren M, Sahin C, Pettersson M. The effect of botulinum toxin injections on bruxism: A systematic review. Journal of Oral Rehabilitation. 2020;47(3):395-402.
Sendra LA, Montez C, Vianna KC, et al. Clinical outcomes of botulinum toxin type A injections in the management of primary bruxism in adults: A systematic review. The Journal of Prosthetic Dentistry. 2021;126(1):33-40.
Stapelmann H, Türp JC. The NTI-tss device for the therapy of bruxism, temporomandibular disorders, and headache–Where do we stand? A qualitative systematic review of the literature. BMC Oral Health. 2008;8:1-23.
