TY - JOUR T1 - Bruksizm teşhis ve tedavisi üzerine güncel yaklaşımlar: Derleme TT - Current approaches to diagnosis and treatment of bruxism: A review AU - Erdoğ Özgür, Merve AU - Arifağaoğlu, Özge AU - Karabekmez, Didem PY - 2019 DA - June DO - 10.18663/tjcl.521237 JF - Turkish Journal of Clinics and Laboratory JO - TJCL PB - DNT Ortadoğu Yayıncılık A.Ş. WT - DergiPark SN - 2149-8296 SP - 251 EP - 258 VL - 10 IS - 2 LA - tr AB - Bruksizm; genel kabul gören haliyle dişlerin okluzal yüzeyleriarasında non-fonksiyonel ve sürekli, kuvvetli temas olarak tanımlanır; çiğneme sisteminin non-fonksiyonelhareketleri esnasındaki istemsiz, aşırı gıcırdatma (grinding), dişlerinsıkılması (clenching), veya sürtünmesidir (rubbing). Hayatı tehdit edici bir rahatsızlık olmamasına karşın, insan yaşamının kalitesini dental problemler veorofasiyal bölgedekiağrı ile etkileyebilir. Günümüzdebruksizmin altında yatan nörokimyasal mekanizmalar tam olarakanlaşılamamıştır. Bununla birlikte, stres ve kişilik özellikleri gibi psikososyal faktörlerin de bruksizm etiyolojisinde önemli olduğu bildirilmiştir. Dişgıcırdatma periyodları kısa aralıklarda olmasına rağmen çiğnemesisteminde ciddi problemlere neden olabilmektedir. Bruksizm sonucutemporomandibular rahatsızlıklar, baş ağrısı, dişlerde aşınma, hassasiyet vemobilite gibi problemler görülebilmektedir.Yıllar içindebruksizmi durdurmak içinprotetik tedavilerde dahil olmak üzere birçok tedavi yöntemi denenmiştir ancak bruksizmi daimiolarak elimine eden bir tedavi yöntemi henüz bulunmamaktadır. Her ne kadaroklüzal ısırmaplakları ile bruksizmin zararlı etkileri önlense de etkinliğinin net olarak gösterildiği kanıta dayalı çalışmalarbulunmamaktadır ve oklüzal tedavi bitirildiğinde uzun dönemde bruksizmtekrarlayabilir. Bu derlemede bruksizmin oluş nedenleri ve güncel tedaviyaklaşımları literatürbilgileri ışığında tartışılmıştır. KW - Bruksizm KW - etyoloji KW - tedavi KW - teşhis KW - tedavi N2 - The most commontooth-to-tooth habits are clenching and grinding, i.e. bruxism.Bruxism is mainly associatedwith rhythmic masticator muscle activity characterized by repetitive jaw musclecontractions. Although it is not a life-threatening condition, it can affectthe quality of human life with dental problems and pain in the orofacialregion.The neurochemical mechanisms underlying sleep bruxism are littleunderstood at present. Besides, it has been stated that the psychosocialfactors like stress and personality is important in the aetiology of bruxism.Although intermittentclenching and grinding are extremely common,they usually poseno serious consequencesfor the oralstructures. Sequelae ofbruxism that havebeen proposed include tooth wear,signs and symptoms of temporomandibular disorders, headaches, toothache, mobileteeth. Currently, nospecifictreatment exists thatcan stop sleep bruxismeven though manymethods, including prosthetictreatment, have been tried over the years.Currently there isno known treatment methodfor permanently eliminating bruxism.Although occlusal appliancesguard against the harmful effects, they do not cure a patient ofbruxing. Inmost instances when long-term occlusal appliance therapy is terminated, thebruxism returns. In this review article, its etiologyand current treatmentmethods are discussed with the light of previous literature. CR - 1. Shetty S, Pitti V, Satish Babu CL, Surendra Kumar GP, Deepthi BC. Bruxism: a literature review. J Indian Prosthodont Soc 2011; 10: 141-48. CR - 2. Manfredini D, Winocur E, GuardaNardini L, Paesani D, Lobbezoo F. Epidemiology of bruxism in adults: a systematic review of the literature. J Orofac Pain 2013; 27: 99-110. CR - 3. Carlsson GE, Egermark I, Magnusson T. 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