Pages 20-25

Öz

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Anahtar Kelimeler

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Bruksizm Tanı ve Tedavisinde Güncel Yaklaşımlar

Öz

Bruksizm uykuda ve uyanıkken meydana gelen diş sıkma ve/veya gıcırdatması olarak tanımlanan yaygın parafonksiyonel bir alışkanlıktır. Toplumda görülme sıklığı ortalama % 20 olarak belirtilmektedir. Etiyolojisi tam olarak bilinmemekle birlikte multifaktöriyel olduğu konusunda görüş birliği vardır. Diş gıcırdatma periyodları kısa aralıklarda olmasına rağmen çiğneme sisteminde ciddi problemlere neden olabilmektedir. Bruksizm sonucu temporomandibular rahatsızlıklar, baş ağrısı, dişlerde aşınma, hassasiyet ve mobilite gibi problemler görülebilmektedir. Yıllar içinde bruksizmi durdurmak için protetik tedavilerde dahil olmak üzere bir çok tedavi yöntemi denenmiştir ancak özel bir tedavi yöntemi yoktur. Bruksizim için çeşitli tedavi yöntemleri denenmekle birlikte yaygın olarak oklüzal plaklar kullanılmaktadır. Bu metinde bruksizmin etiyolojisi, sistemik ve lokal etkileri ve tedavisi hakkında bilgi verilmiştir

Anahtar Kelimeler

• Bruksizm, Oklüzal Splint, Botilinum

Kaynakça

1. 1. De Leeuw R. Orofacial Pain; Guidelines for Assessment, Diagnosis and Management. American Academy of Orofacial Pain; Quintessence Publishing Co. Inc. 4th ed. Illinois (IL), 2008;45-58.
2. 2. Cortese SG, Biondi AM. Relationship between dysfunctions and parafunctional oral habits, and temporomandibular disorders in children and teenagers. Arch Argent Pediatr 2009;107:134-8.
3. 3. Okeson JP. Management of Temporomandibular Disorders and Occlusion. 5th edition. USA: Mosby., 2006; 25-72
4. 4. Lavigne GJ, Montplaisir JY. Restless legs syndrome and sleep bruxism: prevalence and association among Canadians. Sleep. 1994;17: 739-743.
5. 5. Lobbezoo F, Naeije M. Bruxism is mainly regulated centrally, not peripherally. J Oral Rehabil. 2001;28: 1085-91.
6. 6. Kato, T, Thie Norman, M.R. Montplaisir, J.Y. Lavigne, G.J. Bruxism and Orofacial Movements During Sleep, Dent Clin North Am. 2001;45: 657-684.
7. 7. Lobbezoo, F., Soucy, J.P., Hartman, N.G., G.J. Effects of D2 receptor agonist bromocriptine on sleep bruxism: report of two single-patient clinical trials. J Dent Res. 1997; 76: 1610-1614.
8. 8. Bostwick, J.M. Jaffee, M.S. Buspirone as an antidote to SSRIinduced bruxism in 4 cases, J Clin Psychiatry. 1999;60: 857-860.

9. 9. Winocur, E., Gavish, A., Voikovitch, M., Emido-Perlman, A., Eli, I. Drug and Bruxism: A critical review, J Orofac Pain. 2003; 17: 99- 111.
10. 10. Milosevic, A., Agrawal, N., Redfearn, P.J., Mair, L.H. The occurence of toothwear in users of exctasy, Community Dent Oral Epidemiol. 1999;27: 283-287
11. 11. Madrid, G., Madrid, S., Vranesh, J.G. Hicks, R.A. Cigarette smoking and bruxism, Percept Mot Skills. 1998; 87: 898-901
12. 12. Ohayon, M.M., Li, K.K., Guilleminauit, C. Risks factors for sleep bruxism in the general population, Chest. 2001; 119: 53-61.
13. 13. Olkinuora M. A psycomatic study of bruxism with emphasis on mental strain and familiar predisposition factors . Proc Finn Dent Soc. 1972;68(3):110-23
14. 14. Pierce CJ, Chrisman K, Bennett ME, Close JM. Stress, anticipatory stress, and psychologic measures related to sleep bruxism. J Orofac Pain. 1995; 9: 51-56.
15. 15. Mohl ND, Zarb GA, Carlsson GE, Rugh JD. A Textbook of Occlusion. Quintessence publishing. Chicago., 1988:57-63.
16. 16.Cosme Dj, Baldisserotto Sm, Canabarro Sa, Shinkai Rs. Bruxism and Voluntary Maximal Bite Force in Young Dentate Adults. Int J Prosthodont. 2005;18: 328–332.
17. 17. Gavish A, Halachmi M, Winocur E, Gazit E. Oral habits and their association with signs and symptoms of temporomandibular disorders in adolescent girls Journal of Oral Rehabilitation. 2000;27: 22–32.
18. 18. Lin CL, Wang JC, Chang WJ. Biomechanical interactions in toothimplant- supported fixed partial dentures with variations in the number of splinted teeth and connector type: a finite element analysis. Clin Oral Implants Res. 2008;19: 107-17.
19. 19. Al-Saad M, Akeel MR. EMG and pain severity evaluation in patients with TMD using two different occlusal devices. Int J Prosthodont. 2001;14(1):15-21.
20. 20.Bourbon B. Craniomandibular Examination and Treatment. In: Myers RS, ed. Saunders Manuel of Physical Therapy Practice. Philadelphia: W.B. Saunders Co., 1995: 669-715
21. 21. Karan A, Aksoy C. Temporomandibular Eklem Rehabilitasyonu. In: Oğuz H, Dursun E, Dursun N, ed.Tıbbi Rehabilitasyon. İstanbul: Nobel Kitabevi., 2004: 1061-1079
22. 22. Yengin E. Temporo-mandibular rahatsızlıklarda teşhis ve tedavi. İstanbul: Dilek Matbaacılık, 2000:14-22
23. 23. Magnusson, T., Adiels, A.M., Nilsson, H.L, Helkimo, M. Treatment effect on signs and symtoms of temporomandibular disorderscomparison between stabilization splint and a new type of splint (NTI). A pilot study, Swed Dent J., 2004:28: 11-20.
24. 24. Zarcone, V.P. Sleep hygiene, “Principles and practice in sleep medicine”, 3. baskı, Philadelphia, W.B. Saunders., 2000:657-661.
25. 25. Anders Johansson, Ridwaan Omar, Gunnar E. Carlsson. Bruxism and prosthetic treatment: A critical review Journal of Prosthodontic Research., 2011; 55: 127–136.
26. 26. Alexander Saletu, Silvia Parapatics, Bernd Saletu, Peter Anderer, Wolfgang Prause, Hanna Putz Josef Adelbauer, Gerda Maria. SaletuZyhlarz On the Pharmacotherapy of Sleep Bruxism: Placebo-Controlled Polysomnographic and Psychometric Studies with Clonazepam Neuropsychobiology. 2005; 51: 214–225.
27. 27. Schweitzer, P.K. Drugs that disturb sleep and wakefulnes,“Principles and Practice of Sleep Medicine” 3. baskı, Philadelphia, 2000:441-461.
28. 28. Arıncı A, Güven E, Yazar M, Başaran K, Keklik B. Effect of injection of botulinum toxin on lateral pterygoid muscle used together with the arthroscopy in patients with anterior disk displacement of the temporomandibular joint. Kulak Burun Boğaz Ihtis Derg. 2009;19(3): 122-9.
29. 29.Brueggemann N, Doegnitz L, Harms L, Moser A, Hagenah JM. Skin reactions after intramuscular injection of Botulinum toxin A: a rare side effect. J Neurol Neurosurg Psychiatry. 2008; 79(2):231-2.
30. 30. Lee SJ, McCall WD Jr, Kim YK, Chung SC, Chung JW. Effect of Botulinum Toxin Injection on Nocturnal Bruxism: A Randomized Controlled Trial. Am J Phys Med Rehabil.2009;89(1):16-23