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    Bruxism in Children Pedo

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    FourthMolar.com
    Bruxism is the habitual grinding of teeth and can occur during the day or at night. It has an incidence rate in children of 7% to 88% and can be caused by factors like occlusal disturbances, stress, gum chewing, and muscular or genetic disorders. Symptoms include tooth wear, sensitivity, jaw pain, and headaches. Diagnosis is usually based on a provocation test during examination. Treatment involves identifying and addressing the underlying cause, as well as therapies like occlusal splints, muscle relaxants, counseling, and correcting malocclusions.

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    Bruxism in Children Pedo

    Uploaded by

    FourthMolar.com
    628 views19 pages
    Bruxism is the habitual grinding of teeth and can occur during the day or at night. It has an incidence rate in children of 7% to 88% and can be caused by factors like occlusal disturbances, stress, gum chewing, and muscular or genetic disorders. Symptoms include tooth wear, sensitivity, jaw pain, and headaches. Diagnosis is usually based on a provocation test during examination. Treatment involves identifying and addressing the underlying cause, as well as therapies like occlusal splints, muscle relaxants, counseling, and correcting malocclusions.

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    Bruxism_in_children__pedo_

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    Bruxism is the habitual grinding of teeth and can occur during the day or at night. It has an incidence rate in children of 7% to 88% and can be caused by factors like occlusal disturbances, stress, gum chewing, and muscular or genetic disorders. Symptoms include tooth wear, sensitivity, jaw pain, and headaches. Diagnosis is usually based on a provocation test during examination. Treatment involves identifying and addressing the underlying cause, as well as therapies like occlusal splints, muscle relaxants, counseling, and correcting malocclusions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    628 views19 pages

    Bruxism in Children Pedo

    Uploaded by

    FourthMolar.com
    Bruxism is the habitual grinding of teeth and can occur during the day or at night. It has an incidence rate in children of 7% to 88% and can be caused by factors like occlusal disturbances, stress, gum chewing, and muscular or genetic disorders. Symptoms include tooth wear, sensitivity, jaw pain, and headaches. Diagnosis is usually based on a provocation test during examination. Treatment involves identifying and addressing the underlying cause, as well as therapies like occlusal splints, muscle relaxants, counseling, and correcting malocclusions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 19

    Bruxism

    Bruxism in
    in children
    children
    Historical background:

    • The word bruxism is taken from the


    greek word-Brychein: gnashing of
    teeth
    • Definition:
    -- Bruxism is the habitual grinding of teeth
    when the individual is not chewing or swallowing
    (Ramfjord 1966)

    -- Bruxism is the term used to indicate non-


    functional contact of teeth which may include
    clenching, gnashing, grinding & tapping of teeth
    (Rubina 1986)

    -- Non functional movement of mandible with or


    without an audible sound occuring during day &
    night (Vanderas 1995)
    Types:
    • Day time bruxism/ diurnal bruxism
    • Night time bruxism / nocturnal
    bruxism

    Incidence:
    Bruxism in children --- 7% to 88%
    Etiology
    1) Local:

    -- mild occlusal disturbances


    -- high restoration
    -- any irritating dental condition

    2) Systemic:

    -- gastrointestinal disturbances
    -- subclinical nutritional deficiency
    -- allergic condition
    -- endocrine disturbances
    3) Psychological:
    -- any personality disorders
    -- increased stress

    4) Occupational :
    -- over enthusiastic student or
    compulsive overachievers
    -- children chewing –gums, or
    objects such as tooth picks or
    pencils

    5) Musculosketal disorders

    6) Mentally retarded children

    7) Genetic
    Signs & symptoms of
    bruxism depends on:

    • Frequency of bruxing

    • Intensity with which pt is bruxing

    • Age of pt which may be associated with the


    duration of the habit
    Clinical features:
    1) Teeth:

    -- tooth mobility
    -- non functional pattern of occlusal wear
    -- increased sensitivity
    -- atypical facets
    -- dull percussion sounds
    -- fracture of crown/ restorations
    -- more prone to caries
    -- sharp edges irritate to lips, cheek & tongue
    2) Facial muscles:
    -- muscular facial pain
    -- muscle tiredness or tightness & fatigue on rising in morning
    -- tenderness of jaw muscles to palpation
    -- compensatory hypertrophy of muscles
    -- muscular incoordination
    -- locking of jaws
    -- difficulty in opening mouth for long time

    3) TMJ:
    -- pain
    -- osteoarthritis
    -- crepitus/clicking
    -- restricted jaw movements
    -- jaw deviations

    4) Malocclusion can occur

    5) Headache – pain in muscle is the underlying cause


    Diagnosis

    • Most direct method of examination is


    Provocation test
    Management
    • Eliminating the underlying cause

    • Psychotherapy includes –
    - counselling
    - hypnosis
    - relaxation exercises

    • Drugs – vapocoolants(ethyl chloride), LA


    injections, tranquilizers &
    sedatives & muscle relaxants

    • restoration of lost vertical dimensions by cast crowns &


    stainless steel crowns
    • Occlusal adjustments: by using bite planes/occlusal splints /bite guards

    • Pre – orthodontic trainer

    • Shore plates & anterior bite plate

    • Electro galvanism stimulation for muscle relaxation

    • ultrasound- provides analgesic effect

    • TENS –transcutaneous electrical nerve stimulation

    • Acupressure – for relaxation

    • Other methods- oral exercises


    - desensitizing agents
    - counselling on nutrition
    - supplement deficiences
    - hot packs /massage
    Pre- orthodontic trainers
    Occlusal splints
    References:
    • Management of temperomandibular disorders- by
    Gunnar E. carlsson

    • Burket- Textbook of oral medicine

    • Gurkreet singh- Textbook of orthodontics

    • Shobha Tandon – textbook of pedodontics

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