On frequency and clinical syptomatology of bruxism in our caustics

Abstract

U razdoblju od pet godina ispitivana je incidencija bruksizma u redovnoj kazuistici dviju specijalističkih stomatoloških ambulanti Poliklinike za zaštitu zubi i usta u Osijeku. Tom prilikom promatrane su u bolesnika kod kojih je ustanovljen bruksizam, osobitosti u kliničkoj slici, prevalencija simptoma u pojedinih dobnih skupina, te nazočnost emotivne tenzije. U radu se isključivo služilo kliničkim pregledom i detaljnom anamnezom, dopunjenim rendgenološkim pregledom radi diferencijalne dijagnoze. U pregledanoj grupi od 9741 bolesnika oba spola, evidentirano je 32,82% oboljelih od bruksizma. Kao najugroženije, pokazale su se dobne skupine od 26—40 godina starosti, na koje otpada 43,29% bolesnika od ukupnog broja oboljelih. Iznenađuje činjenica da je bruksizam nađen u 29 djece do 15-te godine starosti. U dječjoj dobi bruksizam karakteriziraju ugriz u jezik i obraz, te glavobolja i glasno noćno škripanje zubima. U srednjoj i starijoj životnoj dobi od simptoma dominiraju abrazija zuba, temporomandibulami sindrom, te luksacija zuba. Simptomi, kao što su žarenje i utrnulost vrha jezika, te zrnaste vestibularne eksostoze u projekciji apeksa zuba, nađeni u bolesnika s bruksizmom — nisu dosada dovođeni u vezu sa noćnom parafunkcionalnom aktivnošću mišića. 76,07% oboljelih od bruksizma svjesno je svoje emotivne tenzije, što govori o značajnoj međusobnoj vezi između početka bolesti i psihičkog stresa. Brojne posljedice bruksizma, kao što su gubitak zuba, umanjena snaga žvakanja, oštećenje TM zgloba i druge, nameću potrebu rane dijagnoze i pravovremene terapije.During the period of five years the incidence of bruxism in every-day casuistics has been examined in two specialist stomatological departments of »Poliklinika za zaštitu zubi i usta«, Osijek. The patients who were found to have bruxism were registered and the characteristics in clinical picture, the prevailance of symptoms in some age groups and the presence of emotional tension have been looked over. The means used in this research were the clinical checkup and the detailed anamnesis supplemented by the rentgenological examination because of the differential diagnosis. In the examined group of 9741 patients of both sexes 32.82% of people suffering from bruxism were registered. People from 26 to 40 years of age, representing 42.29% of the total number of patients with bruxism, appear to be most struck by this disease. Outstanding was the fact that 29 children up to 15 years of age were found to have bruxism. In childhood bruxism is characterised by the bite in the tongue and cheek followed by headache and loud gnashing of teeth during the night. In the middle and old age the prevailing symptoms of bruxism appeared to be the abrasion of teeth, temporomandibular symptom and the luxation of teeth. Symptoms as stinging and numbing of the tip of the tongue, as well as the granular vestibular exostoses in the projection of the apex of teeth have not, until now, been drawn into connection with the parafunctional activity of muscles during the night. 76.07% patients with bruxism were consciuos of their emotional tension and this fact showed the significant relationship between the begin of disease and the psychological stress. The numerous consequences of bruxism as loss of teeth, reduced power of chewing, damages in the temporomandibular joint and others lead to the neccessity of the early diagnosis and therapy