Stomatologija - Bruksizam (Skrgutanje zubima)

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Bruksizam (Skrgutanje zubima)

Sta je to?

BRUKSIZAM je skrgutanje ili stiskanje zuba , cesto nesvesno. Neki ljudi skrgucu zubima samo tokom spavanja , ova pojava se naziva nocni briksizam. Drugi skrgucu zubima u toku dana. Vrlo cesto u toku situacija koje ih cine napetim ili nervoznim ljudi koji boluju od ozbiljnog oblika bruksizma mogu ostetiti zubne ispune ili prouzrokovati drugi vid zubnog ostecenja. Ozbiljan oblik bruksizma se smatra odgovornim za neke slucajeve temporomandibularne disfunkcije , misterioznih jutarnjih glavobolja i neobjasnjivih facijalnih bolova.

bruxizam,skripanje zubima,skrgutanje Bruksizam moze imati nekoliko psiholoskih i fizickih uzroka. U mnogim slucajevima dovodi se u vezu sa stresom. Takodje moze biti reakcija na teskobu ili nepravilan zagrizaj. Ponekad se bruksizam moze pojaviti kao komplikacija ozbiljnog ostecenja mozga ili kao simptom izvesnog retkog neuro-misicnog oboljenja. Bruksizam moze biti neuobicajna propratna pojava nekih lekova tipa antidepresiva.

Simptomi bruksizma :

Ritmicne kontrakcije vilicnih misica
Skrgutanje nocu sto moze ometati san onoga ko deli sobu sa onim ko skrguce
Dosadna jutarnja glavobolja
Napeti i bolni vilicni misici , pogotovu ujutru
Hronicni facijalni bol
Osteceni zubi , ispuni , povredjene desni

Dijagnoza

Vas stomatolog ce Vas pitati o Vasim trenutnim problemima, o Vasem dentalnom zdravlju i o lekovima koje koristite. Stomatologa ce interesovati da li redovno pijete alkoholna pica ili kofein , zato sto se cini da obe ove hemikalije povecavaju sklonost ka bruksizmu. Ako delite sa nekim spavacu sobu , stomatologa ce interesovati da pita tu osobu o vasim navikama tokom spavanja , posebno o neuobicajnim skrgutavim zvucima tokom noci. Vas stomatolog ce Vas pregledati , posebno posvecujuci paznju vasim ustima i vilici. Tokom ovog pregleda Vas stomatolog ce proveriti osetljivost vilicnih misica kao i bilo koju ociglednu dentalnu nepravilnost , kao npr. slomljen zub , zub koji nedostaje ili teskobu.

Ako stomatolog posumnja da imate bruksizam koji je u vezi sa dentalnim problemima on moze izvesti detaljnu procenu dentalnog stanja.Pored proveravanja vaseg zagrizaja , stomatolog ce pregledati Vase zube i desni da utvrdi stetu nacinjenu bruksizmom , takodje ce napraviti i par rendgenskih snimaka.

Ako Vase dete skrguce zubima ili stiska vilicu , porazgovarajte o ovom problemu sa vasim porodicnim stomatologom , iako mnoga deca na kraju prerastu bruksizam , cak i kratkotrajno skrgutanje zubima moze naneti stetu stalnim zubima Vaseg deteta.

Trajanje bruksizma

Od sve dece koja skrgucu zubima izmedju 3 – 10 godine , vise od pola ce spontano prestati do 13 godine.

Kod tinejdzera i odraslih , trajanje bruksizma zavisi od njegovog uzroka npr. Bruksizam moze trajati mnogo godina ako je prouzrokovan stresnom zivotnom situacijom koja nije resiva. Ako je bruksizam prouzrokovan dentalnim problemima prestace kada se zubi saniraju i isprave.

Prevencija

Zastitne folije

Ako je Vas bruksizam posledica stresa , trebalo bi da potrazite profesionalnu pomoc , koristite metode koje ce vam pomoci da naucite kako da se opustite. Takodje , smanjite unos stimulansa kao sto su : cigarete I kofein.

I kod dece i kod odraslih ostecenje zuba prouzrokovano bruksizmom moze biti spreceno nosenjem zastitnih folija koje se nose nocu i sprecavaju skrgutanje zubima.

Terapija

Terapija bruksizma zavisi od njegovog uzroka :

Stres — Ukoliko je bruksizam stresom izazvan , Vas stomatolog ili Vas doctor vam moze preporuciti profesionalno savetovaliste , psihoterapiju ili druge nacine koji bi vam pomogli da se opustite. Takodje Vam mogu prepisati lekove za opustanje misica , da bi Vam privremeno olaksali spazam stisnute I premorene vilice.
Dentalni problemi – Ako je Vas bruksizam posledica problema sa zubima , Vas stomatolog ce ga najverovatnije leciti konzervativnom terapijom. Kod ozbiljnih slucajeva stomatolog treba da koristi krunice ili inleje da bi u potpunosti rekonstruisao izgrizene povrsine zuba.
Povreda mozga ili neuro - muskularno oboljenje – Vas bruksizam moze biti vrlo tezak za lecenje , ako imate ove medicinske probleme. Vas oralni hirurg vam moze dati injekcije botulinum toksina ako osnovna terapija zakaze(danas je ovaj vid terapije zastupljen u razvijenijim zemljama).
Lekovi — ako je Vas bruksizam posledica uzimanja antidepresiva doctor Vam moze prepisati novi lek ili dati lek koji ce spreciti posledice tog prvog leka.

Kada potaziti profesionalnu pomoc

Pozovite Vaseg stomatologa ili doktora ako uocite simptome bruksizma ili ako Vam je receno da skrgucete zubima.

Takodje zakazite kod stomatologa ako ste slomili zub, ako Vam je ispala plomba ili primetite da su vam zubi izrazito rasklaceni.

Prognoza

Cak i bez specijalne terapije vise od pola dece koja pate od bruksizma prestaju sa skrgutanjem do 13 godine. Dok vase dete samo od sebe ne prestane sa skrgutanjem , vas stomatolog moze dati vasem detetu zastitnu foliju da bi sprecio moguca ostecenja zuba. Zastitna folija je efikasna kod vecine dece , koja je koriste kako je propisano. Kod tinejdzera i odraslih izgledi za ozdravljenje su odlicni ako se bruksizam leci pravilno. Cak i ako sve ostale terapije ne uspeju injekcije botulinum toksina mogu da privremeno zaustave bruksizam pacijenata.

Komentari (2) Add Comment

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moja cimerica
napisao marija matošić, May 08, 2008

Moja cimerica ima 19 god. i pokazuje simptome bruksizma.Mogu samo reći da iskreno suosjećam s osobama koje spavaju u okružju osoba koje boluju od bruksizma...hvala

njena cimerica
napisao marina krznarić, May 08, 2008

ja sam svjesna koliko je mojoj cimerici NAPORNO i TEŠKO spavati u istoj sobi sa mnom...ovim putem joj se javno ispričavam... cimerice,oprosti!