CRB CLINIC DIGITAL DENTISTRY

Bruxism - Spasm of chewing muscles

License of the Ministry of Health of Ukraine AD No. 063321 dated 06.09.12
CRB CLINIC
DIGITAL DENTISTRY

Bruxism treatment

and increased teeth erasability
Phone consultations:
044 580 40 04
CRB clinic

What is bruxism?

Bruxism is a condition in which the chewing muscles contract involuntarily. At the same time, the jaws and teeth are tightly closed, many muscles of the face are tensed.
Most often, the jaws clench at night, during sleep, causing gnashing of teeth. Moreover, in most cases, a person does not know about bruxism until additional symptoms appear: tooth wear, jaw pain, etc.

Массетер

Bruxism symptoms

Sensation of clenching of jaws, tension of facial muscles
Enlargement of the lower part of the face by increasing the masticatory muscles
Grinding of teeth at night, during the day - the front teeth can hit each other
Chips, enamel cracks, wedge-shaped defects Erasure of teeth, decrease in bite height
Erasure of teeth, decrease in bite height
Pain in the jaw, in the ear
Progress of disease
Bruxism is not a harmless disease. If untreated, the prognosis is poor
1. Primary spasm of masticatory muscles
A variety of events can serve as a trigger for the disease: stress, mental tension, hypothermia, tooth extraction, and other dental interventions.
2. Erasing teeth
Spasm of the chewing muscles leads to too much closure of the jaws, especially at night. As the teeth move, they wear out faster.
3. Spasm intensifies due to worn teeth
One of the rules of the body - the mouth should always be closed. This is provided at the reflex level. And if, with a normal height of the teeth, a certain effort was necessary to close the mouth, then with a decrease in the height of the teeth, the effort should be greater. The masticatory muscle is even more reduced and shortened, more pulling the lower jaw to the upper.
The process goes in circles: the teeth wear out, the jaw pulls in more, the teeth wear out more, and so on.

4. Altered bite and dental problems
First of all, the height of the dentition and the height of the bite change. Secondly, the functionality of the teeth decreases: the incisors become less sharp, and the chewing teeth are less prominent. Chewing function is impaired. A person is forced to chew differently, often without even noticing it.
Supercontacts appear - an excessive load on certain parts of the teeth, which leads to deformation of the teeth, the appearance of wedge-shaped defects, chips, and loss of fillings.
Erasure itself leads to thinning of the enamel, exposure of dentin, and increased sensitivity of the teeth.
5. Progress of TMJ dysfunction

Following the change in chewing function, the temporomandibular joints begin to suffer. Changing the load on the jaw joints leads to a change in their work. There may be a creak, crunch, pain in the joint. There may be a restriction when opening the mouth, staggering or asymmetry when opening the mouth.
An external sign of dysfunction is the asymmetry of the face, which occurs due to the asymmetrical tone of the muscles of the face (drooping corner of the mouth, eyes, wrinkles are more pronounced on one side).

Often the opposite happens: first, TMJ dysfunction (TMD) occurs, which causes spasm of the masticatory muscles and the onset of bruxism.

6. Changing the appearance
Due to spasm, the masticatory muscles greatly increase in volume, giving the face a more square shape. The lower part of the face becomes more massive.
Spasms of the muscles of the face lead to the appearance of wrinkles / creases. Reducing the height of the bite - to stretching the chin.
7. Cyclical aggravation of all problems
Everything in the body is connected. One problem causes another. With each new round, the situation is getting worse and worse. Often a person does not associate problems with bruxism and cannot understand why the teeth deteriorate, the headache, hurt neck, etc.

What are the causes of bruxism?

Specific spasm of masseters is conventionally divided into
4 categories:
1. Psychological stress

It can be stress due to problems at work, in personal life, anxiety, tension due to great responsibility (for managers, business owners), excessive mental stress during study, work.
2. Dental interventions

Even a minimal change in the height of the occlusion entails a reflex tightening of the lower jaw due to the compression of the masseters. The trigger may be tooth extraction, incorrect crown height, incorrect filling/restoration height, etc.

3. Apnea, snoring, nocturnal breathing disorder
Difficulty breathing during sleep can lead to reflex sleep with your mouth open. A long position of the jaw in the open state causes a spasm of the masticatory muscles.
4. External factors / instability of the cervical vertebrae
Muscles can spasm as a result of hypothermia, injury, shock. Diseases of the cervical spine
can lead to disruption of the jaw joint and muscle spasm.

The most dangerous symptom of bruxism is increased teeth erasability.

The chewing muscles (masseters) are the strongest muscles in the human body. The load that is placed on the teeth during spasm of the masseter is several tens of times greater than the norm.
Стертость зубов
The first sign of erasure is the absence of the sharp edge of the incisors and canines. The edges become flatter. You can also notice the absence of a pattern on chewing teeth. Gradually, the enamel on the chewing surface is completely erased, the dentin is exposed.

Worn parts of the tooth can be restored with onlays or crowns, depending on the degree of wear. In addition, it is necessary to restore the correct functioning of the jaw joints and the musculo-ligamentous apparatus. Unfortunately, this process is long and costly, so bruxism needs to be treated as soon as possible.

Changes in appearance with bruxism

Increase in masticatory muscles
With constant tension, the masticatory muscles (masseters) increase in volume. The face becomes more square, and the lower jaw becomes massive.

The appearance of wrinkles / creases
With spasm of the muscles of the face, creases and wrinkles are formed. Blood circulation and lymphatic drainage are disturbed, which additionally negatively affects the condition of the skin. A change in the shape of the face is accompanied by the appearance of sagging skin.
Protruding chin
Loss of bite height leads to the appearance of a prominent chin, as in older people. This changes the shape of the face and also contributes to the appearance of wrinkles.
CRB clinic

Bruxism treatment

Getting rid of unpleasant symptoms,
bite height restoration

Protective cap for teeth

Protecting teeth from abrasion in bruxism is the number one task. Therefore, first of all, we make a protective night guard for the patient. If the compression of the jaws is manifested during the day, it is necessary to wear a mouth guard during the day.

The cap is made individually, it completely repeats the pattern of the teeth, so it does not interfere and is not felt during sleep. The cap is transparent, therefore it is almost invisible on the teeth.
Usually, the cap has not only a protective, but also a healing effect.

To order a cap, you need to come to a consultation with an orthopedic dentist.

Защитная капа при бруксизме
Phone consultations:
044 580 40 04

Bruxism treatment

A complete treatment protocol includes the elimination of muscle spasm and the subsequent restoration of the height of the bite
Consultation of Orthopedic dentist
At the consultation, the doctor, according to the symptoms and condition of the masticatory muscles, will confirm or refute the presence of bruxism. One of the tasks is to determine the cause of the disease (stress, loss of teeth, trauma, etc.). Identifying the underlying cause is important to address it and prevent relapses.
At the consultation, the dentist will talk in detail about the current state of the problem and possible treatment options.

Complex diagnostics
Diagnosis includes additional studies.

Bruxism requires a 3D scan of the teeth. With its help, we obtain a digital impression of the teeth and make an individual protective cap.
In addition, a digital impression gives a lot of information about the current state of the teeth: the presence of wear, supercontacts, the state and height of the bite, etc.

Diagnosis of the TMJ and facial muscles allows you to determine which muscles are spasmodic, where there is an uneven tone. The condition of the jaw joints is also checked, the presence / absence of TMJ dysfunction is determined. Thus, we find out how far the problem has advanced, whether the jaw joints are affected.

Additionally, periodontal screening and diagnosis of therapeutic problems (caries, pulpitis, periodontitis, etc.) are carried out. This information is necessary to draw up a correct treatment plan.

Making a protective cap
A protective cap prevents further wear of the teeth. The cap is made individually based on a digital impression of the teeth. Production time - 1 day.
The cap is worn at night to protect the teeth during sleep when the person has no control over the clenching of the jaws.
If the patient is ready to start treatment, a medical cap is made. Its purpose is not only to protect the teeth, but also to relax the muscles, increase the height of the bite and disengage the jaw joints. These tasks are part of the healing process.

If the patient is not ready to be treated in the near future, only a protective cap is made to stop further tooth wear.

Council and presentation
To choose the optimal tactics for the treatment and elimination of the consequences of bruxism, we hold a consultation. Several doctors of the clinic participate in the consultation, which allows taking into account the opinion of several specialists at once. The consultation and presentation are included in the cost of digital diagnostics. This procedure is the standard of our clinic.

Muscle treatment, eliminate spasm
Bruxism is caused by spasm of the masticatory muscles. Therefore, first of all, we work with muscles and ligaments, relieve spasms and restore muscle tone.

It must be understood that there is a high probability of repeated muscle spasm until the cause of the disease is eliminated. If the cause is the absence of a tooth / teeth or malocclusion, these problems should be eliminated.

If, as a result of bruxism, the height of the teeth is reduced due to wear, it is necessary to restore the height of the teeth with the help of prosthetics (onlays, crowns).

Bite correction
If necessary, work is carried out to restore the bite. This stage may include:
- restoration of lost teeth (installation of bridges, prostheses, implants);
- grinding of fillings and restorations, elimination of supercontacts;
- restoration of bite height with the help of crowns;
- orthodontic treatment.
Consultation on bruxism problem
carry out:

Madjid I.G.
Deputy head physician of the CRB clinic
Orthopedic dentist, specializes in the treatment of TMD treatment of bruxism, total prosthetics.
Works in a digital protocol.
Before us, he worked in the Swiss digital scientific clinic Dentaprime.
Work experience more than 9 years.
Dolya A.V.
Lead Physician
Candidate of Medical Sciences
Dentist-orthopedist, specializes in prosthetics, general dentistry, treatment of TMJ dysfunction, bruxism. Experience in digital protocol.
Work experience more than 20 years.
Gnatyuk-Temel B.V.
Lead Physician
Dentist-therapist,
specializes in general dentistry, endodontics and the treatment of bruxism.
Works in a digital protocol.
Over 19 years of experience.
What do we use for diagnosis and treatment?

Attention! Self-medication is dangerous for your health. The information is provided to familiarize you with the methods of treatment at the CRB clinic. The effectiveness of treatment depends on the focus of influence on each procedure.
3D-сканер Medit i700
The Medit i700 scanner has an accuracy of 11 microns. Scanning teeth allows you to get digital impressions of the jaws, for the further manufacture of caps, crowns, onlays. The program is able to analyze the impression and identify supercontacts that need to be eliminated.
CT scanner HYPERION X9 PRO
Production of high-quality 3D CT images directly in the clinic facilitates and speeds up the diagnosis and treatment process. The CT device allows you to get pictures of the jaws and teeth, jaw joints, a teleroentgenogram, etc.
Microscope Ukrainian plant Scaner
With the help of a microscope, we can see the initial processes of tooth abrasion, chips and cracks in the enamel. If necessary, dental treatment is also carried out under a microscope. This allows us to always perform work with the highest quality.
TMJ correction
Correction of the jaw joints is carried out according to indications, if it is necessary to reduce the joint, restore its correct position. The procedure requires a lot of experience and pre-treatment of muscles and ligaments with the help of physiotherapy.
Shock Wave Therapy Storz Medical
Technology eliminates muscle spasms, restore proper blood circulation and nutrition of muscle fibers. Helps to remove accumulated metabolic products and calcifications, cleanses muscles and ligaments.
Protective / medical cap
The cap serves as protection for the teeth during sleep, and also performs part of the healing tasks. Prevents tooth wear. The cap distributes the load over its entire surface, preventing superloads on one tooth and its deformation / destruction.
Phone consultations:
044 580 40 04
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