Lingual bar contraindication except:
a- shallow lingual sulcus
b- long lingual frenum
c- too crowded lower anterior teeth***
d- Mobile anterior teeth.
-----------------------------
I bit my tongue to not answer. "" I clenched my teeth and moved on. "They may be good decisions at the moment, but they have a cost ... for the teeth. At night, when sleep and the unconscious unleash the fights domesticated during the day, they often do it through the teeth; with such force, they cause pain, tenderness and, finally, the loss of parts.
Bruxism consists of grinding or clenching your teeth, usually only while sleeping, to the point of waking roommates. It is associated above all with emotional disorders, so that, along with nervous tension and stress, "we are receiving more and more questions about dental wear and its consequences," says Dr. Luis Ernesto Tamini, head of the Integral Dentistry chair UBA adults.
"In patients who have had prevention and contact with dental education, today caries is not the main factor of consultation, but the alterations caused by this pathology. As people retain greater dental structure and for more years, bruxism appears more , in 60% to 70% of cases, "notes Tamini.
The teacher remembers "the amount of teeth we had to remove during the 2001-2002 crisis, because they fractured - he said - Even titanium implants have come to break the patients."
Rubbing wears teeth and facets. The bite pressure - from 35 to 70 kilograms / force for chewing food - is quintupled; but there is nothing that gets between your teeth, and they bump into each other. "They are prepared to meet only in chewing, and no more than four times a day," describes Dr. Silvina Cortese, associate professor of Comprehensive Dentistry at the UBA.
Excessive pressure retracts the gums, blows the enamel on the neck of the teeth, and hypersensitivity appears, "one of the big problems we are seeing," Tamini notes. Sometimes, the tooth moves a lot. And if there is bacterial plaque, bone tissue is destroyed. "
In boys, bruxism acquires particular characteristics, and is associated with other parafunctions (functions that are exerted excessively), such as eating nails, sucking fingers or objects, and chewing gum (See "In boys ...") .
This pathology is also usually related to respiratory disorders. "It usually decreases after a tonsil operation, so bruxism should be considered when deciding whether or not to operate on a boy," Cortese notes.
"In boys of 17, 18 we see it very marked - comments Tamini-. They have energy, muscular power and, with anxiety, the teeth are destroyed faster. It is the population in which the eye must be put more."
In pediatric dentistry, bruxism motivates postgraduate courses for a few years. In adult care, on the other hand, "100% of students know how to diagnose a facet product of this pathology," says Tamini.
What is not so easy is to solve it. It is possible to stop wear with an acrylic plate, and replace the lost enamel (See "The solutions ..."); but the patient will continue to brux.
"Dentists work on the signs and symptoms, not on the psyche," says Tamini-. People have a hard time assimilating that something is wrong, and they don't usually accept the dentist to act as a psychologist. But sometimes, when one explains why this happens, the patients break down and tell what happened to them. The psychotropic drugs do not nullify the bruxar.
Women:
Bruxism affects women less than men, not only because they have less muscle strength, but also because they suppress their anguish less and release their emotions more through crying.
REPORT OF THE UBA CHILD OF INTEGRAL DENTISTRY OF THE UBA:
In boys, bruxism rarely presents itself:
In children, bruxism rarely occurs alone. A work carried out in the Chair of Integral Dentistry of the UBA, recently presented at the Argentine Society of Dental Research, analyzed 134 boys with temporomandibular disorders. 52.19% had emotional commitment, including insomnia and night terrors. 78.35% had abnormalities in chewing and / or breathing.
In 80.59% of these children, parafunctions were detected: bruxism (74.11%); chewing gum (74.11%); eat nails (47.71%); nibbling of lips, cheeks and objects (27.91%); mandibular play (22.33%) and suck fingers and objects (14.21%).
"Before it was said that in boys, bruxism is physiological, because milk teeth need to wear out. But no author talked about the degree of wear, the limit between physiological and pathological," says Professor Silvina Cortese, attached of that chair. Even chewing gum "is a form of bruxism," he warns, "because muscle activity is the same."
a- shallow lingual sulcus
b- long lingual frenum
c- too crowded lower anterior teeth***
d- Mobile anterior teeth.
-----------------------------
I bit my tongue to not answer. "" I clenched my teeth and moved on. "They may be good decisions at the moment, but they have a cost ... for the teeth. At night, when sleep and the unconscious unleash the fights domesticated during the day, they often do it through the teeth; with such force, they cause pain, tenderness and, finally, the loss of parts.
Bruxism consists of grinding or clenching your teeth, usually only while sleeping, to the point of waking roommates. It is associated above all with emotional disorders, so that, along with nervous tension and stress, "we are receiving more and more questions about dental wear and its consequences," says Dr. Luis Ernesto Tamini, head of the Integral Dentistry chair UBA adults.
"In patients who have had prevention and contact with dental education, today caries is not the main factor of consultation, but the alterations caused by this pathology. As people retain greater dental structure and for more years, bruxism appears more , in 60% to 70% of cases, "notes Tamini.
The teacher remembers "the amount of teeth we had to remove during the 2001-2002 crisis, because they fractured - he said - Even titanium implants have come to break the patients."
Rubbing wears teeth and facets. The bite pressure - from 35 to 70 kilograms / force for chewing food - is quintupled; but there is nothing that gets between your teeth, and they bump into each other. "They are prepared to meet only in chewing, and no more than four times a day," describes Dr. Silvina Cortese, associate professor of Comprehensive Dentistry at the UBA.
Excessive pressure retracts the gums, blows the enamel on the neck of the teeth, and hypersensitivity appears, "one of the big problems we are seeing," Tamini notes. Sometimes, the tooth moves a lot. And if there is bacterial plaque, bone tissue is destroyed. "
In boys, bruxism acquires particular characteristics, and is associated with other parafunctions (functions that are exerted excessively), such as eating nails, sucking fingers or objects, and chewing gum (See "In boys ...") .
This pathology is also usually related to respiratory disorders. "It usually decreases after a tonsil operation, so bruxism should be considered when deciding whether or not to operate on a boy," Cortese notes.
"In boys of 17, 18 we see it very marked - comments Tamini-. They have energy, muscular power and, with anxiety, the teeth are destroyed faster. It is the population in which the eye must be put more."
In pediatric dentistry, bruxism motivates postgraduate courses for a few years. In adult care, on the other hand, "100% of students know how to diagnose a facet product of this pathology," says Tamini.
What is not so easy is to solve it. It is possible to stop wear with an acrylic plate, and replace the lost enamel (See "The solutions ..."); but the patient will continue to brux.
"Dentists work on the signs and symptoms, not on the psyche," says Tamini-. People have a hard time assimilating that something is wrong, and they don't usually accept the dentist to act as a psychologist. But sometimes, when one explains why this happens, the patients break down and tell what happened to them. The psychotropic drugs do not nullify the bruxar.
Women:
Bruxism affects women less than men, not only because they have less muscle strength, but also because they suppress their anguish less and release their emotions more through crying.
REPORT OF THE UBA CHILD OF INTEGRAL DENTISTRY OF THE UBA:
In boys, bruxism rarely presents itself:
In children, bruxism rarely occurs alone. A work carried out in the Chair of Integral Dentistry of the UBA, recently presented at the Argentine Society of Dental Research, analyzed 134 boys with temporomandibular disorders. 52.19% had emotional commitment, including insomnia and night terrors. 78.35% had abnormalities in chewing and / or breathing.
In 80.59% of these children, parafunctions were detected: bruxism (74.11%); chewing gum (74.11%); eat nails (47.71%); nibbling of lips, cheeks and objects (27.91%); mandibular play (22.33%) and suck fingers and objects (14.21%).
"Before it was said that in boys, bruxism is physiological, because milk teeth need to wear out. But no author talked about the degree of wear, the limit between physiological and pathological," says Professor Silvina Cortese, attached of that chair. Even chewing gum "is a form of bruxism," he warns, "because muscle activity is the same."
"It can be linked to the demands, with family models, repressed aggressions," adds the dentist. "In boys with primary dentition, bruxism is reduced with psychological therapy. When the dental replacement begins, it decreases by half."
When associated with breathing and swallowing disorders, and muscular hyperactivity in the mouth, therapy with a speech therapist is helpful. "Bruxism is a symptom that appears in the teeth. But the approach and treatment cannot always be given by the dentist," says Cortese.
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