10% of Germans gnashing of teeth
post blogged on Christian Krischer dental technician of dentistry from Hirschaid puraDent, courtesy of proDente eV
grudgingly take out something - this old descriptive phrase taken bt ¬ ¬ end a phenomenon which many people suffer from: bruxism. At night, literally chews problems over and over again performed ¬. Often, you notice the activities Sleep only when the teeth are suffering under it and show strong signs of wear or when the crunch caused by the pain of tension headaches and neck muscles unexpected ¬ ¬ ¬ ¬ ¬ ¬ be sluggish Lich. Dr. M. Oliver Ahlers from the Institute of dental functional diagnostics, temporomandibular joint and interdisciplinary pain therapy CMDcentrum Hamburg-Eppendorf clarified in discussion with proDente on the causes, consequences and treatments.
What are the causes of bruxism?
bruxism can have various causes. These include the current state:
excessive stress and other psychological problems: these lead to "nibble" and "clench the teeth."
disorders The occlusion of the teeth: they are enhanced muscle activity, "answered".
orthopedic problems such as poor posture and dysfunction of the cervical spine: these lead to increased muscular activity during the day, which can become independent and so at night leads to excessive muscle tension.
How many people are estimated to be affected? To distinguish
here are milder forms of nocturnal teeth grinding, and severe cases with consequences such as mouth opening limitations and chronic pain. Depending on the data base and target the numbers vary between 5% and 50%. But one can assume that about 10% of the population requiring treatment such as fluorescent.
is "crunch" a long-term phenomenon or hear it after a certain time again?
at how other behavior-related problems also occur when the teeth gnashing over the various forms. These are, of course together with the already mentioned various causes. So we do not see a few cases in which patients gnashing of teeth - such as after a period of acute stress, such as an exam - to set the teeth grinding again. On the other hand, there are unfortunately cases in which the initial habit grows into a difficult to control disease and is not overcome without help. In our CMD-hours at the Center Hamburg-Eppendorf, I have treated many patients whose pain was so bad that you no longer want to live no immediate help.
What damage can result from grinding? Here one must distinguish between
clenching and grinding. The difference is important, arise because the pressing Although adverse changes in the muscles, the teeth but first get away "scot-free." When grinding the tooth structure lost by attrition partly so solid, is that the debate is permanently impaired and that the jaw position changes.
addition to the grinding slightly damaged the edges of fillings, which promotes the development of caries.
come in both cases added changes in the muscles, which is "trained" in terms of uncontrolled bodybuilding. Since it is a real easy-to-muscle pain, which unfortunately are often very late to their root cause assigned.
clinical studies from Japan, we also know that by night clenching and grinding of the modification of the chewing surfaces to increases in blood pressure, insomnia and even changes of brain activity may occur. The symptoms of the subjects were so strong that it broke off the head of the study before the end. Even without such sophisticated testing, we see but in the CMD-hours patients who have taken longer due to untreated teeth grinding and gnashing of massive damage to the jaw joints like this. How
treated teeth grinding?
Treating clenching and grind depends on the particular individual causes. These are different in each case, so should any individual be considered individually. The working group for diagnosis and treatment (afdt) of the German Society for Dental, Oral and Maxillofacial Surgery (DGZMK) has published a number of published scientific opinions. These are up to date and pretend to be followed which sequence of studies today in the normal case, and what treatments are applied on this basis, in what order.
These comments are updated every three years is for all dentists - but also for interested patients - to load the Internet at www.AFDT.de free download.
To put it briefly: Prior to any therapy always be a diagnosis. The focus is on the "Clinical functional analysis." It is accompanied by an instrumental function analysis, in certain cases by the consiliary Examination by a specialized orthopedic and / or doctor for psychosomatic medicine.
is time in therapy at the start of treatment with customized splints (occlusal splints). Further treatment is then determined by the individual results of the first phase of treatment and is therefore very different.
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