Bruxism

Uvod: Bruksizam se definira kao škripanje ili stiskanje zubi odnosno kombinacija stiskanja i škripanja te je to poremećaj koji se mora lijeĉiti. Još se definira kao parafunkcionalno brušenje zubi i oralna navika koja je sastavljena od nehotiĉnog ritmiĉkog ili grĉevitog nefunkcionalnoga škrguta, stezanje ili atricije zubi, pokreti donje ĉeljusti klizanja zubna do zub koji dovode do okluzijske traume. Postupci: Trećina korištene literature je u razdoblju od 2016. do 2021. godine, dok većina ostale literature nije starija od 10 godina. Baze podataka u kojima je literatura pretraţena: PubMed, Science Direct, Hrĉak te Dabar. Prikaz teme: Bruksizam je nefunkcionalno kretanje ĉeljusti te je on vaţan etiološki ĉimbenik koji uzrokuje i/ ili ubrzava trošenje zuba. Radi postojanja raznih etioloških ĉimbenika, da bi se izlijeĉio bruksizam bitno je da postoji multidisciplinarni pristup kroz koji su ukljuĉene kombinacije bihevioralnog, farmakološkog te orodentalnog terapijskog pristupa. Pri dijagnosticiranju bruksizma se koristi kliniĉka dijagnostika koja se zasniva na simptomima i znakovima te komplementarnim metodama – polisomnografija i elektromiografija. Dentalni higijeniĉar ima vrlo vaţnu ulogu kod pacijenata s bruksizmom. On educira pacijenta te ublaţava njegov strah. Zaključak: Bruksizam se zbog pojave raznih etioloških ĉimbenika lijeĉi kroz multidisciplinarni pristup u koji su ukljuĉene kombinacije bihevioralnog, farmakološkog te orodentalnog terapijskog pristupa. Bruksizam ima negativan utjecaj na kvalitetu ţivota pacijenta stoga ga je vaţno što prije prepoznati i lijeĉiti.Introduction: Bruxism is defined as violent chewing or clenching of the teeth or a combination of clenching and chewing and is a disorder that must be treated. It is also defined as parafunctional clenching of teeth and oral habit consisting of involuntary rhythmic or convulsive non-functional gnashing, clenching or grinding of teeth, rhythmical movements of the lower jaw in the form of chewing/ grinding movements that lead to occlusal trauma. Procedure: One third of the literature is in the period from 2016 to 2021, while most of the other literature is not older than 10 years. Databases on which the literature was searched: PubMed, Science Direct, Hrĉak and Dabar. Overview: Bruxism is a dysfunctional movement of the jaw and it is an important etiological factor that causes and /or accelerates tooth wear. Due to the existence of various etiological factors, in order to cure bruxism, it is important that there is a multidisciplinary approach through which combinations of behavioural, pharmacological or some other type of oriental therapy approaches are included. When diagnosing bruxism, clinical diagnostics based on symptoms and signs and complementary methods - polysomnography and electromyography are used. The dental hygienist plays a very important role in patients with bruxism. It educates the patient and alleviates his fear. Conclusion: Due to the appearance of various etiological factors, bruxism is treated through a multidisciplinary approach that includes combinations of behavioural, pharmacological and orthodontic therapeutic approaches. Bruxism has a negative impact on the patient's quality of life, so it is important to recognize and treat it as soon as possibl